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OVERVIEW:
NSG 6020 - Week 1 Exam Review – 2026/2027 covers SOAP documentation, chief
complaint, HPI elements, subjective versus objective data, comprehensive versus
focused notes, skilled interviewing, cultural humility, sexual and alcohol history,
differential diagnosis formulation, and professional documentation standards for
interprofessional care across the lifespan, ensuring accurate assessment, clinical
reasoning, and patient-centered communication for advanced practice nurses in
diverse settings today effectively.
Answers are in bold Green, with rationales after.
1- Which of the following accurately describe a client's chief complaint?
a. Duration of Symptoms
b. Prior Medical History
c. Reason for Visit
d. Family History
Rationale: CC is the reason for visit in the patient's own words. Duration is part of
HPI.
, 2- What elements are documented in the History of Present Illness (HPI) Select all that
apply.
a. Social History
b. Reason for visit
c. Prior Medical History
d. Onset of Symptoms
Rationale: HPI = OLDCARTS: Onset, Location, Duration, Character,
Aggravating/Alleviating, Radiation, Timing, Severity, Associated symptoms. Onset
is HPI. Social and Past Medical History are separate sections. Note: In some
programs Prior Medical History related to current illness can be referenced in HPI,
but classic HPI is d.
3- Which of the following would be considered a component of the Subjective Data?
a. Assessment
b. Social History
c. Differential diagnoses
d. Treatment Plan
Rationale: Subjective = what patient tells you: CC, HPI, ROS, PMH, FH, SH,
medications, allergies. Assessment and Plan are clinician sections.
4- Which of the following statements belong in the Objective Data?
a. Chief Complaint
b. History of Present Illness
c. Prior Medical History
d. Vital Signs
Rationale: Objective = measurable: vitals, physical exam, labs, imaging. History
items are subjective.
5- Which of the following is documented in the Objective Data?
a. Differential diagnoses
b. Current medications