ScribeAmerica ED Final Exam 2026
Question and Answer | Complete Revision
Pack | Grade A+
• Chief Complaint. CORRECT ANSWER: the main reason for the pt's
ED visit
• pain vs tenderness. CORRECT ANSWER: pt's feelings (subjective) vs
physician's assessment (objective)
• distress. CORRECT ANSWER: the doctor's judgement of discomfort
• baseline. CORRECT ANSWER: an individual's normal state of being
• 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
• 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
• What does the Charge Nurse do?. CORRECT ANSWER: Manages ED
pt flow
,• What does the ED Nurse do? CORRECT ANSWER: Records medical
Hx, symptoms, monitors pt, starts IVs, administers medications, and
assists with procedures.
• What does the Unit Secretary do? CORRECT ANSWER: Places
physician's orders, answers phone calls, pages other specialists/doctors,
and organizes pt's paperwork.
• What does the scribe do? CORRECT ANSWER: Document pt's visit
on behalf of the physician.
• What is the ED flow? CORRECT ANSWER: Walk in → triage → bed
→ physician assessment → labs/rad/meds → results → MDM →
diagnosis → consults → disposition
• What are the 5 vital signs?. CORRECT ANSWER: -RR
-BP
-HR
-temp
-O2 sat
• Level of acuity. CORRECT ANSWER: 5 (low) to 1 (high)
• What are all the parts of the chart? CORRECT ANSWER: -HPI
-ROS
-Past Hx
-PE
-ED Course
-Disposition
• What goes in each SOAP section? CORRECT ANSWER: S: HPI and
ROS
O: PE and ED course
A: diagnosis
P: plan and disposition
, • Pt says "high blood pressure," you write.... CORRECT ANSWER:
hypertension (HTN)
• Pt says "high cholesterol," you write.... CORRECT ANSWER:
hyperlipidemia (HLD)
• Pt says "diabetes," you write.... CORRECT ANSWER: diabetes
mellitus (DM)
• Pt says "I take pills for my diabets," you write.... CORRECT
ANSWER: non-insulin dependent diabetes mellitus (NIDDM)
• Pt says "I take shots (insulin) for my diabetes," you write....
CORRECT ANSWER: insulin dependent diabetes mellitus (IDDM)
• Pt says "heart disease," you write.... CORRECT ANSWER: coronary
artery disease (CAD)
• Pt says "heart attack," you write.... CORRECT ANSWER: myocardial
infarction (MI) and CAD
• Pt says "heart failure," you write.... CORRECT ANSWER: congestive
heart failure (CHF)
• Pt says "irregular heartbeat," you write.... CORRECT ANSWER: atrial
fibrillation (a fib) or arrhythmia
• Pt says "murmur," you write.... CORRECT ANSWER: heart murmur
• Pt says "abnormally fast/racing heartbeat," you write.... CORRECT
ANSWER: supraventricular tachycardia (SVT) or arrhythmia
• Pt says "emphysema/chronic bronchitis," you write.... CORRECT
ANSWER: chronic obstructive pulmonary disease (COPD)
Question and Answer | Complete Revision
Pack | Grade A+
• Chief Complaint. CORRECT ANSWER: the main reason for the pt's
ED visit
• pain vs tenderness. CORRECT ANSWER: pt's feelings (subjective) vs
physician's assessment (objective)
• distress. CORRECT ANSWER: the doctor's judgement of discomfort
• baseline. CORRECT ANSWER: an individual's normal state of being
• 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
• 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
• What does the Charge Nurse do?. CORRECT ANSWER: Manages ED
pt flow
,• What does the ED Nurse do? CORRECT ANSWER: Records medical
Hx, symptoms, monitors pt, starts IVs, administers medications, and
assists with procedures.
• What does the Unit Secretary do? CORRECT ANSWER: Places
physician's orders, answers phone calls, pages other specialists/doctors,
and organizes pt's paperwork.
• What does the scribe do? CORRECT ANSWER: Document pt's visit
on behalf of the physician.
• What is the ED flow? CORRECT ANSWER: Walk in → triage → bed
→ physician assessment → labs/rad/meds → results → MDM →
diagnosis → consults → disposition
• What are the 5 vital signs?. CORRECT ANSWER: -RR
-BP
-HR
-temp
-O2 sat
• Level of acuity. CORRECT ANSWER: 5 (low) to 1 (high)
• What are all the parts of the chart? CORRECT ANSWER: -HPI
-ROS
-Past Hx
-PE
-ED Course
-Disposition
• What goes in each SOAP section? CORRECT ANSWER: S: HPI and
ROS
O: PE and ED course
A: diagnosis
P: plan and disposition
, • Pt says "high blood pressure," you write.... CORRECT ANSWER:
hypertension (HTN)
• Pt says "high cholesterol," you write.... CORRECT ANSWER:
hyperlipidemia (HLD)
• Pt says "diabetes," you write.... CORRECT ANSWER: diabetes
mellitus (DM)
• Pt says "I take pills for my diabets," you write.... CORRECT
ANSWER: non-insulin dependent diabetes mellitus (NIDDM)
• Pt says "I take shots (insulin) for my diabetes," you write....
CORRECT ANSWER: insulin dependent diabetes mellitus (IDDM)
• Pt says "heart disease," you write.... CORRECT ANSWER: coronary
artery disease (CAD)
• Pt says "heart attack," you write.... CORRECT ANSWER: myocardial
infarction (MI) and CAD
• Pt says "heart failure," you write.... CORRECT ANSWER: congestive
heart failure (CHF)
• Pt says "irregular heartbeat," you write.... CORRECT ANSWER: atrial
fibrillation (a fib) or arrhythmia
• Pt says "murmur," you write.... CORRECT ANSWER: heart murmur
• Pt says "abnormally fast/racing heartbeat," you write.... CORRECT
ANSWER: supraventricular tachycardia (SVT) or arrhythmia
• Pt says "emphysema/chronic bronchitis," you write.... CORRECT
ANSWER: chronic obstructive pulmonary disease (COPD)
