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Scribe America Final Exam ED Questions and Answers Already Passed
Question 1: What CAN scribes do?
CORRECT ANSWER: -Document Hx, PE, results,
procedures, and physician consults -Access and document lab results and radiology findings -Locate and obtains PMHx, previous charts, past results, and recent studies -Record physician interpretations of x-rays and EKGs
Question 2: What can scribes NOT do?
CORRECT ANSWER: -Touch pts
-Write orders or Rxs -Give verbal orders -Partake in any activity that may affect pt health/outcome -Sign or authenticate any chart/record -Handle bodily fluids or specimens
Question 3: What does the Charge Nurse do?
CORRECT ANSWER: Manages ED pt flow
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Question 4: What does the ED Nurse do?
CORRECT ANSWER: Records medical Hx, symptoms,
monitors pt, starts IVs, administers medications, and assists with procedures.
Question 5: What does the Unit Secretary do?
CORRECT ANSWER: Places physician's orders, answers
phone calls, pages other specialists/doctors, and organizes pt's paperwork.
Question 6: What does the scribe do?
CORRECT ANSWER: Document pt's visit on behalf of the
physician.
Question 7: What is the ED flow?
CORRECT ANSWER: Walk in → triage → bed → physician
assessment → labs/rad/meds → results → MDM → diagnosis → consults → disposition
Question 8: What are the 5 vital signs?
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CORRECT ANSWER: -RR
-BP -HR -temp -O2 sat
Question 9: What are all the parts of the chart?
CORRECT ANSWER: -HPI
-ROS -Past Hx -PE -ED Course -Disposition
Question 10: What goes in each SOAP section?
CORRECT ANSWER: S: HPI and ROS
O: PE and ED course
A: diagnosis
P: plan and disposition
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Question 11: Pt says "high blood pressure," you write...
CORRECT ANSWER: hypertension (HTN)
Question 12: Pt says "high cholesterol," you write...
CORRECT ANSWER: hyperlipidemia (HLD)
Question 13: Pt says "diabetes," you write...
CORRECT ANSWER: diabetes mellitus (DM)
Question 14: Pt says "I take pills for my diabets," you write...
CORRECT ANSWER: non-insulin dependent diabetes
mellitus (NIDDM)
Question 15: Pt says "I take shots (insulin) for my diabetes," you
write...