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NURS 5220 Module 1 (2026) – 300+ Questions on SOAP Notes, Health History, ROS, Interviewing & Diagnostic Reasoning

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This NURS 5220 Module 1 (2026) exam guide contains over 300 structured questions with 100% correct answers covering comprehensive health history, patient interviewing, communication strategies, SOAP documentation, review of systems (ROS), physical examination techniques, nutrition assessment, and diagnostic reasoning. The material begins with foundational concepts including the SOAP note as both a process and documentation format, partnership with the patient, patient-centered care principles, and ethical frameworks such as autonomy, beneficence, nonmaleficence, utilitarianism, and justice (pages 1–3). The guide provides in-depth coverage of history structure (Identifiers, CC, HPI, PMH, FH, PSH, ROS), symptom analysis using OLDCARTS/COLDSPA/LOCATES, 7 variables of symptom analysis, and strategies to avoid leading questions. Communication frameworks such as CAGE, TACE, CRAFFT, HITS, FICA, and HEEADSSS are thoroughly reviewed, along with screening versus assessment distinctions and sensitive topic interviewing (IPV, substance use, sexuality, spirituality). Advanced content includes pediatric, adolescent, pregnant, geriatric, and disability-adapted interviewing approaches. Physical examination content outlines inspection, palpation, percussion, and auscultation techniques, correct order of examination (including abdominal exception), percussion tones (tympany, resonance, dullness, flatness), positioning (Sims, lithotomy, lateral recumbent), and diagnostic reasoning processes including differential diagnosis, rule-out strategy, pathognomonic findings, sensitivity and specificity, CPT and ICD-10 coding basics, and rationale documentation. The module concludes with detailed nutrition assessment, anthropometrics (BMI calculation, IBW formulas, waist-to-hip ratio, triceps skinfold, MAMC, MAMA), and ROS system-by-system breakdown across all 17 body systems. This document may concern: – MSN students enrolled in NURS 5220 Advanced Health Assessment – Family Nurse Practitioner (FNP) students – Adult-Gerontology NP students – DNP and APRN students preparing for foundational assessment exams – Graduate nursing students mastering comprehensive health history and documentation – NP board preparation students reviewing diagnostic reasoning and ROS frameworks Keywords: NURS 5220 module 1 exam 2026, SOAP note documentation format, health history structure CC HPI PMH FH PSH ROS, OLDCARTS COLDSPA LOCATES, 7 variables symptom analysis, differential diagnosis rule out process, pathognomonic finding definition, CAGE TACE CRAFFT HITS screening tools, FICA spirituality assessment, HEEADSSS adolescent screening, patient centered care Institute of Medicine, inspection palpation percussion auscultation order, abdominal exam order auscultation first, percussion tones tympany resonance dullness flatness, BMI calculation formula 703, ideal body weight formula men women, waist hip ratio risk, triceps skinfold thickness, mid upper arm circumference MAMC, CPT vs ICD 10 coding

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NURS 5220 Module 1 2026 Exam
Questions with 100% Correct
Answers | Latest Update



SOAP note - 🧠 ANSWER ✔✔SOAP note is both a process and a

documentation format


The Partnership with the Patient - 🧠 ANSWER ✔✔Getting to know your

client:

Culture

Physical characteristics Influence on health and illness

,Beliefs and behaviors Family relationships Preparing to be an effective

health care provider


The History and Interviewing process - 🧠 ANSWER ✔✔The history and

physical exam begin the diagnostic and treatment process




The techniques you will learn are orderly but not rigid




To prevent misinterpretations and misperceptions, you must make every

effort to view the patient's perspective.


GOALS - 🧠 ANSWER ✔✔Discover information leading to diagnosis and

management




Provide information about diagnosis




Negotiate and share health care management




Counsel about disease prevention

,Autonomy - 🧠 ANSWER ✔✔Patient's self-determination


Beneficence - 🧠 ANSWER ✔✔Do good for the patient


Nonmaleficence - 🧠 ANSWER ✔✔Do no harm to the patient


Utilitarianism - 🧠 ANSWER ✔✔Appropriate use of resources for the greater

good


Fairness and Justice - 🧠 ANSWER ✔✔Equitable treatment of all


Deontological imperatives - 🧠 ANSWER ✔✔Care delivered according to

traditions and in cultural contexts


Factors that Enhance Communication - 🧠 ANSWER ✔✔Establishing a

positive patient relationship depends on communication built on: Courtesy

Comfort Connection Confirmation Confidentiality




Be Professional:

Attire & Response


Enhancing Patient Responses - 🧠 ANSWER ✔✔Establish rapport and trust-

Seek connection


COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, Open‐Ended Question-Allows patient discretion about the extent of an

answer




Direct Question-Seeks specific information




Leading Question

-May limit the information provided to what the patient thinks you want to

know

If the patient does not understand what you are asking, remember to: - 🧠

ANSWER ✔✔Facilitate: Encourage your patient to say more




Reflect: Repeat what you have heard.




Clarify: Ask "What do you mean?"




Empathize: Show understanding and acceptance.

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