NP SOAP Note Case Scenarios Exam – 150
Questions Answers And Rationale Included.
205/2026
1. A 45-year-old female presents with fatigue and weight gain over 3
months. Her TSH is elevated. Which component of the SOAP note
does this information belong to?
• A) Subjective
• B) Objective
• C) Assessment
• D) Plan
B) Objective
Rationale: Lab results are objective data collected during
evaluation, not reported by the patient.
2. A patient reports chest tightness that occurs with exertion and
resolves with rest. This is documented under:
• A) Subjective
• B) Objective
• C) Assessment
• D) Plan
A) Subjective
Rationale: The patient’s description of symptoms is subjective
information.
,3. In a SOAP note, documenting “BP 150/92, HR 88, lungs clear” falls
under:
• A) Subjective
• B) Objective
• C) Assessment
• D) Plan
B) Objective
Rationale: Vital signs and physical exam findings are objective
data.
4. A patient with diabetes reports polyuria and polydipsia. You
suspect hyperglycemia. Where is the suspected diagnosis
recorded?
• A) Subjective
• B) Objective
• C) Assessment
• D) Plan
C) Assessment
Rationale: The assessment section includes clinical impressions
and differential diagnoses.
5. You prescribe metformin 500 mg BID for a newly diagnosed
diabetic. In the SOAP note, this belongs under:
• A) Subjective
• B) Objective
• C) Assessment
,• D) Plan
D) Plan
Rationale: The plan details interventions, treatments,
medications, and follow-up.
6. A patient reports a 2-day history of sore throat and fever. On
exam, the tonsils are erythematous with exudates. Which part of
SOAP captures the sore throat duration?
• A) Subjective
• B) Objective
• C) Assessment
• D) Plan
A) Subjective
Rationale: Symptom history and duration come from the
patient’s report.
7. Documentation of “Tonsils 3+ with white exudate, temperature
101°F” falls under:
• A) Subjective
• B) Objective
• C) Assessment
• D) Plan
B) Objective
Rationale: Physical exam findings and vital signs are objective
data.
8. A patient presents with right lower quadrant abdominal pain. You
list appendicitis as the most likely diagnosis. This belongs in:
• A) Subjective
, • B) Objective
• C) Assessment
• D) Plan
C) Assessment
Rationale: Clinical impressions and differential diagnoses are
included in the assessment.
9. Ordering a complete blood count (CBC) to evaluate possible
infection is documented under:
• A) Subjective
• B) Objective
• C) Assessment
• D) Plan
D) Plan
Rationale: Diagnostic tests to confirm a suspected diagnosis are
part of the plan.
10. A patient reports nausea, vomiting, and abdominal pain. You
document a suspected gastroenteritis. Which SOAP component is
correct for symptom documentation?
• A) Subjective
• B) Objective
• C) Assessment
• D) Plan
A) Subjective
Rationale: Symptoms experienced by the patient are subjective
data.
Questions Answers And Rationale Included.
205/2026
1. A 45-year-old female presents with fatigue and weight gain over 3
months. Her TSH is elevated. Which component of the SOAP note
does this information belong to?
• A) Subjective
• B) Objective
• C) Assessment
• D) Plan
B) Objective
Rationale: Lab results are objective data collected during
evaluation, not reported by the patient.
2. A patient reports chest tightness that occurs with exertion and
resolves with rest. This is documented under:
• A) Subjective
• B) Objective
• C) Assessment
• D) Plan
A) Subjective
Rationale: The patient’s description of symptoms is subjective
information.
,3. In a SOAP note, documenting “BP 150/92, HR 88, lungs clear” falls
under:
• A) Subjective
• B) Objective
• C) Assessment
• D) Plan
B) Objective
Rationale: Vital signs and physical exam findings are objective
data.
4. A patient with diabetes reports polyuria and polydipsia. You
suspect hyperglycemia. Where is the suspected diagnosis
recorded?
• A) Subjective
• B) Objective
• C) Assessment
• D) Plan
C) Assessment
Rationale: The assessment section includes clinical impressions
and differential diagnoses.
5. You prescribe metformin 500 mg BID for a newly diagnosed
diabetic. In the SOAP note, this belongs under:
• A) Subjective
• B) Objective
• C) Assessment
,• D) Plan
D) Plan
Rationale: The plan details interventions, treatments,
medications, and follow-up.
6. A patient reports a 2-day history of sore throat and fever. On
exam, the tonsils are erythematous with exudates. Which part of
SOAP captures the sore throat duration?
• A) Subjective
• B) Objective
• C) Assessment
• D) Plan
A) Subjective
Rationale: Symptom history and duration come from the
patient’s report.
7. Documentation of “Tonsils 3+ with white exudate, temperature
101°F” falls under:
• A) Subjective
• B) Objective
• C) Assessment
• D) Plan
B) Objective
Rationale: Physical exam findings and vital signs are objective
data.
8. A patient presents with right lower quadrant abdominal pain. You
list appendicitis as the most likely diagnosis. This belongs in:
• A) Subjective
, • B) Objective
• C) Assessment
• D) Plan
C) Assessment
Rationale: Clinical impressions and differential diagnoses are
included in the assessment.
9. Ordering a complete blood count (CBC) to evaluate possible
infection is documented under:
• A) Subjective
• B) Objective
• C) Assessment
• D) Plan
D) Plan
Rationale: Diagnostic tests to confirm a suspected diagnosis are
part of the plan.
10. A patient reports nausea, vomiting, and abdominal pain. You
document a suspected gastroenteritis. Which SOAP component is
correct for symptom documentation?
• A) Subjective
• B) Objective
• C) Assessment
• D) Plan
A) Subjective
Rationale: Symptoms experienced by the patient are subjective
data.
