NURS 5220 Advanced Health Assessment Final Comprehensive
Exam- The University of Texas at Arlington
(100 questions with answers and brief rationales)
SOAP and Diagnostic Reasoning
(10 questions)
1. SOAP stands for:
A. Subjective, Objective, Assessment, Plan
B. Symptoms, Observations, Analysis, Procedure
C. Subjective, Observation, Assessment, Prescription
D. Signs, Objective, Assessment, Plan
Answer: A
Rationale: SOAP is the standard format for medical documentation.
2. The "S" in SOAP includes:
A. Patient's chief complaint, history of present illness, review of systems
B. Vital signs and physical exam findings
C. Differential diagnosis
D. Treatment plan
Answer: A
Rationale: Subjective data comes directly from the patient (symptoms, history).
3. The "O" in SOAP includes:
A. Physical exam findings, vital signs, lab results
B. Patient's description of pain
C. Past medical history
D. Medications list
Answer: A
Rationale: Objective data are measurable, observable findings.
4. The "A" in SOAP includes:
A. Assessment (diagnosis, differential diagnoses)
B. Vital signs
,C. Patient history
D. Lab orders
Answer: A
Rationale: Assessment synthesizes subjective and objective data into diagnoses.
5. The "P" in SOAP includes:
A. Plan (diagnostic tests, treatment, follow-up)
B. Physical exam
C. Patient demographics
D. Past medical history
Answer: A
Rationale: Plan outlines next steps for evaluation and management.
6. Differential diagnosis refers to:
A. A list of possible conditions that could explain the patient's presentation
B. The final confirmed diagnosis
C. The primary complaint
D. The treatment plan
Answer: A
Rationale: Differential diagnosis is generated from the history and physical.
7. Clinical reasoning involves:
A. Gathering data, generating hypotheses, testing hypotheses, making a diagnosis
B. Only ordering tests
C. Only taking a history
D. Only performing a physical exam
Answer: A
Rationale: Clinical reasoning is a systematic problem-solving process.
8. The most important part of the diagnostic process is:
A. History taking
B. Physical exam
C. Laboratory tests
D. Imaging
, Answer: A
Rationale: History provides 70–80% of diagnostic information.
9. A chief complaint should be recorded:
A. In the patient's own words
B. In medical terminology
C. As a diagnosis
D. As a symptom only
Answer: A
Rationale: The chief complaint is the reason for visit, quoted directly from the patient.
10. The review of systems (ROS) is:
A. A systematic inquiry about symptoms in each body system
B. A physical exam of each system
C. A list of medications
D. A family history
Answer: A
Rationale: ROS is a subjective screening tool completed during history taking.
Growth and Measurement
(10 questions)
11. Normal adult body temperature (oral) is approximately:
A. 36.5–37.5°C (97.7–99.5°F)
B. 35.0–36.0°C
C. 38.0–39.0°C
D. 37.5–38.5°C
Answer: A
Rationale: Normal oral temperature is around 37°C (98.6°F).
12. Normal adult pulse rate at rest is:
A. 60–100 beats per minute
B. 40–60 bpm
C. 100–120 bpm
Exam- The University of Texas at Arlington
(100 questions with answers and brief rationales)
SOAP and Diagnostic Reasoning
(10 questions)
1. SOAP stands for:
A. Subjective, Objective, Assessment, Plan
B. Symptoms, Observations, Analysis, Procedure
C. Subjective, Observation, Assessment, Prescription
D. Signs, Objective, Assessment, Plan
Answer: A
Rationale: SOAP is the standard format for medical documentation.
2. The "S" in SOAP includes:
A. Patient's chief complaint, history of present illness, review of systems
B. Vital signs and physical exam findings
C. Differential diagnosis
D. Treatment plan
Answer: A
Rationale: Subjective data comes directly from the patient (symptoms, history).
3. The "O" in SOAP includes:
A. Physical exam findings, vital signs, lab results
B. Patient's description of pain
C. Past medical history
D. Medications list
Answer: A
Rationale: Objective data are measurable, observable findings.
4. The "A" in SOAP includes:
A. Assessment (diagnosis, differential diagnoses)
B. Vital signs
,C. Patient history
D. Lab orders
Answer: A
Rationale: Assessment synthesizes subjective and objective data into diagnoses.
5. The "P" in SOAP includes:
A. Plan (diagnostic tests, treatment, follow-up)
B. Physical exam
C. Patient demographics
D. Past medical history
Answer: A
Rationale: Plan outlines next steps for evaluation and management.
6. Differential diagnosis refers to:
A. A list of possible conditions that could explain the patient's presentation
B. The final confirmed diagnosis
C. The primary complaint
D. The treatment plan
Answer: A
Rationale: Differential diagnosis is generated from the history and physical.
7. Clinical reasoning involves:
A. Gathering data, generating hypotheses, testing hypotheses, making a diagnosis
B. Only ordering tests
C. Only taking a history
D. Only performing a physical exam
Answer: A
Rationale: Clinical reasoning is a systematic problem-solving process.
8. The most important part of the diagnostic process is:
A. History taking
B. Physical exam
C. Laboratory tests
D. Imaging
, Answer: A
Rationale: History provides 70–80% of diagnostic information.
9. A chief complaint should be recorded:
A. In the patient's own words
B. In medical terminology
C. As a diagnosis
D. As a symptom only
Answer: A
Rationale: The chief complaint is the reason for visit, quoted directly from the patient.
10. The review of systems (ROS) is:
A. A systematic inquiry about symptoms in each body system
B. A physical exam of each system
C. A list of medications
D. A family history
Answer: A
Rationale: ROS is a subjective screening tool completed during history taking.
Growth and Measurement
(10 questions)
11. Normal adult body temperature (oral) is approximately:
A. 36.5–37.5°C (97.7–99.5°F)
B. 35.0–36.0°C
C. 38.0–39.0°C
D. 37.5–38.5°C
Answer: A
Rationale: Normal oral temperature is around 37°C (98.6°F).
12. Normal adult pulse rate at rest is:
A. 60–100 beats per minute
B. 40–60 bpm
C. 100–120 bpm
