NSG 6430 SOAP NOTE SOUTH UNIVERSITY
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◍ What is an Interim History?.
Answer: A history that chronicles events that occurred since the last meeting
with the patient.
◍ What is the significance of the Chief Complaint in medical records?.
Answer: It serves as the title of the patient's story and must be clearly stated.
◍ What does HPI stand for?.
Answer: History of Present Illness.
◍ What does it mean to say 'If it happened, it is recorded'?.
Answer: It emphasizes the importance of thorough documentation in
medical records.
◍ Progress towards goals/goals met.
Answer: Assessment
◍ What should you do if you notice a patient's nonverbal cues?.
Answer: Acknowledge and respond to them appropriately.
◍ Continued need for PT.
Answer: Assessment
◍ What is the first step in initiating a patient session?.
Answer: Introduce yourself and your role as an intern.
◍ What is the importance of listening to the patient's narrative?.
Answer: It helps in understanding their perspective and concerns.
◍ What is the purpose of inviting the patient to correct your interpretation?.
, Answer: To ensure mutual understanding and gather more accurate
information.
◍ Pain.
Answer: Subjective/Objective
◍ What is a Complete History?.
Answer: A history that includes everything about the patient, usually
recorded the first time they are seen.
◍ History of present illness.
Answer: Database
◍ Why is it important to wash your hands before meeting a patient?.
Answer: To maintain hygiene and show professionalism.
◍ Why is it important to document the patient's perspective?.
Answer: It helps understand the emotional and psychological impact of the
illness on the patient.
◍ Impairments.
Answer: Assessment
◍ Prognosis.
Answer: Assessment
◍ What does the Biomedical perspective focus on?.
Answer: The details about the symptoms the patient is experiencing or the
disease affecting them.
◍ What should be avoided when writing the Chief Complaint?.
Answer: Labeling the Chief Complaint; it should be presented as a
statement.
◍ What does the phrase 'Practice makes PROGRESS' imply?.
Answer: Continuous practice leads to improvement in documentation skills.
◍ Complexity.
Answer: Assessment
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◍ What is an Interim History?.
Answer: A history that chronicles events that occurred since the last meeting
with the patient.
◍ What is the significance of the Chief Complaint in medical records?.
Answer: It serves as the title of the patient's story and must be clearly stated.
◍ What does HPI stand for?.
Answer: History of Present Illness.
◍ What does it mean to say 'If it happened, it is recorded'?.
Answer: It emphasizes the importance of thorough documentation in
medical records.
◍ Progress towards goals/goals met.
Answer: Assessment
◍ What should you do if you notice a patient's nonverbal cues?.
Answer: Acknowledge and respond to them appropriately.
◍ Continued need for PT.
Answer: Assessment
◍ What is the first step in initiating a patient session?.
Answer: Introduce yourself and your role as an intern.
◍ What is the importance of listening to the patient's narrative?.
Answer: It helps in understanding their perspective and concerns.
◍ What is the purpose of inviting the patient to correct your interpretation?.
, Answer: To ensure mutual understanding and gather more accurate
information.
◍ Pain.
Answer: Subjective/Objective
◍ What is a Complete History?.
Answer: A history that includes everything about the patient, usually
recorded the first time they are seen.
◍ History of present illness.
Answer: Database
◍ Why is it important to wash your hands before meeting a patient?.
Answer: To maintain hygiene and show professionalism.
◍ Why is it important to document the patient's perspective?.
Answer: It helps understand the emotional and psychological impact of the
illness on the patient.
◍ Impairments.
Answer: Assessment
◍ Prognosis.
Answer: Assessment
◍ What does the Biomedical perspective focus on?.
Answer: The details about the symptoms the patient is experiencing or the
disease affecting them.
◍ What should be avoided when writing the Chief Complaint?.
Answer: Labeling the Chief Complaint; it should be presented as a
statement.
◍ What does the phrase 'Practice makes PROGRESS' imply?.
Answer: Continuous practice leads to improvement in documentation skills.
◍ Complexity.
Answer: Assessment
