FREE CPMS Scribe Roles and Workflow Questions and Answers

Question 1

A physician is running behind schedule and asks the scribe to hand a new, signed prescription for an antibiotic to the patient who is waiting.
What is the most appropriate action for the scribe to take?

Accepted Answer

Politely inform the physician that this task is outside the scribe's scope of practice.

Answer

Hand the prescription to the patient to help improve clinic workflow.

Answer

Leave the prescription at the front desk for the patient to pick up.

Answer

Read the prescription details to the patient to ensure they understand it.

Question 2

Which of the following tasks is a fundamental responsibility of a medical scribe during the post-encounter phase of the workflow?

Accepted Answer

Reviewing the completed chart for errors, omissions, or inconsistencies before the provider signs off.

Answer

Independently adding a new diagnosis that was implied but not stated by the physician.

Answer

Calling the patient to clarify details about their reported history.

Answer

Scheduling the patient's follow-up appointment and providing them with appointment reminders.

Question 3

A medical scribe working in a hospital setting is explicitly prohibited from performing which of the following actions?

Accepted Answer

Independently entering and signing an order for a medication or lab test.

Answer

Accessing a patient's past laboratory results to include in the HPI.

Answer

Documenting a procedure note as it is being dictated by the physician.

Answer

Looking up the side effects of a medication to spell-check the provider's dictation.

Question 4

During a busy clinic day, a physician dictates a complex assessment and plan very quickly. The scribe misses a key detail about the dosage of a newly prescribed medication. What is the BEST course of action for the scribe?

Accepted Answer

Ask the physician to clarify the information as soon as there is an appropriate pause.

Answer

Make an educated guess based on the standard dosage for that medication.

Answer

Leave the dosage information blank and hope the pharmacist catches the omission.

Answer

Wait until the end of the day to ask the physician about all missed details from multiple charts at once.

Question 5

What is the primary medico-legal purpose of a scribe attestation (e.g., 'Documented by [Scribe Name], acting as scribe for [Provider Name] on [Date/Time]') on a clinical note?

Accepted Answer

To provide transparency by identifying the individual who physically entered the information and to confirm the provider verified its accuracy.

Answer

To allow the scribe to bill the patient directly for their documentation services.

Answer

To transfer legal responsibility for the chart's content from the provider to the scribe.

Answer

To serve as the final legal signature that closes the patient's chart for that encounter.

Question 6

The 'pre-charting' or 'chart prep' portion of the scribe workflow primarily involves which activity?

Accepted Answer

Reviewing the day's schedule and preparing a basic chart structure by pulling in relevant past medical, social, and family history for the provider's review.

Answer

Triaging patients as they arrive at the clinic.

Answer

Calling other clinics to obtain outside medical records for the patient.

Answer

Documenting the chief complaint and history of present illness in real-time as the patient is speaking.

A physician is running behind schedule and asks the scribe to hand a new, signed prescription for an antibiotic to the patient who is waiting.What is the most appropriate action for the scribe to take?

A physician is running behind schedule and asks the scribe to hand a new, signed prescription for an antibiotic to the patient who is waiting.
What is the most appropriate action for the scribe to take?