NSG 6430 WEEK 1 SOAP NOTE PRACTICE
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ What is included in patient discharge summary forms?.
Answer: Dietary restrictionsFollow-up careEmergency contact numbers
◍ Nursing clinical information system.
Answer: Helps health care organizations comply with requirements of
accrediting agencies
◍ Hand-off report.
Answer: Given at the end of a shift so that the next nurse can follow the
appropriate treatment plan and care for the patient
◍ Which step of the SOAP format documentation reflects the nurse's
interpretation of patient data?.
Answer: Assessment
◍ Resident Assessment Instrument (RAI).
Answer: In skilled nursing facilities, the care plan is based on a format
required by federal regulations
◍ Includes rows and columns for assessments and outcomes.
Answer: Flowsheet
◍ function.
Answer: long term goals are ? based
◍ document.
Answer: soap notes are how we
◍ No!! its assement, we cannot speak for them!.
Answer: Can "pt unable to communicate thus unable to perform pain scale"
, subjective?
◍ subjective objective assessment plan.
Answer: SOAP
◍ minimal number, time, percent, information setting standard for success.
Answer: degree of goal
◍ the interpretation of everything youre seeing and hearingadding the
subjective and the objective in your brain and interpreting it youre able to
see if theyre getting better and what steps should be taken next, like
discharge, regression, change etcthings you cant do: like lack of
communication and why if youre collabing with someone else, the change in
status, you should document, but also need to put in A that you spoke with
collaborator and why the change occured.
Answer: assessment
◍ What is an admission sheet used for?.
Answer: Record detailed initial assessment at the time of first admission
◍ almost always patient, but can be family or caregiver.
Answer: Audience of goals
◍ Administrative information system.
Answer: used to manage the financial, personnel, materials, facilities, and
other resources used in the delivery of healthcare services
◍ The nurse's admission assessment contains:.
Answer: Patient health-related information, history, notes from examination
◍ Clinical Information System (CIS).
Answer: an electronic database that stores important healthcare information,
such as health records and prescriptions
◍ re-asses DF ROM, progress stretching to weight bearing if PT can tolerate.
Answer: plan example
◍ Are the results biased?.
Answer: Objectivity
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ What is included in patient discharge summary forms?.
Answer: Dietary restrictionsFollow-up careEmergency contact numbers
◍ Nursing clinical information system.
Answer: Helps health care organizations comply with requirements of
accrediting agencies
◍ Hand-off report.
Answer: Given at the end of a shift so that the next nurse can follow the
appropriate treatment plan and care for the patient
◍ Which step of the SOAP format documentation reflects the nurse's
interpretation of patient data?.
Answer: Assessment
◍ Resident Assessment Instrument (RAI).
Answer: In skilled nursing facilities, the care plan is based on a format
required by federal regulations
◍ Includes rows and columns for assessments and outcomes.
Answer: Flowsheet
◍ function.
Answer: long term goals are ? based
◍ document.
Answer: soap notes are how we
◍ No!! its assement, we cannot speak for them!.
Answer: Can "pt unable to communicate thus unable to perform pain scale"
, subjective?
◍ subjective objective assessment plan.
Answer: SOAP
◍ minimal number, time, percent, information setting standard for success.
Answer: degree of goal
◍ the interpretation of everything youre seeing and hearingadding the
subjective and the objective in your brain and interpreting it youre able to
see if theyre getting better and what steps should be taken next, like
discharge, regression, change etcthings you cant do: like lack of
communication and why if youre collabing with someone else, the change in
status, you should document, but also need to put in A that you spoke with
collaborator and why the change occured.
Answer: assessment
◍ What is an admission sheet used for?.
Answer: Record detailed initial assessment at the time of first admission
◍ almost always patient, but can be family or caregiver.
Answer: Audience of goals
◍ Administrative information system.
Answer: used to manage the financial, personnel, materials, facilities, and
other resources used in the delivery of healthcare services
◍ The nurse's admission assessment contains:.
Answer: Patient health-related information, history, notes from examination
◍ Clinical Information System (CIS).
Answer: an electronic database that stores important healthcare information,
such as health records and prescriptions
◍ re-asses DF ROM, progress stretching to weight bearing if PT can tolerate.
Answer: plan example
◍ Are the results biased?.
Answer: Objectivity
