RHIA

RHIA practice questions, page 60 of 73, with answer review and explanations.

Question 296

A patient was discharged from the acute care hospital with a final diagnosis of bronchial asthma. As the coder reviews the record, she notes that the patient was described as having prolonged and intractable wheezing, airway obstruction that was not relieved by bronchodilators and the lab values showed decreased respiratory function. The coder queried the physician to determine whether the code for ________ is appropriate to be added to the final diagnoses.

  1. acute and chronic bronchitis
  2. chronic obstructive pulmonary disease
  3. respiratory failure
  4. status asthmaticus

Question 297

A patient is undergoing hemodialysis for end-stage renal disease in the outpatient department of observation for several hours, at which time the patient is admitted to inpatient care for further workup. The cardiologist diagnoses the patients problem as unstable angina. What is the principal diagnosis for the acute hospital stay?

  1. complications of hemodialysis.
  2. heartburn.
  3. unstable angina.
  4. renal disease.

Question 298

A patient is seen in the emergency room of an acute care hospital with tachycardia and hypotension. The patient had received an injection of tetanus toxoid (correct dosage) earlier at his primary care physicians office. Which of the following is the appropriate sequencing for this encounter?

  1. hypotension; tachycardia; accidental poisoning E code (tetanus toxoid)
  2. unspecified adverse reaction to tetanus toxoid; undetermined cause E code (tetanus toxoid)
  3. hypotension; tachycardia; therapeutic use E code (tetanus toxoid)
  4. poisoning code (tetanus toxoid); hypotension; tachycardia; accidental poisoning E code (tetanus toxoid)

Question 299

A rare malignant tumor often associated with AIDS is

  1. Kaposi’s sarcoma.
  2. glioblastoma multiforme.
  3. pheochromocytoma.
  4. melanoma.

Question 300

A PEG procedure would most likely be done to facilitate

  1. breathing.
  2. eating.
  3. urination.
  4. none of the above.