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Exam Code:CCDS
Exam Name:Certified Clinical Documentation Specialist
Certification Provider:ACDIS
Free Question Number:74
Version:v2026-10-12
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Exam Question List
Question 1: Which of the following secondary diagnoses has the MOST posi...
Question 2: The physician evaluates a postoperative wound infection but ...
Question 3: A CDI manager notes that the physician query response rate i...
Question 4: Which of the following principal diagnoses groups to MS-DRG ...
Question 5: A patient is admitted with pneumonia. On hospital day 3, the...
Question 6: A CDI program is developing a query escalation policy. A cli...
Question 7: A patient with abdominal pain and melena is found to have a ...
Question 8: Which pressure-ulcer category is specifically included in th...
Question 9: A patient develops chest pain and elevated troponins while r...
Question 10: At discharge, the physician documents, "Possible gram-negati...
Question 11: A patient's baseline creatinine is 1.0 mg/dL. Following prol...
Question 12: A CDI specialist drafts the following query: "Please documen...
Question 13: An operative report states that the surgeon performed an exc...
Question 14: A patient is admitted with hypertension and stage 3b chronic...
Question 15: A patient with severe cachexia and substantial loss of appet...
Question 16: A patient is admitted with sepsis due to an E. coli urinary ...
Question 17: A CDI program plans to develop a policy for addressing diagn...
Question 18: A patient with active breast cancer is admitted solely to re...
Question 19: A CDI director wants to evaluate whether physicians are cons...
Question 20: A patient with chronic heart failure presents with confusion...
Question 21: A CDI manager finds that cardiology providers receive repeat...
Question 22: A CDI specialist reviews a prior hospitalization and finds t...
Question 23: Under the IPPS Post-Acute Care Transfer policy, which docume...
Question 24: A patient with type 2 diabetes mellitus is admitted with sta...
Question 25: A patient is admitted with nausea, confusion, and generalize...
Question 26: A CDI specialist sends a compliant query. The physician answ...
Question 27: A patient underwent open small bowel resection with anastomo...
Question 28: A hospital records 72 observed deaths, while its risk-adjust...
Question 29: A patient with dysphagia after a recent stroke develops feve...
Question 30: A registered dietitian documents severe malnutrition based o...
Question 31: A CDI specialist's working MS-DRG differs from the final cod...
Question 32: A patient is admitted for UTI with AMS. The physician docume...
Question 33: A CDI specialist submits a neutral query regarding possible ...
Question 34: A physician documents "postoperative urinary retention" afte...
Question 35: The amount of the IPPS Indirect Medical Education Adjustment...
Question 36: A patient with COPD normally has a PaCO# of approximately 45...
Question 37: A CDI specialist is asked to develop an educational presenta...
Question 38: A CDI specialist identifies fever, leukocytosis, tachycardia...
Question 39: A patient undergoes abdominal surgery. Two days later, the p...
Question 40: CMS identifies the complete logic used to assign inpatient c...
Question 41: A CDI manager is evaluating physician participation in the p...
Question 42: Two MS-DRGs have relative weights of 0.85 and 2.10. Which st...
Question 43: When a physician documents the abbreviation "HCAP" in the he...
Question 44: The documentation is insufficient to determine whether a rep...
Question 45: A patient is admitted with shortness of breath and dyspnea. ...
Question 46: A CDI specialist has been asked to present a report to hospi...
Question 47: A patient is admitted with fever, productive cough, and hypo...
Question 48: A hospital has a total MS-DRG relative weight of 2,640 for 1...
Question 49: A physician documents acute kidney injury. The patient's cre...
Question 50: The MOST important factor influencing a hospital's ability t...
Question 51: During a quarter, a CDI department issued 800 provider queri...
Question 52: Under the FY 2026 Hospital-Acquired Condition Reduction Prog...
Question 53: A patient has a history of a type 2 MI 30 days ago. The pati...
Question 54: A patient's hemoglobin decreases from 13.1 g/dL before surge...
Question 55: The progress note on hospital day 2 of a patient's admission...
Question 56: A patient is admitted with TIA, right-sided weakness, and sl...
Question 57: A patient experienced a type 1 STEMI 10 days ago. The patien...
Question 58: A hospital had 1,000 inpatient discharges during a reporting...
Question 59: Under the Inpatient Prospective Payment System, the PACT rul...
Question 60: During one month, a CDI department issued 400 queries. Provi...
Question 61: A CDI specialist reviews the MS-DRG mismatch report and note...
Question 62: A patient accidentally takes twice the prescribed dose of wa...
Question 63: A patient is admitted with hypertension and acute systolic h...
Question 64: A 91-year-old has a past medical history of heart failure, C...
Question 65: A CDI specialist identifies a diagnosis that would change th...
Question 66: A patient is admitted with sepsis due to osteomyelitis and e...
Question 67: A patient was admitted with weakness, loss of appetite, hemo...
Question 68: Which CMS program can reduce an eligible hospital's Medicare...
Question 69: A patient is admitted with a stage 4 pressure ulcer of the r...
Question 70: Under the FY 2026 Hospital Value-Based Purchasing Program, h...
Question 71: Respiratory failure is documented in a patient's initial pro...
Question 72: When reviewing a patient's chart in the ICU, a CDI specialis...
Question 73: Based on the AHIMA/ACDIS Practice Brief Guidelines for Achie...
Question 74: An arterial blood gas shows pH 7.24, PaCO# 72 mmHg, and HCO#...