Quiz on SOAP notes
Part One
This part of the quiz will ask you to choose whether the data presented is
subjective or objective information. These particular items are
common problems for student NPs.
Read the data, make a choice, then left click again to discover the right
answer.
Reminder:
Subjective: what you can not verify by your own senses or hard data.
Objective: what you can verify.
Many data points are covered to get you used to thinking about the
difference. When you have had enough, scroll down to Part Two for
the multiple choice quiz on other parts of the SOAP note.
If you have any questions about any part of this quiz consider bringing it
up in a conference forum!
1) CBC result from last week
• Subjective
• Objective
2) B/P done by the office RN
• Subjective
• Objective
3) Urine dip done by office nurse
• Subjective
• Objective
4) Pain when walking on Rt ankle
• Subjective
• Objective
5) Limping
• Subjective
• Objective
6) Pain with passive ROM of ankle
• Subjective
• Objective
7) Dislikes vegetables
• Subjective
• Objective
8) Hyponasal speech
• Subjective
• Objective
9) Pain with deep breath
• Subjective
• Objective
10) Pain with coughing
• Subjective
• Objective
11) Pleural rub
• Subjective
• Objective
12) Irregular Pulse
• Subjective
• Objective
13) Palpitations
• Subjective
• Objective
14) Dysuria
• Subjective
• Objective
15) Muscle Pain (pt on Lipitor)
• Subjective
• Objective
16) Ecchymoses
• Subjective
• Objective
17) Periorbital Edema
• Subjective
• Objective
18) Cool periphery
• Subjective
• Objective
19) Rebound tenderness
• Subjective
• Objective
20) Joint stiffness when getting up in
the morning
• Subjective
• Objective
21) Pitting edema
• Subjective
• Objective
22) Unemployed
• Subjective
• Objective
23) Poor hygeine
• Subjective
• Objective
24) Divorced
• Subjective
• Objective
25) Works with Asbestos
• Subjective
• Objective
26) Flu vaccine reported as given on
patient’s chart
• Subjective
• Objective
27) Flu vaccine obtained at local flu
clinic as reported by patient
• Subjective
• Objective
28) Snoring reported by wife
• Subjective
• Objective
29) Pruritis
• Subjective
• Objective
30) Shortness of breath when getting
onto exam table
• Subjective
• Objective
31) Shortness of breath after walking
one block
• Subjective
• Objective
32) Mother had breast cancer
• Subjective
• Objective
33) Eye discharge in inner canthus
• Subjective
• Objective
34) CVA tenderness
• Subjective
• Objective
35) Wakes several times every night
• Subjective
• Objective
36) Dizziness
• Subjective
• Objective
37) Positive Rhomberg
• Subjective
• Objective
38) Snoring documented on sleep
study report
• Subjective
• Objective
39) Lives in a student dorm
• Subjective
• Objective
40) Eats 3 meals a day and 2 snacks
• Subjective
• Objective
Part Two: Multiple choice quiz
Read the question,
decide on an answer,
then Left Click to see the correct answer.
1) Follow up instructions should
always include the following EXCEPT:
1.
2.
3.
4.
Return to clinic (RTC) in one week
RTC if not improving in the specified time
RTC prn
What to do if there is a turn for the worse
2) Assessment/Analysis could include
the following EXCEPT:
a.
b.
c.
d.
The chief symptom
A wellness diagnosis
A patient request for an antibiotic
A reference to a red flag symptom
3) Assessment/Analysis could include
(choose the best answer):
a. A tentative diagnosis
b. A statement of intent
c. A general statement about the patient
d. A summary of the subjective and
objective data
4) A diagnostic statement
a.
b.
c.
d.
should always be stated with certainty
is never really definitive
needs to include a differential list
should include a patient-focused goal
5) The Plan should always include the
following:
a.
b.
c.
d.
Mention a referral
A medication
A treatment
A follow-up plan
6) Considering the subjective and
objective information helps the NP
arrive at (choose the best answer)
a.
b.
c.
d.
A diagnosis
A differential diagnosis
A follow up plan
Diagnostic tests
7) Red flag signs or symptoms should be
addressed either directly with a comment,
or indirectly with assessment data in
which section(s) of the SOAP note?
a.
b.
c.
d.
The S and O
The A and P
The O, A, and P
The S, O, A and P
8) Which of the following items belong
in the Subjective section?
a.
b.
c.
d.
The person appears unkempt
The person’s breath smells fecal
The person works as a plumber
All of the above
9) A diagnostic statement includes
(choose the best answer):
a. A statement about what the NP thinks it is and
what it is not
b. A statement including leading differentials, if
unsure
c. The status of the patient e.g. Stable, worse,
improving, acute, etc.
d. All of the above
10) A SOAP note is
a. A way of organizing your thoughts
b. A way of documenting a patient encounter
that is understood by most health
professionals
c. Provides a comprehensive picture of the
patient encounter and reflects the
practitioner’s thinking process
d. All of the above
11) It is important to indicate all of the
following in a SOAP note EXCEPT:
a. To differentiate between an emergency and a
routine visit
b. That the patient has been contacted to remind
them about their follow-up appointment
c. Who is responsible to arrange diagnostic tests
d. State the status of a condition e.g.
hypertension – controlled.
12) Functional Health Patterns include:
a. Reports of dysuria, headaches and
nausea
b. Reports of falls, insomnia, and
sedentary lifestyle
c. Current weight, height and LMP
d. Reports of itchy skin, fever, chills and
palpitations
Functional Health Patterns are subjective information
13) The Review of Systems (ROS) is
a)
b)
c)
d)
Objective information
Subjective information
Not part of a SOAP note
The same as the physical exam
14) Allergies, immunizations and
medications go in what section of the
SOAP note?
a.
b.
c.
d.
The S
The O
The A
The P
Generally this information is reported to you by the patient. If you have
seen hives as a result of an antibiotic, this would be objective info. If you
had given the immunization (or someone in your office gave it) that would
also be objective. Medications as reported by the patient are subjective and
different from thinking about what they are supposed to be on.
Be careful not to equate subjective information as untrue information. If a
patient reports an allergy then it is prudent to take that info as a fact.
The End
January 2012
Centre for Health Studies
Nurse Practitioner Program