Coding Injuries and Conditions in ICD-10-CM, Exams of Nursing

Download Coding Injuries and Conditions in ICD-10-CM and more Exams Nursing in PDF only on Docsity!

ICD-10 CM Chapter 23, 24 & 25 Exam

with Complete and Correct Answers.

1. If a fracture is not specified as open or closed, it is coded as a(n): - Correct Ans: ✔✔closed fracture
2. Most injuries are diagnosed with the use of - Correct Ans: ✔✔imaging procedures such as x-ray, MRI, CT scan, ultrasound
3. LOC stands for: - Correct Ans: ✔✔loss of consciousness
4. The patient (civilian) has chronic posttraumatic stress syndrome following a terrorist attack, subsequent encounter. - Correct Ans: ✔✔F43.12, Y38.9x2S
5. All of the following are symptoms of fat embolism syndrome EXCEPT ____. - Correct Ans: ✔✔decreased temperature
6. An open fracture occurs when the bone is broken but the skin remains intact. - Correct Ans: ✔✔false
7. In ICD- 10 - CM, if a fracture is not specified, it is coded to nondisplaced. - Correct Ans: ✔✔true

8. Which of the following is NOT a common site for a laceration? - Correct Ans: ✔✔Stomach
9. External cause codes identify ____. - Correct Ans: ✔✔the activity at the time of the event the cause of an injury the intent or place of occurrence all of the above (all of the above)
10. A ____ is a stretch and/or tear of a ligament. - Correct Ans: ✔✔sprain
11. All of the following are true of external cause codes EXCEPT they capture____. - Correct Ans: ✔✔how to screen patients
12. In ICD- 10 - CM, there are more Instructional notes for the coder to also code any associated injuries. - Correct Ans: ✔✔True
13. When coding injuries, assign separate codes for each injury unless a combination code is provided. - Correct Ans: ✔✔True
14. Small piece of grass from mowing lawn at a single-family house stuck on right cornea. Grass was removed. Assign injury and procedure codes only. - Correct Ans: ✔✔T15.01xA, 08C8XZZ

15. Patient was seen with an abrasion with laceration of the left knee, initial encounter. Assign only the injury code. - Correct Ans: ✔✔S81.012A
16. The patient was admitted for observation after an accident at work. The patient, who does construction work, fell into a pit but was quickly rescued by co-workers. CT scan and x-rays were taken to evaluate for internal injury. No respiratory issues were noted. On the following morning, the patient had no complaints and was discharged to home. Discharge Diagnosis: Contusion on forehead. - Correct Ans: ✔✔Z04.2, S00.83xA, W17.2xxA, Y92.69, Y99.
17. The patient was the driver in an ATV rollover. The patient was intoxicated at the time of the accident and was not wearing a helmet. There was no LOC. CT of the head revealed a small subdural hemorrhage. The patient was observed closely for any change in mental status, and neurology was consulted. There was no need for operative intervention at this time. The patient was stable and was given instructions for follow-up. - Correct Ans: ✔✔S06.5x0A, F10.129, V86.59xA
18. In ICD- 10 - CM, complications of a fracture such as malunion or nonunion are reported with seventh character extensions for subsequent care with nonunion or malunion. - Correct Ans: ✔✔True

19. When the primary injury is to the blood vessels or nerves, that injury should be sequenced first. - Correct Ans: ✔✔True
20. A patient suffered a blowout fracture 1 week ago and is being seen by an orthopedic consultant. Assign only the injury code. - Correct Ans: ✔✔S02.3xxA
21. A ____ fracture is a common fracture in adults in which the lower end of the radius is fractured and the wrist and hand are displaced backward. - Correct Ans: ✔✔Colles'
22. A patient is admitted with a parietal bone fracture and fracture of the left fifth rib. Assign only the injury code. - Correct Ans: ✔✔S02.0xxA, S22.32xA
23. A third-degree burn is defined as: - Correct Ans: ✔✔full-thickness skin loss
24. MVA stands for: - Correct Ans: ✔✔motor vehicle accident
25. An adverse effect is: - Correct Ans: ✔✔a side effect or reaction to a drug that has been taken according to instructions

