1.
You do not have to time stamp all entries.
Correct Answer
B. False
Explanation
The explanation for the answer being "False" is not provided.
2.
You may not enter the provider attestation
Correct Answer
A. True
Explanation
In this scenario, the statement suggests that the provider attestation cannot be entered. Therefore, the correct answer is "True" as it aligns with the given statement.
3.
It is not enough to say that “old medical records were summarized,” you must also include a summary
Correct Answer
A. True
Explanation
The statement is asking for more than just the fact that old medical records were summarized. It requires an additional step of including a summary. Therefore, the answer is true because simply stating that old medical records were summarized is not enough; a summary must also be included.
4.
Which of the following is the correct way to document an EKG interpretation:
Correct Answer
D. 12:45 EGK: NSR, Rate 85, normal axis, normal intervals, no ST segment changes. Interpreted by EDMD.
Explanation
The correct way to document an EKG interpretation is to include the time of the EKG reading (12:45 EGK), followed by the interpretation of the rhythm (NSR - normal sinus rhythm), the heart rate (Rate 85), the axis (normal axis), the intervals (normal intervals), and the absence of ST segment changes. Finally, it should be noted that the interpretation was done by EDMD.
5.
Which of the following is the correct way to document a Chest X-ray?
Correct Answer
B. 12:53 CXR 2 views: no cardiomegaly, no infiltrates, no effusions, normal mediastinum. Interpreted by EDMD.
Explanation
The correct way to document a Chest X-ray is by including the time of the X-ray (12:53), the number of views (2 views), and the findings (no cardiomegaly, no infiltrates, no effusions, normal mediastinum). It is also important to include who interpreted the X-ray (EDMD). This documentation provides a clear and comprehensive description of the X-ray and the interpretation by the appropriate medical professional.
6.
Which of the folllwing is the correct way to document a response to a medication?
Correct Answer
A. 11:15 Patient was given 2mg of Dilaudid IV for abdominal pain. Upon re-evaluation, the patient’s pain has greatly improved.
Explanation
The given answer is the correct way to document a response to a medication because it includes the time of administration, the name and dosage of the medication, the reason for administration (abdominal pain), and the outcome (pain greatly improved). This documentation provides a clear and comprehensive record of the medication given and its effect on the patient's condition.
7.
Select the appropriate criteria for documenting a physician consult.
Correct Answer
C. Time paged, name of doctor or type of specialty paged, time call was returned, summary of the call, action plan
Explanation
The appropriate criteria for documenting a physician consult include the time the page was sent, the name of the doctor or type of specialty paged, the time the call was returned, a summary of the call, and an action plan. This information is necessary to keep a record of the communication between the physician and the specialist, including the timeline of events, the purpose of the consult, and any follow-up actions that need to be taken.
8.
What is the minimum number of minutes required for to qualify for critical care documentation?
Correct Answer
C. 30
Explanation
To qualify for critical care documentation, a minimum of 30 minutes is required. This means that any duration less than 30 minutes would not meet the criteria for critical care documentation.
9.
Select all that apply. Critical Care time includes:
Correct Answer(s)
A. Time spent caring for the patient
C. Time spent counseling the patient’s family
D. Time spent consulting other providers
Explanation
Critical Care time includes the time spent caring for the patient, counseling the patient's family, and consulting other providers. This is because critical care involves providing direct medical care and monitoring to the patient, as well as addressing the emotional and informational needs of the patient's family. Additionally, critical care often requires collaboration and communication with other healthcare providers to ensure comprehensive and coordinated care.
10.
You must follow your provider at all times.
Correct Answer
A. True
Explanation
It is important to follow your provider at all times because they have the knowledge and expertise to guide you in making the right decisions and taking appropriate actions. By following your provider, you can ensure that you are receiving the necessary care, treatment, and support that is tailored to your specific needs. This can help improve your health outcomes and overall well-being.
11.
The ED course is a timeline of events pertaining to the patient’s care after the provider gathers the initial HPI/PE and until the patient leaves the department. All entries are to be time stamped in order to track the sequence of events, and must contain details regarding the patient's current status.
Correct Answer
A. True
Explanation
The explanation for the given correct answer is that the ED course is indeed a timeline of events that occur after the provider gathers the initial HPI/PE and until the patient leaves the department. This timeline helps to track the sequence of events and ensures that all entries are time-stamped. Additionally, the entries in the ED course must contain details about the patient's current status. Therefore, the statement is true.