NSG 6430 SOAP NOTE SOUTH UNIVERSITY
COMPREHENSIVE STUDY GUIDE 2026 FULL
QUESTIONS AND SOLUTIONS GRADED A+
◍ What is the purpose of counseling preparation before lab?.
Answer: To ensure students are ready to provide effective patient
counseling.
◍ What is the expected outcome of a successful SOAP remediation?.
Answer: The student will earn the grade established by their SOAP average.
◍ All Systems in ROS.
Answer: - General- Skin- Head- Eyes- Ears- Nose- Throat- Neck- Breast-
Respiratory System- Cardiovascular System- GI System- Peripheral
Vascular- Urinary- Genital- Musculoskeletal- Nervous System- Psychiatric-
Endocrine- Hematologic
◍ What is included in the SOAP note's Subjective section?.
Answer: Patient-reported information relevant to the case.
◍ What must be verified when receiving a prescription?.
Answer: The prescription's legibility, completeness, and validity.
◍ What are the exceptions for using numbers in SIG format?.
Answer: Fractions, insulin units, injection volumes, liquid doses, days'
supply, and number of doses.
◍ What is the maximum time for refills on non-controlled substances?.
Answer: Refills are good for 1 year from the date written.
◍ Components of the Subjective (5).
Answer: 1. HPI- OLDCARTS- Pertinent positive and negative (please list
by the system)2. PMH (bulleted list)3. Family History: (bulleted list)4.
, Social history: (bulleted list)5. ROS: secondary systems
◍ What resources are provided for SOAP note preparation?.
Answer: SOAP Overview Video Series, CAPIF-SOAP handout, example
SOAP note, and rubric.
◍ CASHPOAACH.
Answer: Childhood illnessesAdult IllnessesSurgical
HxHospitalizationsPsychiatric HxOB/Gynecological Hx (LMP,
Menarche)AccidentsAllergiesCurrent MedicationsHealth Maintenance
◍ What is the importance of the SIG format in prescriptions?.
Answer: It uses medical abbreviations to communicate dosage and
administration instructions clearly.
◍ Components of Assessment (2).
Answer: 1. List differential diagnosis2. Presumptive diagnosis (Supported
with a summary statement)
◍ Neurologic.
Answer: - Changes in mood, attention, or speech- Changes in orientation,
memory, insight or judgement- Headache- Dizziness/vertigo- Fainting-
Blackouts- Weakness- Paralysis- Numbness or loss of sensation- Tingling or
"pins and needles"- Tremors or other involuntary movements- Seizures
◍ What is the purpose of the Micromedex resource in the context of SOAP
notes?.
Answer: To describe mechanisms of action and side effects of medications.
◍ Respiratory (lungs).
Answer: - Cough- Sputum (color, quatity; presence of blood or hemoptysis)-
SOB- Wheezing- Pain with deep breath- Last chest x-rayNote: You may
want to include asthma, bronchitis, emphysema, pneumonia, and TB
◍ What is the aim for completing SOAP note assignments in lab?.
Answer: To complete them in 30 minutes to 1 hour, depending on the case
type.
COMPREHENSIVE STUDY GUIDE 2026 FULL
QUESTIONS AND SOLUTIONS GRADED A+
◍ What is the purpose of counseling preparation before lab?.
Answer: To ensure students are ready to provide effective patient
counseling.
◍ What is the expected outcome of a successful SOAP remediation?.
Answer: The student will earn the grade established by their SOAP average.
◍ All Systems in ROS.
Answer: - General- Skin- Head- Eyes- Ears- Nose- Throat- Neck- Breast-
Respiratory System- Cardiovascular System- GI System- Peripheral
Vascular- Urinary- Genital- Musculoskeletal- Nervous System- Psychiatric-
Endocrine- Hematologic
◍ What is included in the SOAP note's Subjective section?.
Answer: Patient-reported information relevant to the case.
◍ What must be verified when receiving a prescription?.
Answer: The prescription's legibility, completeness, and validity.
◍ What are the exceptions for using numbers in SIG format?.
Answer: Fractions, insulin units, injection volumes, liquid doses, days'
supply, and number of doses.
◍ What is the maximum time for refills on non-controlled substances?.
Answer: Refills are good for 1 year from the date written.
◍ Components of the Subjective (5).
Answer: 1. HPI- OLDCARTS- Pertinent positive and negative (please list
by the system)2. PMH (bulleted list)3. Family History: (bulleted list)4.
, Social history: (bulleted list)5. ROS: secondary systems
◍ What resources are provided for SOAP note preparation?.
Answer: SOAP Overview Video Series, CAPIF-SOAP handout, example
SOAP note, and rubric.
◍ CASHPOAACH.
Answer: Childhood illnessesAdult IllnessesSurgical
HxHospitalizationsPsychiatric HxOB/Gynecological Hx (LMP,
Menarche)AccidentsAllergiesCurrent MedicationsHealth Maintenance
◍ What is the importance of the SIG format in prescriptions?.
Answer: It uses medical abbreviations to communicate dosage and
administration instructions clearly.
◍ Components of Assessment (2).
Answer: 1. List differential diagnosis2. Presumptive diagnosis (Supported
with a summary statement)
◍ Neurologic.
Answer: - Changes in mood, attention, or speech- Changes in orientation,
memory, insight or judgement- Headache- Dizziness/vertigo- Fainting-
Blackouts- Weakness- Paralysis- Numbness or loss of sensation- Tingling or
"pins and needles"- Tremors or other involuntary movements- Seizures
◍ What is the purpose of the Micromedex resource in the context of SOAP
notes?.
Answer: To describe mechanisms of action and side effects of medications.
◍ Respiratory (lungs).
Answer: - Cough- Sputum (color, quatity; presence of blood or hemoptysis)-
SOB- Wheezing- Pain with deep breath- Last chest x-rayNote: You may
want to include asthma, bronchitis, emphysema, pneumonia, and TB
◍ What is the aim for completing SOAP note assignments in lab?.
Answer: To complete them in 30 minutes to 1 hour, depending on the case
type.