26. Codes T31 and T32 are used: - Correct Ans: ✔✔when the site of the burn is not specified
27. When coding different degrees of burns of the same site, assign the code or codes that identify: - Correct Ans: ✔✔the highest degree of the burn
28. Examples of poisonings include: - Correct Ans: ✔✔the wrong medication taken the wrong dose of a medication taken too much of a certain medication taken all of the above (correct answer)
29. Debridements can be performed: - Correct Ans: ✔✔at the bedside in the operating room by physical therapists, wound care nurses, and professionals other than physicians all of the above (correct answer)
30. A nonhealing burn is coded as an acute burn. - Correct Ans: ✔✔True
31. A corrosive burn is a thermal burn that is due to a heat source such as fire or a hot appliance. - Correct Ans: ✔✔False

32. The residual effect is usually sequenced first followed by the appropriate sequela (late effect) code. - Correct Ans: ✔✔True
33. When the reason for the admission or encounter is to provide treatment for external multiple burns, sequence first the code that reflects the burn of the highest degree. - Correct Ans: ✔✔True
34. Patient was admitted with second-degree burns of the left hand and first-degree burns of the left forearm. The patient touched a hot steam pipe. - Correct Ans: ✔✔T23.202A, T22.112A, X16.xxxA
35. All of the following are true of the "rule of nines" EXCEPT ____. - Correct Ans: ✔✔the anterior trunk is 9%
36. Debridements must always be done in the OR. - Correct Ans: ✔✔False
37. In a toxic poisoning, the toxic poisoning code (T36-T50) should be sequenced first, followed by the external cause code(s). - Correct Ans: ✔✔True
38. A patient combined prescription Percodan with beer and became stuporous and drowsy. - Correct Ans: ✔✔T40.2x1A, T51.0x1A, R40.1, R40.

39. The patient was admitted with acute renal failure. The patient had been treated by Home Health with IV gentamicin for Pseudomonas pneumonia. The patient was experiencing some edema and decreased urine output. Blood was drawn, and the physician admitted the patient for IV fluids and investigation of the patient's renal status. Gentamicin was stopped, and another antibiotic was given. The patient's renal function returned to normal. Final Diagnosis: Acute renal failure due to gentamicin. Recent pneumonia. - Correct Ans: ✔✔N17.9, T36.5x5A, J15.
40. The patient was admitted with hematemesis. The patient has been taking NSAIDs as directed by the physician for arthritis pain. EGD showed that the patient had an acute erosive gastritis, most likely due to NSAIDs, that is the likely cause of the bleeding. Final Diagnosis: Erosive gastritis with hemorrhage due to NSAIDs. Procedure: EGD with gastric biopsy. - Correct Ans: ✔✔K29.01, T39.395A, M19.90, 0DB68ZX
41. A patient has SIRS due to an accidental burn from the flames from a single-family house fire. The patient has full-thickness skin loss burns of the legs (11%) with second-degree burns of the trunk (4%) - Correct Ans: ✔✔T24.302A, T24.301A, T21.20xA, R65.10, T31.11, X00.0xxA, Y92.
42. A 2-year-old child was admitted with an accidental electrical burn to the upper lip. The child was at home (single-family) and had bitten

on an electrical cord. The mother immediately sought medical attention. The burn was a full-thickness burn. Local wound care was performed. The patient was not having any breathing problems. Further intervention will depend on how the burn heals.

43. Final Diagnosis: Full-thickness burn to upper lip due to electrical current. - Correct Ans: ✔✔T20.32xA, W86.0xxA, Y92.
44. Debridement is one of the most common procedures performed on burn victims. - Correct Ans: ✔✔True
45. All of the following are to be considered when one is questioning whether a poisoning has occurred EXCEPT whether the ____. - Correct Ans: ✔✔medication was taken 30 minutes after the scheduled time
46. Patient admitted for a suicide attempt with multiple medications, including Naproxen, Keppra, and acetaminophen mixed with beer. Patient was somnolent on arrival in the ER. - Correct Ans: ✔✔T39.312A, T42.6x2A, T39.1x2A, T51.0x2A, R40.
47. Patient was admitted with cocaine-induced chest pain. - Correct Ans: ✔✔T40.5x1A, R07.9, F14.
48. Patient was seen in the ER for superficial frostbite, both ears. Patient was exposed to cold weather. - Correct Ans: ✔✔T33.011A, T33.012A, X31.xxxA

