PRINCIPLES OF PHARMACOLOGY 2026
EXAMPREP PRACTICE SET SOLUTION
QUESTIONS WITH FULL ANSWERS
◉ The judgment, opinion, or evaluation made by the health care
provider would be found in the __________ portion of a problem-
oriented SOAP note. Answer: assessment
◉ The medical coding process requires the __________ of patient
record documentation to identify diagnoses, procedures, and
services for the purpose of assigning ICD-10-CM, ICD10-PCS, HCPCS
level II, and/or CPT codes. Answer: review
◉ The patient's statement about how he or she feels would be found
in the __________ portion of a problem-oriented SOAP note. Answer:
subjective
◉ The primary purpose of the record is to provide for __________.
Answer: patient continuity of care
◉ The problem-oriented record __________ contains the strategy for
managing patient care and any actions taken to investigate the
patient's condition and to treat and educate the patient. Answer:
initial plan
, ◉ The process of standardizing data by assigning alphanumeric
values to text or other information is called __________. Answer:
encoding
◉ The progress notes section of the POR contains a(n) __________ note
to summarize the patient's care, treatment, response to care, and
condition on release from the facility. Answer: discharge
◉ The progress notes section of the POR contains a(n) __________ note
when the patient is relocated to another facility, and it summarizes
the reason for admission, current diagnoses and medical
information, and reason for relocation. Answer: transfer
◉ The purpose of a clinical documentation improvement (CDI)
program is to help health care facilities comply with government
programs and other initiatives with the goal of improving health
care quality. Thus, a CDI specialist initiates concurrent and
retrospective reviews of inpatient records to identify __________
provider documentation. Answer: conflicting, incomplete, or
nonspecific
◉ The table of contents for the problem-oriented record is called the
__________, and it is filed at the beginning of the record and contains a
numbered list of the patient's problems, which helps to index
documentation throughout the record. Answer: problem list
EXAMPREP PRACTICE SET SOLUTION
QUESTIONS WITH FULL ANSWERS
◉ The judgment, opinion, or evaluation made by the health care
provider would be found in the __________ portion of a problem-
oriented SOAP note. Answer: assessment
◉ The medical coding process requires the __________ of patient
record documentation to identify diagnoses, procedures, and
services for the purpose of assigning ICD-10-CM, ICD10-PCS, HCPCS
level II, and/or CPT codes. Answer: review
◉ The patient's statement about how he or she feels would be found
in the __________ portion of a problem-oriented SOAP note. Answer:
subjective
◉ The primary purpose of the record is to provide for __________.
Answer: patient continuity of care
◉ The problem-oriented record __________ contains the strategy for
managing patient care and any actions taken to investigate the
patient's condition and to treat and educate the patient. Answer:
initial plan
, ◉ The process of standardizing data by assigning alphanumeric
values to text or other information is called __________. Answer:
encoding
◉ The progress notes section of the POR contains a(n) __________ note
to summarize the patient's care, treatment, response to care, and
condition on release from the facility. Answer: discharge
◉ The progress notes section of the POR contains a(n) __________ note
when the patient is relocated to another facility, and it summarizes
the reason for admission, current diagnoses and medical
information, and reason for relocation. Answer: transfer
◉ The purpose of a clinical documentation improvement (CDI)
program is to help health care facilities comply with government
programs and other initiatives with the goal of improving health
care quality. Thus, a CDI specialist initiates concurrent and
retrospective reviews of inpatient records to identify __________
provider documentation. Answer: conflicting, incomplete, or
nonspecific
◉ The table of contents for the problem-oriented record is called the
__________, and it is filed at the beginning of the record and contains a
numbered list of the patient's problems, which helps to index
documentation throughout the record. Answer: problem list
