AHIMA AHIMA Certifications RHIA Questions & Answers

• Question 861:

  Lucy is admitted because of diabetic coma. She is a type II diabetic with nephritic syndrome and gangrene of her toes, all due to her diabetes.

  

  A. 250.30, 250.40, 581.81, 250.70, 785.4

  B. 250.31, 581.81, 785.4

  C. 250.30, 250.40, 581.131

  D. 250.30 250.41, 785.4

  Correct Answer: A

• Question 862:

  A patient is admitted for treatment of peripheral vascular disease, renal failure, and diabetes mellitus. The coder would

  A. assign codes for PVD, renal failure, and diabetes.

  B. assign codes for diabetes with peripheral vascular and renal manifestations.

  C. query physician for causal relationship between the PVD, renal failure, and diabetes.

  D. assign codes of diabetes with PVD and a code for renal failure.

  Correct Answer: C

• Question 863:

  Estelle has had nausea and vomiting and is unable to eat. She develops dehydration and is subsequently admitted for rehydration with intravenous fluids.

  

  A. 276.51, 787.01

  B. 276.51

  C. 276.51, 787.02

  D. 276.51, 787.02, 787.03

  Correct Answer: B

• Question 864:

  Laura is 7 years old and has acute bronchitis and cystic fibrosis. She is admitted to ambulatory surgery for bronchoscopy.

  

  A. 466.0, 277.00, 33.23

  B. 466.0, 277.01, 33.24

  C. 277.00, 96.56, 33.23

  D. 277.00, 33.23, 33.24, 96.56

  Correct Answer: A

• Question 865:

  Jessica has been diagnosed with hyperthyroidism due to toxic multinodular goiter with cris She also has hypertension and has a history of sick sinus syndrome with pacemaker insertio Jessica has a partial thyroidectomy on this admission.

  

  A. 240.9, 401.0, 427.81, 06.4

  B. 242.21, 401.9, 427.81, V45.01, 06.39

  C. 240.9, 242.21, 401.9. V45.01, 06.4

  D. 242.21, 401.9. V45.01, 06.39

  Correct Answer: D

• Question 866:

  Ralph is a 96-year-old nursing home resident who is admitted for malnutrition. Ralph has suffered a previous stroke that has left him with dysphagia. Ralph is treated for malnutritio_tij with hyperalimentation. Ralph was also found to have hypokalemia that was treated with IVY potassium replacement. On the day prior to discharge, Ralph underwent a PEG tube insertion.

  

  A. 438.82, 263.9, 787.20, 43.11

  B. 787.20, 276.8, 43.11

  C. 263.9, 276.8, 438.82, 43.11

  D. 263.9, 787.20, 276.8, 43.11

  Correct Answer: C

• Question 867:

  When is it appropriate to use category V1O, history of malignant neoplasm?

  A. Primary malignancy recurred at original site and adjunct chemotherapy is directed at the site.

  B. Primary malignancy has been eradicated and no adjunct treatment is being given at this time.

  C. Primary malignancy eradicated and the patient is admitted for adjunct chemotherapy to primary site.

  D. Primary malignancy is eradicated; adjunct treatment is refused by patient even though there is some remaining malignancy.

  Correct Answer: B

• Question 868:

  Given the following diagnosis: "Carcinoma of axillary lymph nodes and lungs, metastatic from breast." What is the primary cancer site(s)?

  A. axillary lymph nodes

  B. lungs

  C. breast

  D. both A and B

  Correct Answer: A

• Question 869:

  Sophia has been diagnosed with metastatic carcinoma of lung, primary site breast. Simple mastectomy performed 2 years ago. What is the principal diagnosis?

  A. metastatic carcinoma of lung

  B. carcinoma of breast

  C. history of carcinoma of breast

  D. status post mastectomy

  Correct Answer: A

• Question 870:

  Richard is admitted for chemotherapy for leukemia. Chemotherapy is administered. Given this information,

  A. the leukemia code and a procedure code for the chemotherapy will be assigned.

  B. an admission for chemotherapy code and a chemotherapy procedure code will be assigned.

  C. an admission for chemotherapy code, a leukemia code, and a procedure code for the chemotherapy should be assigned and the principal diagnosis will be the admission for chemotherapy V code.

  D. an admission for chemotherapy code, a leukemia code, and a procedure code for the chemotherapy should be assigned and the principal diagnosis will be the leukemia code.

  Correct Answer: C