49. Patient is being treated with HBOT for decompression sickness when surfacing while scuba diving in the ocean. - Correct Ans: ✔✔T70.3xxA, W94.21xA, Y92.832, Y93.15, 6A150ZZ
50. The patient reported to the ER with nausea/vomiting and weakness. The patient is on OxyContin for chronic pain due to unresectable pancreatic cancer. The patient was in extreme pain and decided to double the OxyContin dosage. When this did not relieve the pain, the patient decided to drink a couple of shots of whiskey. The patient got very weak and called 911. The patient was volume depleted and was treated with IVs; his pain medications were adjusted.
51. Final Diagnosis: Accidental overdose of OxyContin.
52. Pain due to pancreatic cancer. - Correct Ans: ✔✔T40.2x1A, T51.0x1A, C25.9, G89.3, R53.1, R11.2, E86.
53. A patient was admitted because of an intentional overdose of Valium. The patient is in a coma. - Correct Ans: ✔✔T42.4x2A, R40.
54. When the patient is admitted for burn injuries and other related conditions such as smoke inhalation, the circumstances of admission govern the selection of the principal or first-listed diagnosis. - Correct Ans: ✔✔True

55. The patient was brought to the ER by her mother. The patient admits to being beaten by her husband. X-rays showed three fractured ribs on the right and a spiral fracture of the right humerus. The humeral fracture was manipulated and was found to be in alignment on follow-up x-rays. The patient was given pain medications and was discharged to the care of her mother.
56. Final Diagnosis: Fracture of three ribs and shaft of humerus due to spousal abuse.
57. Procedure: Closed reduction of fracture right humerus. - Correct Ans: ✔✔T74.11xA, S42.341A, S22.41xA, Y07.01, Y09, 0PSFXZZ
58. When coding infections due to a device, implant, or graft: - Correct Ans: ✔✔also code the specific infection
59. A dehiscence is: - Correct Ans: ✔✔an opening of a surgical wound
60. Iatrogenic means: - Correct Ans: ✔✔a condition is a result of treatment
61. Complication codes should never be used as principal diagnoses. - Correct Ans: ✔✔False
62. If in doubt as to whether a condition occurred as the result of a procedure or medical care, the coder should: - Correct Ans:

✔✔Check to verify that the procedure or illness was within the last 28 days

63. Codes Z94- and T86 are never used together. - Correct Ans: ✔✔True
64. A complication can be coded only if it is in within 1 year of the original surgery. - Correct Ans: ✔✔False
65. Medical conditions that develop after a transplant are not coded as transplant complications unless they affect the transplanted organ. - Correct Ans: ✔✔True
66. If a patient has an illness that affects his or her transplanted kidney, it is: - Correct Ans: ✔✔coded as a transplant complication
67. A mechanical complication is not: - Correct Ans: ✔✔considered "pain"
68. Codes for complications may be located in the chapter for specified body sites. - Correct Ans: ✔✔True
69. Coding complications always implies that poor care has been delivered. - Correct Ans: ✔✔False

70. Patient is admitted for treatment of primary liver cancer. Patient had a liver transplant 2 years ago. Patient has a past medical history of hypertension and COPD and is a former alcoholic. Patient has been sober for 10 years. - Correct Ans: ✔✔T86.49, C80.2, C22.8, I10, J44.9, F10.21, Y83.
71. Patient with a history of a kidney transplant comes to the ER with gastroenteritis. His history is positive for CKD, stage II, and hypertension. - Correct Ans: ✔✔K52.9, I12.9, N18.2, Z94.
72. Patient was hospitalized 1 month prior to this admission. During that admit, she was diagnosed with COPD and placed on a ventilator; her sputum was positive for Pseudomonas aeruginosa. She is admitted today with another case of pneumonia. - Correct Ans: ✔✔J18.9, J44.
73. Leakage of peritoneal dialysis catheter. Patient is on dialysis for end-stage renal disease. Peritoneal catheter was removed. Patient has a history of hypertension and type II diabetes with associated neuropathy. - Correct Ans: ✔✔T85.631A, I12.0, E11.40, Z99.2, Y84.1, 0WPGX0Z
74. Patient admitted with an abscess of abdominal surgical wound, initial encounter. Cultures were positive for Streptococcus. The

abscess was incised and drained. - Correct Ans: ✔✔T81.4XXA, B95.5, Y84.8, Y83.9, 0H97XZZ

