ACDIS CCDS : Certified Clinical Documentation Specialist

CCDS real exams

Exam Code: CCDS

Exam Name: Certified Clinical Documentation Specialist

Updated: Oct 01, 2026

Q & A: 152 Questions and Answers

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ACDIS Certified Clinical Documentation Specialist Sample Questions:

Question #1

A patient with known heart failure presents with severe dyspnea, orthopnea, bilateral crackles, pulmonary edema, and lower-extremity edema. Echocardiography shows an ejection fraction of 28%. IV loop diuretics are administered. Which clarification is MOST clinically supported?

  • A. Stable heart failure
  • B. Cor pulmonale only
  • C. Acute systolic heart failure
  • D. Chronic diastolic heart failure
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Correct Answer: C  🗳️

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Question #2

A patient is admitted with TIA, right-sided weakness, and slurred speech. The physician's physical examination notes that the patient's right-sided weakness continues, but the slurred speech has resolved. A CT scan of the brain reveals a new hypodense area. The most specific diagnosis to query is acute:

  • A. Transient cerebral ischemia
  • B. Cerebral infarction
  • C. Transient global amnesia
  • D. Encephalopathy
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Correct Answer: B  🗳️

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Question #3

What type of query is needed to compliantly address a scenario in which clinical indicators of a diagnosis exist, but for which no diagnosis has been documented in the medical record?

  • A. cause and effect query
  • B. multiple choice query
  • C. yes or no query
  • D. clinical validation query
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Correct Answer: B  🗳️

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Question #4

Based on the AHIMA/ACDIS Practice Brief Guidelines for Achieving a Compliant Query Practice, a leading query is one that:

  • A. Is not supported by at least one clinical indicator/element in the health record
  • B. Clarifies the cause-and-effect relationship of two diagnoses through a yes/no format
  • C. Lists a relevant diagnosis not documented by the provider as one of several multiple-choice options
  • D. Is asked of the provider while he/she is charting in the health record with the open query
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Correct Answer: A  🗳️

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Question #5

A patient with cirrhosis presents with confusion and asterixis. Ammonia is elevated and the patient improves after lactulose administration. The physician documents "altered mental status due to liver disease." Which clarification would provide the MOST clinically specific documentation?

  • A. Metabolic acidosis
  • B. Hepatic encephalopathy
  • C. Alcohol withdrawal
  • D. Dementia
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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