NURS 6013 Quiz Comprehensive Questions
and Correct Answers with Rationale (Already
Graded A+) | Brand New 2026 Update
Question 1: Adverse Childhood Events
Question: Adverse Childhood Events (ACEs) impact patient health independently of
health behaviors.
• True
• False
Answer: True
Rationale: ACEs increase morbidity regardless of an individual's specific health
behaviors.
Question 2: SOAP Note - Objective Section
Question: The Objective ("O") portion of a physical exam and SOAP note contains
which of the following information?
A. The patient's vital signs, physical exam findings, and medical history.
B. The physical exam findings and vital signs.
C. The medical history and vital signs.
D. The final diagnosis.
Answer: B. The physical exam findings and vital signs.
Rationale: Objective findings consist strictly of observable data, such as physical exam
results and vital signs. A patient's medical history belongs in the Subjective ("S")
section, while the final diagnosis belongs in the Assessment ("A") portion of the SOAP
note.
Question 3: ICD-10 Codes
Question: ICD-10 Codes are used to identify which of the following?
A. Diagnoses
B. Tests ordered
C. Chief complaint
D. History
Answer: A. Diagnoses
,Rationale: ICD-10 codes belong to a standardized diagnostic coding system used to
classify diseases and injuries. These codes are utilized by both national and
international agencies.
Question 4: Exam Types (Focused vs. Comprehensive)
Question: During a patient visit, you will perform either a comprehensive history and
physical exam or a focused one. Match each scenario below with the correct exam type:
• [ 2 ] Comprehensive: A 72-year-old man presents complaining of a 6-month
history of fatigue, unintentional weight loss, dizziness, and syncope.
• [ 2 ] Comprehensive: A new patient presents for an annual physical.
• [ 1 ] Focused: An established patient presents with right ankle pain.
• [ 1 ] Focused: A 42-year-old woman presents with a chief complaint of pain with
urination for 2 days.
Rationale: A focused exam is performed when a patient has a specific, acute complaint
(e.g., the 42-year-old woman with urinary pain and the established patient with ankle
pain). A comprehensive exam is necessary for broader, baseline, or complex
evaluations (e.g., the 72-year-old man with a 6-month history of systemic symptoms and
the new patient arriving for an annual physical).
Question 5: SOAP Note - Assessment Section
Question: The Assessment ("A") portion of the SOAP note contains which of the
following information?
A. The plan of care
B. The results of the physical assessment
C. The diagnosis
D. The patient history
Answer: C. The diagnosis
Rationale: According to the Sullivan text, after subjective and objective data are
gathered, you move toward formulating a diagnosis for the Assessment section. This
diagnosis must correlate directly with the patient's chief complaint.
Question 6: SOAP Note - Subjective Section
Question: The Subjective ("S") portion of the SOAP note contains which of the
following information? (Select all that apply)
A. The History of Present Illness
,B. The Pertinent Review of Systems
C. The Cardiovascular Exam Findings
D. Pertinent Social History
E. The Vital Signs
F. The Plan of Care
Correct Answers: A, B, and D
Rationale: The subjective portion contains information reported by the patient, which
includes the History of Presenting Illness (HPI), pertinent Review of Systems (ROS),
and pertinent Social History. Cardiovascular exam findings and vital signs are
observable data that belong under the Objective ("O") portion. The Plan of Care belongs
under the Plan ("P") portion of the SOAP note.
Question 7: Exam Preparation Materials
Question: Exam content will come from lectures only, so reading the text is not
necessary.
A. True
B. False
Correct Answer: B. False
Rationale: To be adequately prepared as a novice-level APRN upon graduation, it is
critical that you engage with all assigned materials. This includes both the lectures and
the required readings.
Question 8: Physical Exam Sequencing (IPPA)
Question: IPPA (Inspection, Palpation, Percussion, Auscultation) is the abbreviation for
the standard order of the physical exam and documentation for all body systems
EXCEPT:
A. Gastrointestinal (GI)
B. Chest
C. Musculoskeletal
D. None of the above
Correct Answer: A. Gastrointestinal (GI)
Rationale: For the abdomen, auscultation must be performed before palpation or
percussion (making the order IAPP). This ensures that GI bowel sounds are heard
authentically before physically touching and disrupting the abdomen.
, Question 9: Standard Exam Positioning
Question: Examining the patient from their right side is the standard position for the
physical exam and has several advantages over using the left side. Which of the
following are advantages to examining from the patient's right side? (Select all that
apply)
A. Estimates of jugular venous pressure are more reliable.
B. The palpating hand rests more comfortably on the apical impulse.
C. The right kidney is frequently more palpable than the left.
D. Examining tables are frequently positioned to accommodate the standard right-side
approach.
Correct Answer: All of the above (A, B, C, and D)
Rationale: According to the Bickley text (pages 124-125), all of these are listed as
specific advantages to standing on the patient's right side during a physical
examination.
Question 10: Documenting General Survey Findings
Question: If a patient is poorly groomed with poor personal hygiene, it is important to
ignore these findings and not document them in the patient's record.
A. True
B. False
Correct Answer: B. False
Rationale: A patient's grooming and hygiene provide important clinical clues and should
always be noted and documented in the objective portion of the physical exam under
the "General Survey" section (Bickley, pgs 214-216).
