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NURS 623 : HEALTH ASSESSMENT : MODULE 1 HEALTH HISTORY/SOAP: TEST QUESTIONS AND ANSWERS, Exams of Nursing

Virginia Commonwealth University (VCU)Nursing

NURS 623 : HEALTH ASSESSMENT : MODULE 1 HEALTH HISTORY/SOAP: TEST QUESTIONS AND ANSWERS

Typology: Exams

2024/2025

Available from 06/21/2025

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NURS 623 : HEALTH ASSESSMENT : MODULE 1 HEALTH
HISTORY/SOAP: TEST QUESTIONS AND ANSWERS
4 parts of a SOAP note -- Answer โœ”โœ” 1. subjective (what the patient tells you)
2. objective (what you do)
3. assessment (what you think the diagnosis is)
4. plan (what are you going to do about it)
the S of a SOAP note starts off with what two things? -- Answer โœ”โœ” 1. chief complaint
(CC)
2. history of present illness (HPI)
what is an HPI? -- Answer โœ”โœ” chronological story of the symptom with
OLDCARTS/OPQRST evaluation
6 steps of history taking after CC & HPI -- Answer โœ”โœ” 1. past history
(medical/surgical/obstetric)
2. medications
3. allergies
4. social/health-related behaviors
5. family history
6. review of systems
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NURS 623 : HEALTH ASSESSMENT : MODULE 1 HEALTH

HISTORY/SOAP: TEST QUESTIONS AND ANSWERS

4 parts of a SOAP note -- Answer โœ”โœ” 1. subjective (what the patient tells you)

  1. objective (what you do)
  2. assessment (what you think the diagnosis is)
  3. plan (what are you going to do about it) the S of a SOAP note starts off with what two things? -- Answer โœ”โœ” 1. chief complaint (CC)
  4. history of present illness (HPI) what is an HPI? -- Answer โœ”โœ” chronological story of the symptom with OLDCARTS/OPQRST evaluation 6 steps of history taking after CC & HPI -- Answer โœ”โœ” 1. past history (medical/surgical/obstetric)
  5. medications
  6. allergies
  7. social/health-related behaviors
  8. family history
  9. review of systems

12 systems in the ROS -- Answer โœ”โœ” 1. general

  1. skin
  2. HEENT
  3. respiratory
  4. breast/lymph
  5. CV/PV
  6. GI
  7. GU
  8. MSK
  9. neuro/psych
  10. heme
  11. endocrine list of possible causes of a health problem -- Answer โœ”โœ” Differential diagnosis what are the two systematic approaches to an advanced health assessment? -- Answer โœ”โœ” 1. comprehensive
  12. focused (episodic) 5 times you would use a comprehensive approach -- Answer โœ”โœ” 1. meeting patient for a first time
  13. annual visit
  14. sports clearance
  15. well-woman visit
  16. school physical 4 parts of "initiation of diagnosis" -- Answer โœ”โœ” 1. "spot" diagnosis
  17. patient diagnosis

how to interpret a highly sensitive test -- Answer โœ”โœ” they are definitely not positive (they DONT have it) rule OUT how to interpret a highly specific test -- Answer โœ”โœ” they are definitely not negative (they DO have it) rule IN what is the ideal number of generations for a genogram -- Answer โœ”โœ” 3 generations what are five genetic red flags as seen with the GENES mnemonic -- Answer โœ”โœ” 1. grouping

  1. extreme presentation
  2. neurological delays or degeneration
  3. extreme pathology
  4. surprising values 4 parts of the O in SOAP -- Answer โœ”โœ” 1. vital signs
  5. physical examination findings by pertinent system
  6. laboratory and diagnostic testing results
  7. medications - if inpatient 3 signs/symptoms of hypokalemia -- Answer โœ”โœ” 1. lethargy
  8. weakness
  9. cardiac arrhythmias normal sodium range -- Answer โœ”โœ” 135 - 145

normal potassium range -- Answer โœ”โœ” 3.5-5. signs/symptoms of hyperkalemia -- Answer โœ”โœ” EKG changes (peaked T, wide QRS) 3 signs/symptoms of hyponatremia -- Answer โœ”โœ” 1. confusion

