UPDATED CDIP EXAM 1 DOMAIN 3 2024/2025
QUESTIONS WITH VERIFIED SOLUTIONS
A physician documents pneumonia of the left lower lobe with crackles in thebases. The patient has
difficulty swallowing day 2 of admission following CVAwith infarct. The patient has a history of
gastroesophageal reflux. It would beappropriate to query for:
No query warranted
Infectious pneumonia
Aspiration pneumonia
COPD with pneumonia: Aspiration pneumonia
Physicians queries should:
Be initiated on all admissions
Be leading
Be utilized to clarify ambiguous documentation
Be performed by all heath care professionals: Be utilized to clarify ambiguousdocumentation
A CDI program should allow concurrent documentation review to:
educate clinical care providers
allow providers to clarify hospital acquired conditions and present onadmission indicators
address areas of quality impact
all of the above: all of the above
A patient has a stage III pressure ulcer noted in the ED. While the patient isin the hospital for 6
days, the ulcer progresses to stage IV. The correct POA assignment would be:
The following query was found in a patient's health record. Which of theanswers best applies to
this query?
Dr. Bean: this patient received IV Rocephin and Vancomycin: please documentsevere sepsis in the
progress note to justify the drug utilization.
This is a leading query.
This query brings in information not documented within the chart and is
appropriate
This is a yes or no query
This is an appropriate query: This is a leading query
The following query was found in a patient's health record. Which of theanswers best applies to
this query?
Dr. Bean: The patient was admitted with dizziness, coffee-ground emesis andsevere, burning
abdominal pain. The patient history of gastric ulcers with repeated admissions for alcoholism and
habitual use of NSAIDS. Laboratoryshows hemoglobin of 10 with transfusion of 2 units RBC's.
Patient has anemia.Please document the type of anemia noted within your progress note.
This is a leading query
This query brings in information not documented within the chart and is inappropriate
This is a yes or no query
This is an appropriate query: This is an appropriate query
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