Scribe final exam
The following behaviors are helpful to help the provider-scribe team be more effective: -
Answers -All the above:
Scribes ask their provider clarifications about a patient's case outside the room.
Providers and scribes are in the patient's room together at the same time.
Providers and scribes ensure there is space in the room for the scribe to observe and
document the encounter accurately.
Scribes communicate to providers when laboratory results are available to review.
The medical record is not used for: - Answers -Accreditation
When is the best time to ask the provider to clarify things for the note? - Answers -When
out of hearing range of patients and visitors.
A patient is in excuciating pain and does not have family or a friend to interpret for them.
You are fluent in their native language. It is permissible to interpret until certified staff
can take over. - Answers -False
Which of the below is permitted per dress code in the clinical setting: - Answers -Scrubs
The following is an expectation for the medical scribe role: - Answers -All the above
Answers:
Never touch a patient
Be 10 minutes early for every shift
Ensure a complete medical record as possible before sharing with the provider to
review/sign
Wear closed-toed footwear
The following patient information is appropriate to share with your significant other: -
Answers -Correct: None of the above
Answers 1 and 3
Patient's neighborhood
Patient's child's name
,Patient's chief complaint
The following professionals are NOT members part of the emergency department
patient care team: - Answers -Lawyers
Medical Scribes contribute to improving clinical flow with the exception of - Answers -
Prioritizing tasks for providers
It is a busy shift and the provider shouts a STAT verbal order to the patient's nurse on
their way to the trauma bay. The nurse did not hear and turns to you. Can you repeat
the order? - Answers -No
The Joint Commission only provides accreditation to hospitals - Answers -false
Scribes must meet the following standards, as do other hospital personnel - Answers -
Information management, HIPAA, HITECH, Confidentiality and Patient Rights
Which is the proper way for a Scribe to sign the health record - Answers -Scribed for Dr.
Wilson by Medical Scribe, with the date and time of the entry
Joint Commission accredits and certifies more than ______________ health care
organizations and programs in the United States - Answers -20,500
A physician or practitioner is not permitted for use of a signature stamp to authenticate
"scribed" entries. - Answers -True
Scribes are not allowed to enter physician or practitioner order into the health record -
Answers -true
the Scribe cannot enter the date and time in the health record for the physician or
practitioner. - Answers -true
Authentication of the health record can be delegated to another physician or
practitioner. - Answers -false
the authentication must take place before the physician or practitioner and scribe..... -
Answers -Leave the patient care area
Healthcare organizations implement a performance improvement process to ensure that
the scribes are not acting outside of his/her job description, that authentication is
occurring as required and that no orders are being entered into the medical record by
scribes. - Answers -true
, When using a word root and a suffix, a combining vowel IS USED if the suffix DOES
NOT begin with a vowel. - Answers -true
Which of the following terms means pain? - Answers -algia
What is considered the word root in the medical term endocarditis? - Answers -card
A combining vowel is ALWAYS used when two or more root words are joined? -
Answers -true
This is the word part that contains the basic meaning to the word? - Answers -Word root
What surgical suffix means to surgically create an opening? - Answers -stomy
A word part that is considered a building block and never used independently is a: -
Answers -prefix
Which of the following is considered a directional prefix that means outside - Answers -
extra
To suture is: - Answers -rrhaphy
This is the word part that is attached to the end of a word to modify or change its
meaning? - Answers -suffix
Anemia is best determined by looking at the __________ lab value. - Answers -
Hemoglobin (HGB)
A patient presents in the ED with a fever of unknown origin (FUO). Which of the
following laboratory tests would be helpful in rapid diagnosis of bacterial sepsis? -
Answers -Procalcitonin
Most errors in stat laboratory results occur during - Answers -the pre-analytical phase of
testing when the specimen is collected.
Which of the following tests require that the patient specimen be collected using a tube
with anticoagulant (prevents clotting)? - Answers -cbc
Which of the following would be expected to be elevated with severe bone disease? -
Answers -Alkaline Phosphatase (ALP)
A ________ level may be helpful in determination of the presence of gall stones or gall
bladder disease. - Answers -Bilirubin
A hemolyzed blood sample is submitted to the laboratory for electrolyte testing. Which
analyte must not be reported on this sample? - Answers -potassium
The following behaviors are helpful to help the provider-scribe team be more effective: -
Answers -All the above:
Scribes ask their provider clarifications about a patient's case outside the room.
