NRP 571 CRAIG HARRIS EPISODIC
SOAP NOTE AND REFLECTION
ASSESSMENT QUESTIONS AND
ANSWERS | 2026/2027 UPDATE | 100%
CORRECT
1. When documenting the History of Present Illness (HPI) for Craig Harris, which mnemonic is
most appropriate to ensure all dimensions of his chief complaint are captured?
A. ADPIE
B. SOAPIER
C. OLDCARTS
D. SBAR
Answer: C
Conceptual Explanation: OLDCARTS (Onset, Location, Duration, Character, Aggravating
factors, Relieving factors, Timing, Severity) is the standard mnemonic for characterizing a
patient’s symptoms in the HPI.
2. In the ‘Subjective’ portion of the SOAP note for Craig Harris, where should his current list of
medications be placed?
A. Review of Systems
,B. Chief Complaint
C. History of Present Illness
D. Past Medical History
Answer: D
Conceptual Explanation: The Past Medical History (PMH) includes current medications,
allergies, and prior medical or surgical history.
3. If Craig Harris reports ‘shortness of breath,’ which specific section of the Review of Systems
(ROS) must be explored in depth to differentiate between cardiac and pulmonary causes?
A. Musculoskeletal and Neurological
B. Gastrointestinal and Integumentary
C. Cardiovascular and Respiratory
D. Endocrine and Hematologic
Answer: C
Conceptual Explanation: Shortness of breath (dyspnea) requires a detailed ROS of both
the cardiovascular and respiratory systems to identify the etiology.
4. During the physical examination of Craig Harris, what does ‘tactile fremitus’ evaluate?
A. The degree of peripheral edema in the lower extremities.
B. The resonance of the heart valves during diastole.
, C. The density of lung tissue through vibrations felt on the chest wall.
D. The range of motion in the cervical spine.
Answer: C
Conceptual Explanation: Tactile fremitus is used in the objective exam to assess for lung
consolidation or air trapping by feeling for vibrations while the patient speaks.
5. Which of the following findings on percussion of the lungs would be most indicative of
pneumonia in Craig Harris?
A. Hyper-resonance
B. Tympany
C. Resonance
D. Dullness
Answer: D
Conceptual Explanation: Dullness to percussion suggests fluid or solid tissue, such as
consolidation seen in pneumonia, replacing air-filled lung space.
6. In a SOAP note, where should the provider document the patient’s vital signs?
A. Subjective
B. Assessment
C. Objective
SOAP NOTE AND REFLECTION
ASSESSMENT QUESTIONS AND
ANSWERS | 2026/2027 UPDATE | 100%
CORRECT
1. When documenting the History of Present Illness (HPI) for Craig Harris, which mnemonic is
most appropriate to ensure all dimensions of his chief complaint are captured?
A. ADPIE
B. SOAPIER
C. OLDCARTS
D. SBAR
Answer: C
Conceptual Explanation: OLDCARTS (Onset, Location, Duration, Character, Aggravating
factors, Relieving factors, Timing, Severity) is the standard mnemonic for characterizing a
patient’s symptoms in the HPI.
2. In the ‘Subjective’ portion of the SOAP note for Craig Harris, where should his current list of
medications be placed?
A. Review of Systems
,B. Chief Complaint
C. History of Present Illness
D. Past Medical History
Answer: D
Conceptual Explanation: The Past Medical History (PMH) includes current medications,
allergies, and prior medical or surgical history.
3. If Craig Harris reports ‘shortness of breath,’ which specific section of the Review of Systems
(ROS) must be explored in depth to differentiate between cardiac and pulmonary causes?
A. Musculoskeletal and Neurological
B. Gastrointestinal and Integumentary
C. Cardiovascular and Respiratory
D. Endocrine and Hematologic
Answer: C
Conceptual Explanation: Shortness of breath (dyspnea) requires a detailed ROS of both
the cardiovascular and respiratory systems to identify the etiology.
4. During the physical examination of Craig Harris, what does ‘tactile fremitus’ evaluate?
A. The degree of peripheral edema in the lower extremities.
B. The resonance of the heart valves during diastole.
, C. The density of lung tissue through vibrations felt on the chest wall.
D. The range of motion in the cervical spine.
Answer: C
Conceptual Explanation: Tactile fremitus is used in the objective exam to assess for lung
consolidation or air trapping by feeling for vibrations while the patient speaks.
5. Which of the following findings on percussion of the lungs would be most indicative of
pneumonia in Craig Harris?
A. Hyper-resonance
B. Tympany
C. Resonance
D. Dullness
Answer: D
Conceptual Explanation: Dullness to percussion suggests fluid or solid tissue, such as
consolidation seen in pneumonia, replacing air-filled lung space.
6. In a SOAP note, where should the provider document the patient’s vital signs?
A. Subjective
B. Assessment
C. Objective