Which of the following are considered the "cardinal techniques" of the physical
examination"?
a. Hand washing, Vital signs, General survey, Palpation
b. HEENT, Nervous System, Lungs, Cardiac
and Correct Answers with Rationale (Already
Graded A+) | Brand New 2026 Update
Question 1: Adverse Childhood Events
Question: Adverse Childhood Events (ACEs) impact patient health independently of
health behaviors.
• True
• False
Answer: True
Rationale: ACEs increase morbidity regardless of an individual's specific health
behaviors.
Question 2: SOAP Note - Objective Section
Question: The Objective ("O") portion of a physical exam and SOAP note contains
which of the following information?
A. The patient's vital signs, physical exam findings, and medical history.
B. The physical exam findings and vital signs.
C. The medical history and vital signs.
D. The final diagnosis.
Answer: B. The physical exam findings and vital signs.
Rationale: Objective findings consist strictly of observable data, such as physical exam
results and vital signs. A patient's medical history belongs in the Subjective ("S")
section, while the final diagnosis belongs in the Assessment ("A") portion of the SOAP
note.
Question 3: ICD-10 Codes
Question: ICD-10 Codes are used to identify which of the following?
A. Diagnoses
B. Tests ordered
C. Chief complaint
D. History
Answer: A. Diagnoses
,Rationale: ICD-10 codes belong to a standardized diagnostic coding system used to
classify diseases and injuries. These codes are utilized by both national and
international agencies.
Question 4: Exam Types (Focused vs. Comprehensive)
Question: During a patient visit, you will perform either a comprehensive history and
physical exam or a focused one. Match each scenario below with the correct exam type:
• [ 2 ] Comprehensive: A 72-year-old man presents complaining of a 6-month
history of fatigue, unintentional weight loss, dizziness, and syncope.
• [ 2 ] Comprehensive: A new patient presents for an annual physical.
• [ 1 ] Focused: An established patient presents with right ankle pain.
• [ 1 ] Focused: A 42-year-old woman presents with a chief complaint of pain with
urination for 2 days.
Rationale: A focused exam is performed when a patient has a specific, acute complaint
(e.g., the 42-year-old woman with urinary pain and the established patient with ankle
pain). A comprehensive exam is necessary for broader, baseline, or complex
evaluations (e.g., the 72-year-old man with a 6-month history of systemic symptoms and
the new patient arriving for an annual physical).
Question 5: SOAP Note - Assessment Section
Question: The Assessment ("A") portion of the SOAP note contains which of the
following information?
A. The plan of care
B. The results of the physical assessment
C. The diagnosis
D. The patient history
Answer: C. The diagnosis
Rationale: According to the Sullivan text, after subjective and objective data are
gathered, you move toward formulating a diagnosis for the Assessment section. This
diagnosis must correlate directly with the patient's chief complaint.
Question 6: SOAP Note - Subjective Section
Question: The Subjective ("S") portion of the SOAP note contains which of the
following information? (Select all that apply)
A. The History of Present Illness
,B. The Pertinent Review of Systems
C. The Cardiovascular Exam Findings
D. Pertinent Social History
E. The Vital Signs
F. The Plan of Care
Correct Answers: A, B, and D
Rationale: The subjective portion contains information reported by the patient, which
includes the History of Presenting Illness (HPI), pertinent Review of Systems (ROS),
and pertinent Social History. Cardiovascular exam findings and vital signs are
observable data that belong under the Objective ("O") portion. The Plan of Care belongs
under the Plan ("P") portion of the SOAP note.
Question 7: Exam Preparation Materials
Question: Exam content will come from lectures only, so reading the text is not
necessary.
A. True
B. False
Correct Answer: B. False
Rationale: To be adequately prepared as a novice-level APRN upon graduation, it is
critical that you engage with all assigned materials. This includes both the lectures and
the required readings.
Question 8: Physical Exam Sequencing (IPPA)
Question: IPPA (Inspection, Palpation, Percussion, Auscultation) is the abbreviation for
the standard order of the physical exam and documentation for all body systems
EXCEPT:
A. Gastrointestinal (GI)
B. Chest
C. Musculoskeletal
D. None of the above
Correct Answer: A. Gastrointestinal (GI)
Rationale: For the abdomen, auscultation must be performed before palpation or
percussion (making the order IAPP). This ensures that GI bowel sounds are heard
authentically before physically touching and disrupting the abdomen.
, Question 9: Standard Exam Positioning
Question: Examining the patient from their right side is the standard position for the
physical exam and has several advantages over using the left side. Which of the
following are advantages to examining from the patient's right side? (Select all that
apply)
A. Estimates of jugular venous pressure are more reliable.
B. The palpating hand rests more comfortably on the apical impulse.
C. The right kidney is frequently more palpable than the left.
D. Examining tables are frequently positioned to accommodate the standard right-side
approach.
Correct Answer: All of the above (A, B, C, and D)
Rationale: According to the Bickley text (pages 124-125), all of these are listed as
specific advantages to standing on the patient's right side during a physical
examination.
Question 10: Documenting General Survey Findings
Question: If a patient is poorly groomed with poor personal hygiene, it is important to
ignore these findings and not document them in the patient's record.
A. True
B. False
Correct Answer: B. False
Rationale: A patient's grooming and hygiene provide important clinical clues and should
always be noted and documented in the objective portion of the physical exam under
the "General Survey" section (Bickley, pgs 214-216).
Which of the following are considered the "cardinal techniques" of the physical
examination"?
a. Hand washing, Vital signs, General survey, Palpation
b. HEENT, Nervous System, Lungs, Cardiac