  1. seizures
  2. nausea 3 signs/symptoms of hypernatremia -- Answer โœ”โœ” 1. confusion
  3. seizures
  4. thirst normal calcium range -- Answer โœ”โœ” 2.12-2. 2 signs/symptoms of hypocalemia -- Answer โœ”โœ” 1. muscle tetany
  5. cramping 6 signs/symptoms of hypercalemia -- Answer โœ”โœ” 1. pain
  6. weakness
  7. constipation
  8. renal stones
  9. depression
  10. shortened QT normal bicarb range -- Answer โœ”โœ” 24 - 48 2 typical etiologies for low neutrophils -- Answer โœ”โœ” 1. viral infection
  1. Hodgkin disease
  2. Cushing Syndrome 1 typical offending agent for low monocytes -- Answer โœ”โœ” bone marrow failure 1 typically offending agent for low basophils -- Answer โœ”โœ” bone marrow failure 9 typical offending agents for high neutrophils -- Answer โœ”โœ” 1. pyogenic cocci
  3. bacilli
  4. nonpyogenic infections
  5. leukemias
  6. RA
  7. vasculitis
  8. gout
  9. pancreatitis
  10. smoking 5 examples of pyogenic cocci -- Answer โœ”โœ” 1. staph
  11. strep
  12. pneumococcus
  13. gonococcus
  14. meningococcus 3 examples of bacilli -- Answer โœ”โœ” 1. E. coli
  15. proteus
  16. psuedomonas 6 examples of nonpyogenic infections -- Answer โœ”โœ” 1. RF
  1. diptheria
  2. polio
  3. typhoid fever
  4. cholera
  5. shingles 2 typical offending agents for high eosinophils -- Answer โœ”โœ” 1. worm infestation
  6. allergic triggers 4 typical offending agents for high lymphocytes -- Answer โœ”โœ” 1. leukemia
  7. infectious mononucleosis
  8. pertusis
  9. toxoplasmosis 9 typical offending agents for high monocytes -- Answer โœ”โœ” 1. typhoid fever
  10. brucellosis
  11. TB
  12. subacute endocarditis
  13. malaria
  14. RA
  15. connective tissue disorders
  16. hodgkin disease
  17. monocytic leukemias 1 typical offending agent for high basophils -- Answer โœ”โœ” chronic myeloid leukemia 3 typical etiologies for low platelets (thrombocytopenia) -- Answer โœ”โœ” 1. decreased production
  • initiating information gathering
  • exploring patient's perspective Illness
  • exploring biomedical perspective of disease including relevant background and context
  1. Physical Examination
  2. Explaining and Planning
  • provide correct amount and type of information
  • shared decision making
  1. Closing the session what is the mnemonic for the patient's perspective on the illness -- Answer โœ”โœ” (FIFE) Feelings Ideas effect on Function Expectations what does NURSE stand for when responding to emotional cues? -- Answer โœ”โœ” NURSE Name Understand Respect Support Explore what are the 5 Social Determinant of Health -- Answer โœ”โœ” 1. Neighborhood and Build Environment
  2. Health and Health Care
  3. Social and Community Context
  4. Education
  5. Economic Stability

4 elements of decisional capacity -- Answer โœ”โœ” 1. understand relevant information about proposed diagnostic tests or treatment

  1. appreciate their situation
  2. use reason to make a decision
  3. communicate their choice 7 components of the comprehensive adult health history -- Answer โœ”โœ” 1. initial information
  4. chief complaint(s)
  5. history of present illness
  6. past medical history
  7. family history
  8. personal and social history
  9. review of systems 4 categories of "adult illnesses" found in the past medical history -- Answer โœ”โœ” 1. medical
  10. surgical
  11. obstetric/gynecologic
  12. psychiatric 4 things included in "health maintenance practices" found in the past medical history -- Answer โœ”โœ” 1. immunizations
  13. screening tests
  14. lifestyle issues
  15. home safety

symbol for an unaffected female in a pedigree -- Answer โœ”โœ” clear circle symbol for an affected male in a pedigree -- Answer โœ”โœ” colored square symbol for an affected male in a pedigree -- Answer โœ”โœ” colored circle what does the "P" signify in a pedigree? -- Answer โœ”โœ” Pregnancy what does a dark circle in the middle of a shape mean in a pedigree -- Answer โœ”โœ” obligate carrier