ED SCRIBE FINAL EXAM STUDY GUIDE
QUESTIONS WITH CORRECT ANSWERS
List five body systems found in the ROS and provide two symptoms for each system. -
Answer-Eyes: blurred vision, injection
ENT: Rhinorrhea, epistaxis
Resp: Coughing, wheezing
Neuro: tingling, numbness
GI: Nausea, Vomitting
What do you write on the chart if the doctor states, "The pulses are weak" after
checking the patient's pulse near the left groin. - Answer-Left femoral pulse 1+
What organs are in the following quadrants: - Answer-Epigastrium: Stomach
LUQ: Pancreas
LLQ: Large Intestine, ovary
What does EOMI stand for? - Answer-Extraocular movements intact
Where would you document stridor? - Answer-ENT or Respiratory
Is it normal for the toes to fan up or curl down when the adult Babinski reflex is
assessed? - Answer-Curl down
Can the scribe document "Regular heart rate", "tachypnea", and "lungs CTAB" in the
same patient's exam simultaneously? - Answer-Yes! The heart rate is within normal
limits, the pt has a fast respiration rate, and the lungs are clear to auscultation
bilaterally. Nothing contradicts!!
The opposite of nuchal rigidity is...? - Answer-Supple
Cyanotic skin correlates to...? - Answer-Hypoxia: Low oxygen in the blood stream
The patient reports dyspnea on exertion on exertion, leg swelling, and inability to lay flat
at night due to increased shortness of breath. The MD will likely examine for... - Answer-
Pedal edema, rales, and JVD
What organ do the LFT's investigate? - Answer-The Liver
A high potassium is called... and this is commonly due to.... - Answer-hyperkalemia
Renal Failure
What does a chest tube treat? - Answer-Pneumothorax (PTX)
, Name the procedure used to treat an abscess? - Answer-Incision and Drainage (I&D)
Name 2 procedures that follow sterile technique - Answer-Lumbar Puncture
Central Line
What are the 3 reasons to consult another physician? - Answer-1) Gather info from PCP
2) Admit to patient to hospital
3) Advice from a specialist
what are 4 of the 12 EKG leads - Answer-aVL, aVR, aVF, II
List 4 CCT qualifying Dx - Answer-1. Severe GI bleed
2. MI
3. PE
4. CVA
List 4 CCT qualifying Procedures - Answer-1. Chest tube
2. LP
3. Central Line
4. Cardioversion
Hyponatremia is ... and indicates ... - Answer-- Low Sodium
- Dehydration
The ... Shows the pH only, while the ... shows the pH plus HCO3, CO2, and PaO2 -
Answer-VBG
ABG
Can you share the patient's chart with all nurses working in the hospital? - Answer-NO!
Only people assigned to the patient should be seeing the chart/knowing patient
information
Is it acceptable to use the physician's charting account to enter the EKG interpretation
once the physician provided approval? - Answer-NO! Do not use someone else's login
Does the following PHx meet level V billing requirements? HTN, Previous CVA in 2008
with residual LLE weakness, DM diagnosed at age 47, CABG x2 in 2011, and
Tonsillectomy. - Answer-No. PMHx and PSHx are considered one element. Should also
have something from FHx and SHx.
Give 5 examples of PHI. - Answer-Social security number
Name
Date of Birth
Address
Phone Number
QUESTIONS WITH CORRECT ANSWERS
List five body systems found in the ROS and provide two symptoms for each system. -
Answer-Eyes: blurred vision, injection
ENT: Rhinorrhea, epistaxis
Resp: Coughing, wheezing
Neuro: tingling, numbness
GI: Nausea, Vomitting
What do you write on the chart if the doctor states, "The pulses are weak" after
checking the patient's pulse near the left groin. - Answer-Left femoral pulse 1+
What organs are in the following quadrants: - Answer-Epigastrium: Stomach
LUQ: Pancreas
LLQ: Large Intestine, ovary
What does EOMI stand for? - Answer-Extraocular movements intact
Where would you document stridor? - Answer-ENT or Respiratory
Is it normal for the toes to fan up or curl down when the adult Babinski reflex is
assessed? - Answer-Curl down
Can the scribe document "Regular heart rate", "tachypnea", and "lungs CTAB" in the
same patient's exam simultaneously? - Answer-Yes! The heart rate is within normal
limits, the pt has a fast respiration rate, and the lungs are clear to auscultation
bilaterally. Nothing contradicts!!
The opposite of nuchal rigidity is...? - Answer-Supple
Cyanotic skin correlates to...? - Answer-Hypoxia: Low oxygen in the blood stream
The patient reports dyspnea on exertion on exertion, leg swelling, and inability to lay flat
at night due to increased shortness of breath. The MD will likely examine for... - Answer-
Pedal edema, rales, and JVD
What organ do the LFT's investigate? - Answer-The Liver
A high potassium is called... and this is commonly due to.... - Answer-hyperkalemia
Renal Failure
What does a chest tube treat? - Answer-Pneumothorax (PTX)
, Name the procedure used to treat an abscess? - Answer-Incision and Drainage (I&D)
Name 2 procedures that follow sterile technique - Answer-Lumbar Puncture
Central Line
What are the 3 reasons to consult another physician? - Answer-1) Gather info from PCP
2) Admit to patient to hospital
3) Advice from a specialist
what are 4 of the 12 EKG leads - Answer-aVL, aVR, aVF, II
List 4 CCT qualifying Dx - Answer-1. Severe GI bleed
2. MI
3. PE
4. CVA
List 4 CCT qualifying Procedures - Answer-1. Chest tube
2. LP
3. Central Line
4. Cardioversion
Hyponatremia is ... and indicates ... - Answer-- Low Sodium
- Dehydration
The ... Shows the pH only, while the ... shows the pH plus HCO3, CO2, and PaO2 -
Answer-VBG
ABG
Can you share the patient's chart with all nurses working in the hospital? - Answer-NO!
Only people assigned to the patient should be seeing the chart/knowing patient
information
Is it acceptable to use the physician's charting account to enter the EKG interpretation
once the physician provided approval? - Answer-NO! Do not use someone else's login
Does the following PHx meet level V billing requirements? HTN, Previous CVA in 2008
with residual LLE weakness, DM diagnosed at age 47, CABG x2 in 2011, and
Tonsillectomy. - Answer-No. PMHx and PSHx are considered one element. Should also
have something from FHx and SHx.
Give 5 examples of PHI. - Answer-Social security number
Name
Date of Birth
Address
Phone Number
