CCS Medical Terminology & Documentation 3

Question 1

A care plan uses the term 'ambulation.' This refers to a resident's ability to:

Accepted Answer

Walk or move about

Answer

Ambulation refers to the act of walking or moving from place to place, a key functional assessment in care planning.

Question 2

Which term describes a wound that is healing properly with new tissue formation?

Accepted Answer

Granulating

Answer

Granulation tissue is new connective tissue and blood vessels that form on a wound surface during healing.

Question 3

When documenting vital signs, the abbreviation 'BP' refers to:

Accepted Answer

Blood pressure

Answer

BP stands for blood pressure, the force of blood pushing against artery walls, measured in mmHg.

Question 4

A resident's chart contains the word 'dysphagia.' This refers to difficulty with:

Accepted Answer

Swallowing

Answer

Dysphagia is difficulty swallowing, a condition that requires special dietary modifications and documentation in care plans.

Question 5

In a resident's medical record, 'NPO' means the resident should:

Accepted Answer

Have nothing by mouth

Answer

NPO stands for 'nil per os,' Latin for nothing by mouth, commonly ordered before surgery or certain medical procedures.

(CCS) Certified Care Specialist Practice Test