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Certified Documentation Integrity Practitioner Questions 56–60 (page: 13)

Updated On: 10-Feb-2026

Review the following query to determine if it is compliant:
Dr. Jones, this patient had a sodium level of 126 on admission and was started on a 0.9% saline IV. Can you indicate what condition is being treated?
_______Dehydration
_______Hyponatremia
_______Hypernatremia
_______Chronic kidney disease (indicate stage) _______
_______Other (please specify) _______

  1. Yes, query is compliant as it provides clinical indicators and several options for response.
  2. Yes, query is compliant as it offers the minimum number of multiple-choice answers.
  3. No, query is noncompliant as it does not provide the option of “unable to determine”.
  4. No, query is noncompliant as one of the multiple-choice options is clinically irrelevant.

Answer(s): A



A patient presents to the emergency room with complaint of cough with thick yellow greenish sputum, and generalized pain. Admitting vital signs are noted below and sputum culture performed. The patient is admitted with septicemia due to pneumonia and has received 2L of normal saline and piperacillin/tazobactam. After all results were reviewed, on day 2, the hospitalist continued to document septicemia due to pneumonia.
White blood count BC 18,000
Temperature 101.5
Heart rate 110
Respiratory rate 24
Blood pressure 95/67
Sputum culture (+) klebsiella pneumoniae
Which diagnosis implies that a query was sent and answered?

  1. Septicemia due to klebsiella pneumoniae
  2. Sepsis with pneumonia due to klebsiella pneumoniae
  3. Severe sepsis with pneumonia due to klebsiella pneumoniae
  4. Sepsis with respiratory failure due to pneumonia

Answer(s): B



Which of the following committees should determine the chain of command that will be used to manage physicians who are either unresponsive or uncooperative with the clinical documentation integrity (CDI) program?

  1. Communications
  2. Operations
  3. Oversight
  4. Compliance

Answer(s): D



Which physician would best benefit from additional education for unanswered queries?

  1. Dr. A
  2. Dr. B
  3. Dr. C
  4. Dr. D

Answer(s): D



A clinical documentation integrity practitioner (CDIP) in an acute care hospital was asked to create new query templates for ICD-10 based on AHIMA and ACDIS guidelines. What should the multiple-choice query format include?

  1. Clinically significant options
  2. Clinically insignificant options
  3. Impact on reimbursement
  4. Clinically unsupported diagnosis

Answer(s): A



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