Study with CCDS Actual Test Questions
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Updated: Sep 29, 2026
No. of Questions: 152 Questions & Answers with Testing Engine
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ACDIS Certified Clinical Documentation Specialist Sample Questions:
Respiratory failure is documented in a patient's initial progress notes. There are no clinical indicators in the record to support this diagnosis. According to the AHIMA/ACDIS Practice Brief Guidelines for Achieving a Compliant Query Practice, the MOST appropriate action by the CDI specialist is which of the following?
- A. Do not assign a code for respiratory failure
- B. Assign a code for respiratory failure
- C. Review for documentation of CPAP to support respiratory failure
- D. Query the provider for validation of the diagnosis
Correct Answer: D 🗳️
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The documentation is insufficient to determine whether a reportable diagnosis was present at the time of inpatient admission. Which POA indicator represents this situation?
- A. Y
- B. N
- C. W
- D. U
Correct Answer: D 🗳️
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A physician documents obesity. A registered dietitian records a BMI of 38.4 kg/m². Which statement is MOST accurate?
- A. The BMI may be obtained from the dietitian's documentation when the associated diagnosis is appropriately documented
- B. The BMI alone allows the coder to diagnose obesity
- C. The BMI cannot be used because only physicians may document BMI
- D. BMI should never be reported during an inpatient admission
Correct Answer: A 🗳️
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A patient undergoes abdominal surgery. Two days later, the physician documents "postoperative anemia." The hemoglobin decreased from 12.4 g/dL preoperatively to 8.2 g/dL, but the record does not state whether the anemia represents an expected postoperative condition, acute blood loss anemia, or a complication of surgery. What should the CDI specialist do?
- A. Assign a postoperative complication code because the anemia followed surgery
- B. Assign acute posthemorrhagic anemia based on the hemoglobin decline
- C. Query the provider for clarification of the anemia and its relationship to the procedure
- D. Do not report anemia because postoperative anemia is always expected
Correct Answer: C 🗳️
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Which statement BEST defines the principal diagnosis for an inpatient hospitalization?
- A. The condition established after study to be chiefly responsible for occasioning the hospital admission
- B. The diagnosis with the highest MS-DRG relative weight
- C. The first condition documented in the emergency department
- D. The diagnosis requiring the greatest number of medications
Correct Answer: A 🗳️
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