Providers and scribes are in the patient's room together at the same time.
Providers and scribes ensure there is space in the room for the scribe to observe and
document the encounter accurately.
Scribes communicate to providers when laboratory results are available to review.
The medical record is not used for: - Answers -Accreditation
When is the best time to ask the provider to clarify things for the note? - Answers -When
out of hearing range of patients and visitors.
A patient is in excuciating pain and does not have family or a friend to interpret for them.
You are fluent in their native language. It is permissible to interpret until certified staff
can take over. - Answers -False
Which of the below is permitted per dress code in the clinical setting: - Answers -Scrubs
The following is an expectation for the medical scribe role: - Answers -All the above
Answers:
Never touch a patient
Be 10 minutes early for every shift
Ensure a complete medical record as possible before sharing with the provider to
review/sign
Wear closed-toed footwear
The following patient information is appropriate to share with your significant other: -
Answers -Correct: None of the above
Answers 1 and 3
Patient's neighborhood
Patient's child's name
,Patient's chief complaint
The following professionals are NOT members part of the emergency department
patient care team: - Answers -Lawyers
Medical Scribes contribute to improving clinical flow with the exception of - Answers -
Prioritizing tasks for providers
It is a busy shift and the provider shouts a STAT verbal order to the patient's nurse on
their way to the trauma bay. The nurse did not hear and turns to you. Can you repeat
the order? - Answers -No
The Joint Commission only provides accreditation to hospitals - Answers -false
Scribes must meet the following standards, as do other hospital personnel - Answers -
Information management, HIPAA, HITECH, Confidentiality and Patient Rights
Which is the proper way for a Scribe to sign the health record - Answers -Scribed for Dr.
Wilson by Medical Scribe, with the date and time of the entry
Joint Commission accredits and certifies more than ______________ health care
organizations and programs in the United States - Answers -20,500
A physician or practitioner is not permitted for use of a signature stamp to authenticate
"scribed" entries. - Answers -True
Scribes are not allowed to enter physician or practitioner order into the health record -
Answers -true
the Scribe cannot enter the date and time in the health record for the physician or
practitioner. - Answers -true
Authentication of the health record can be delegated to another physician or
practitioner. - Answers -false
the authentication must take place before the physician or practitioner and scribe..... -
Answers -Leave the patient care area
Healthcare organizations implement a performance improvement process to ensure that
the scribes are not acting outside of his/her job description, that authentication is
occurring as required and that no orders are being entered into the medical record by
scribes. - Answers -true
, When using a word root and a suffix, a combining vowel IS USED if the suffix DOES
NOT begin with a vowel. - Answers -true
Which of the following terms means pain? - Answers -algia
What is considered the word root in the medical term endocarditis? - Answers -card
A combining vowel is ALWAYS used when two or more root words are joined? -
Answers -true
This is the word part that contains the basic meaning to the word? - Answers -Word root
What surgical suffix means to surgically create an opening? - Answers -stomy
A word part that is considered a building block and never used independently is a: -
Answers -prefix
Which of the following is considered a directional prefix that means outside - Answers -
extra
To suture is: - Answers -rrhaphy
This is the word part that is attached to the end of a word to modify or change its
meaning? - Answers -suffix
Anemia is best determined by looking at the __________ lab value. - Answers -
Hemoglobin (HGB)
A patient presents in the ED with a fever of unknown origin (FUO). Which of the
following laboratory tests would be helpful in rapid diagnosis of bacterial sepsis? -
Answers -Procalcitonin
Most errors in stat laboratory results occur during - Answers -the pre-analytical phase of
testing when the specimen is collected.
Which of the following tests require that the patient specimen be collected using a tube
with anticoagulant (prevents clotting)? - Answers -cbc
Which of the following would be expected to be elevated with severe bone disease? -
Answers -Alkaline Phosphatase (ALP)
A ________ level may be helpful in determination of the presence of gall stones or gall
bladder disease. - Answers -Bilirubin
A hemolyzed blood sample is submitted to the laboratory for electrolyte testing. Which
analyte must not be reported on this sample? - Answers -potassium