75. During a posterior lumbar fusion at L4-L5 for spinal stenosis, the surgeon accidentally nicks the dura due to the amount of adhesions present. The fusion was performed via an open posterior procedure on the posterior column using morselized allograft. Patient has a history of asthma for which he takes meds prn. - Correct Ans: ✔✔M48.06, G97.41, J45.909, Y83.8, Y92.234, 0SG
76. The term dehiscence means ____. - Correct Ans: ✔✔opening a surgical wound
77. If the documentation is unclear whether the diagnosis was the result of a procedure or condition, a physician query should be initiated. - Correct Ans: ✔✔True
78. Iatrogenic is a term used to signify that a condition is a result of treatment. - Correct Ans: ✔✔True
79. The patient had a postoperative cerebrovascular accident that was embolic in nature. The patient initially had been admitted for treatment of coronary artery arteriosclerosis with CABG (left internal mammary artery and two saphenous vein grafts were used). Cardiopulmonary bypass was used during the surgery. - Correct Ans: ✔✔I25.10, I97.820, I63.40, 021109W, 02100A9, 5A1221Z

80. Complications affect only certain body systems. - Correct Ans: ✔✔False
81. A patient is admitted with a urinary tract infection (UTI) resulting from E. coli. The patient has an indwelling Foley catheter following recent radical prostatectomy for cancer. The coder queries the physician regarding the relationship of the UTI and the Foley, and the physician documents that the UTI is caused by the Foley. The patient is morbidly obese with type II diabetes, controlled with insulin. - Correct Ans: ✔✔T83.51xA, N39.0, B96.20, E66.01, E11.9, Z85.46, Y84.
82. Patient with decreased visual acuity due to corneal graft rejection. Admitted for cadaver keratoplasty of the left eye. - Correct Ans: ✔✔T86.840, Y83.0, H54.7, 08R93KZ
83. A patient had a kidney transplant 2 years ago but developed ESRD again. The patient has been on dialysis for the past year. The patient is now complaining of SOB and edema and is admitted for fluid overload and hemodialysis. Dialysis is performed multiple times during this stay. - Correct Ans: ✔✔E87.70, N18.6, Z94.0, Z99.2, Y83.0, 5A1D60Z
84. To aspirate means to ____. - Correct Ans: ✔✔breathe in a foreign substance

85. Codes under subcategory T86 are used ____. - Correct Ans: ✔✔for both complications and rejection of transplanted organs
86. There is a time limit to coding complications. - Correct Ans: ✔✔false
87. Patient had an outpatient surgical procedure this morning and was discharged in stable condition. Patient returns because of inability to void. A Foley catheter is inserted.
88. Diagnosis: Postoperative urinary retention. - Correct Ans: ✔✔N99.89, R33.9, Y84.8, Y83.9, 0T9B70Z
89. Status post below the knee amputation (right) is coded as: - Correct Ans: ✔✔Z89.
90. Open wound codes are used for surgical wounds, nontraumatic wounds, and ulcers. - Correct Ans: ✔✔False
91. An open fracture includes: - Correct Ans: ✔✔compound
92. missile
93. puncture
94. all of the above
95. The most common causes of spinal cord injury are motor vehicle accidents. - Correct Ans: ✔✔True

96. A superficial injury is always coded in addition to any more serious injury at the same site. - Correct Ans: ✔✔False
97. It is appropriate to add codes identifying blood vessel injuries in addition to fractures and dislocations. - Correct Ans: ✔✔True
98. A common cause of a pathologic fracture in female patients is: - Correct Ans: ✔✔osteoporosis