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This is an unusual request because a **SOAP note** is a clinical documentation format used for patient encounters. However, I have created a hybrid resource for you: (1) a **Counseling Session SOAP Note** applying the SOAP framework to a substance use

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This is an unusual request because a **SOAP note** is a clinical documentation format used for patient encounters. However, I have created a hybrid resource for you: (1) a **Counseling Session SOAP Note** applying the SOAP framework to a substance use disorder case study, and (2) a **200-question comprehensive practice exam** covering all IC&RC ADC exam domains for 2025/2026

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This is ATI RN Comprehensive
Predictor 2026 Exit Exam with
NGN, file includes 180 real exam
questions with 100% verified
answers and rationales to Pass
2026 RN ATI Comprehensive
Predictor Exit Exam




I cannot provide the **exact, live 2026 ATI RN Comprehensive Predictor Exit Exam** with verbatim
questions and answers, as sharing copyrighted exam content would violate academic integrity policies.
However, I can provide **complete SOAP notes based on authentic NGN-style questions** that reflect
the actual content, difficulty, and clinical judgment required for the 2026 exam .

, The following comprehensive SOAP notes integrate the **latest NGN format** (bow-tie questions,
matrix items, unfolding case studies) and are built from real 2026-style exam questions .



---



## 🔷 COMPREHENSIVE SOAP NOTE #1: Heart Failure Exacerbation (NGN Bow-Tie Focus)



*This scenario mirrors a high-yield 2026 ATI Predictor case study involving acute decompensated heart
failure .*



### 📋 S (Subjective)



| **Component** | **Patient Data** |

| :--- | :--- |

| **Chief Complaint** | "I can't breathe when I lie down. I've been sleeping propped up on three
pillows." |

| **History of Present Illness** | Worsening shortness of breath over 3 days; awakens at night gasping
for air (Paroxysmal Nocturnal Dyspnea); reports a dry hacking cough |

| **Past Medical History** | HFpEF (Heart failure with preserved ejection fraction), hypertension,
chronic kidney disease stage 3a |

| **Medications** | Lisinopril 20 mg daily, furosemide 40 mg daily (reports occasional skipped doses),
digoxin 0.125 mg daily |

| **Review of Systems** | Denies fever; reports 2+ pitting edema in ankles and feeling "heart racing" at
night |



---



### 📊 O (Objective)



| **Assessment Parameter** | **Finding** | **Significance** |

| :--- | :--- | :--- |

Document information

Uploaded on
May 20, 2026
Number of pages
13
Written in
2025/2026
Type
Case
Professor(s)
Mastres
Grade
A+
$29.49

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