NURS 5220 SOAP NOTE ASSIGNMENT, Exams of Nursing

NURS 5220 SOAP NOTE ASSIGNMENT

Typology: Exams

2025/2026

Available from 06/03/2026

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NURS 5220 SOAP NOTE ASSIGNMENT 1 | 2026 UPDATED |
WITH COMPLETE SOLUTIONS - UTA.
Question 1
In a SOAP note, which section contains the patient's
**chief complaint** and **history of present illness
(HPI)**?
- A. Objective section
- B. Assessment section
- C. Subjective section
- D. Plan section
**Answer: C. Subjective section**
**Rationale:** The Subjective section records what the
patient tells you. It includes the chief complaint (in the
patient’s own words), HPI, past medical history, family
history, and review of systems. The Objective section (A)
holds measurable data like vitals and exam findings. The
Assessment (B) is the provider’s diagnosis and
differentials. The Plan (D) outlines next steps in
management.
---
### 🩺 Question 2
What is the **primary purpose** of the History of Present
Illness (HPI)?
- A. To list all past medical conditions
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NURS 5220 SOAP NOTE ASSIGNMENT 1 | 2026 UPDATED |

WITH COMPLETE SOLUTIONS - UTA.

Question 1 In a SOAP note, which section contains the patient's chief complaint and history of present illness (HPI)?

  • A. Objective section
  • B. Assessment section
  • C. Subjective section
  • D. Plan section Answer: C. Subjective section Rationale: The Subjective section records what the patient tells you. It includes the chief complaint (in the patient’s own words), HPI, past medical history, family history, and review of systems. The Objective section (A) holds measurable data like vitals and exam findings. The Assessment (B) is the provider’s diagnosis and differentials. The Plan (D) outlines next steps in management.

🩺 Question 2

What is the primary purpose of the History of Present Illness (HPI)?

  • A. To list all past medical conditions
  • B. To perform a complete review of systems
  • C. To analyze the patient’s current symptoms and differentiate possible causes
  • D. To document the patient’s family history Answer: C. To analyze the patient’s current symptoms and differentiate possible causes Rationale: The HPI provides a detailed, chronological description of the patient’s current symptoms. It helps differentiate possible causes, rule in or out diagnoses, and identify patterns that guide clinical reasoning. Approximately 80% of a diagnosis comes from the history alone. Past medical conditions (A) belong in the PMH section; review of systems (B) is separate; and family history (D) is documented elsewhere.

🩺 Question 3

A 15-year-old gymnast presents with left knee pain after an improper landing. Which symptom characteristics should the nurse practitioner include in the HPI? (Select all that apply)

  • A. Onset and duration of pain
  • B. Mechanism of injury (improper landing)
  • C. Family history of knee problems
  • D. Aggravating factors (e.g., worse at night, difficulty bending)

components; central hearing loss (D) involves higher auditory pathways.

🩺 Question 5

In a SOAP note, which components are included in the Subjective section?

  • A. Vital signs, physical exam, and lab results
  • B. Working diagnosis, differential diagnoses, risk factors
  • C. Chief complaint, HPI, PMH, family history, review of systems
  • D. Tests, treatments, education, referrals, follow-up Answer: C. Chief complaint, HPI, PMH, family history, review of systems Rationale: The Subjective section captures the patient’s narrative: CC, HPI, past medical history (PMH), family history (FH), and review of systems (ROS). Objective data (A) includes vitals, physical exam, and labs. Assessment (B) contains the working diagnosis and differentials. Plan (D) includes tests, treatments, and follow-up.

🩺 Question 6

A 35-year-old male presents with a 3-day history of cough and fever. Which associated symptoms would be most relevant to include in the HPI?

  • A. Headache and joint pain
  • B. Sputum production and shortness of breath
  • C. Nausea and vomiting
  • D. Back pain and fatigue Answer: B. Sputum production and shortness of breath Rationale: Associated factors in the HPI should relate directly to the chief complaint. For cough and fever, sputum production and shortness of breath are pertinent positives that help narrow the differential (e.g., pneumonia, bronchitis). Headache or back pain are not directly related unless specified by the patient.

🩺 Question 7

Which of the following is an example of an Objective finding in a SOAP note?

  • A. Patient reports feeling tired for two weeks
  • B. Blood pressure 140/90 mmHg
  • C. Patient thinks they have a sinus infection
  • D. Plan to start antibiotics Answer: B. Blood pressure 140/90 mmHg

🩺 Question 9

What is the correct order of the SOAP note sections?

  • A. Subjective, Assessment, Objective, Plan
  • B. Objective, Subjective, Plan, Assessment
  • C. Subjective, Objective, Assessment, Plan
  • D. Assessment, Subjective, Objective, Plan Answer: C. Subjective, Objective, Assessment, Plan Rationale: The standard SOAP format is Subjective → Objective → Assessment → Plan. This flow ensures that clinical data is logically organized from patient report to provider interpretation to management.

🩺 Question 10

A patient with a history of asthma reports increased wheezing and use of rescue inhaler. In the Assessment section, the NP should:

  • A. Document the patient's peak flow reading
  • B. List differential diagnoses (e.g., asthma exacerbation, pneumonia, GERD)
  • C. Prescribe an oral corticosteroid
  • D. Record the patient's statement of symptoms

Answer: B. List differential diagnoses (e.g., asthma exacerbation, pneumonia, GERD) Rationale: The Assessment section synthesizes subjective and objective data to present the working diagnosis and a list of differential diagnoses. Peak flow reading (A) is Objective data; medication prescription (C) belongs in the Plan; patient’s symptom report (D) is Subjective.