NURS 5220 SOAP NOTE ASSIGNMENT 1 |
2026 UPDATED | WITH COMPLETE
SOLUTIONS - UTA
,
, PART 1: COMPLETE SOAP NOTE TEMPLATE
Based on the NURS 5220 requirements at UT Arlington, here is a comprehensive SOAP note
template with a complete example case .
SOAP NOTE FORM
Identifying Information:
• Patient Initials: A.J.
• Age/DOB: 15 years old
• Gender: Female
• Reliability: Reliable historian
• Accompanied by: Mother (also reliable historian)
• Date/Time: [Current Date], [Time]
• Setting: Outpatient clinic
S - SUBJECTIVE SECTION
Chief Complaint (CC):
"Pain in my left leg that started after I fell during gymnastics 3 days ago."
History of Present Illness (HPI):
A.J. is a 15-year-old female freshman student and competitive gymnast who presents to the
clinic with left knee pain following an injury sustained during a gymnastics event 3 days
ago. The patient reports that she was performing a dismount from the uneven bars when
she landed awkwardly on her left leg. She experienced immediate, sharp pain in the left
knee localized to the anterior and anterolateral aspect.
Symptom Analysis (7 Variables):
Variable Finding
Onset Sudden, 3 days ago during gymnastics dismount
2026 UPDATED | WITH COMPLETE
SOLUTIONS - UTA
,
, PART 1: COMPLETE SOAP NOTE TEMPLATE
Based on the NURS 5220 requirements at UT Arlington, here is a comprehensive SOAP note
template with a complete example case .
SOAP NOTE FORM
Identifying Information:
• Patient Initials: A.J.
• Age/DOB: 15 years old
• Gender: Female
• Reliability: Reliable historian
• Accompanied by: Mother (also reliable historian)
• Date/Time: [Current Date], [Time]
• Setting: Outpatient clinic
S - SUBJECTIVE SECTION
Chief Complaint (CC):
"Pain in my left leg that started after I fell during gymnastics 3 days ago."
History of Present Illness (HPI):
A.J. is a 15-year-old female freshman student and competitive gymnast who presents to the
clinic with left knee pain following an injury sustained during a gymnastics event 3 days
ago. The patient reports that she was performing a dismount from the uneven bars when
she landed awkwardly on her left leg. She experienced immediate, sharp pain in the left
knee localized to the anterior and anterolateral aspect.
Symptom Analysis (7 Variables):
Variable Finding
Onset Sudden, 3 days ago during gymnastics dismount
