NURS 612 EXAM ADVANCED HEALTH ASSESSMENT
EXAM 1 NEWEST 2025 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+ | SUCCESS
GUARANTEED
SOAP notes: Chief Complaint (CC) - ANSWER In patient's words on what brought them in
SOAP notes: History of Present Illness (HPI) - ANSWER Chronological order of events, state of
health before CC, OLDCARTS
OLDCARTS - ANSWER Onset, Location, Duration, Character, Aggravating factors, Relieving
Factors, Treatment, Severity
SOAP notes: Past Medical History (PMH) - ANSWER Adult illnesses, childhood illnesses,
immunizations, surgery, allergies, current medications
SOAP notes: Family History (FH) - ANSWER Parents/siblings/grandparents: medical illness, age,
cause of death
SOAP notes: Social History (SH) - ANSWER Education, marital status, occupation, alcohol/drug
use, smoking status, sexual history, exercise, nutrition, religious preference
SOAP notes: Review of Systems (ROS) - ANSWER General, hair/skin/nails, head, neck, eyes, ears,
nose, mouth & throat, cardiovascular, respiratory, breasts, GI, GU, musculoskeletal, peripheral,
neurological, psychiatric
ROS: general WNL - ANSWER No fever, night sweats, or fatigue
,ROS: hair, skin, & nails WNL - ANSWER No hair loss, rashes
ROS: head WNL - ANSWER No headaches, no sinus tenderness, no trauma to head
ROS: Neck WNL - ANSWER No pain, no swelling
ROS: Eyes WNL - ANSWER No eye pain, itching, or tearing. No vision problems. Recent eye
exams (acuity w/ or w/o correction)
ROS: Ears WNL - ANSWER No difficulty hearing, no pain in ears, no ringing
ROS: Nose WNL - ANSWER No runny nose or nasal congestion.
ROS: Mouth & Throat WNL - ANSWER No sore throat, recent dental exam, no hoarseness
ROS: Cardiovascular WNL - ANSWER No chest pain or palpitations.
ROS: Respiratory WNL - ANSWER No cough, no wheezing, no SOB
ROS: Genitourinary WNL - ANSWER Denies any increased frequency, urgency, or discomfort with
urination. Denies any blood in urine or changes in urine quantity/consistency
ROS: Gastrointestinal WNL - ANSWER No abdominal pain, no heartburn, change in bowel habits
ROS: Musculoskeletal WNL - ANSWER No joint pain, no back or neck pain. No joint swelling.
, ROS: Peripheral WNL - ANSWER No edema of ankles or lower legs, no change in color of lower
extremities
ROS: Neurological WNL - ANSWER No dizziness, no weakness
ROS: Psychiatric WNL - ANSWER Denies depression or anxiety
SOAP notes: Physical Examination (PE) - ANSWER VS & labs, General appearance, HEENT, neck,
lymph nodes, chest, cardiac, abdominal, GI, skin, musculoskeletal, neurological, psychiatric
SOAP notes: Assessment - ANSWER Differential diagnoses, primary diagnosis
SOAP notes: Plan of Care (POC) - ANSWER Plan of care typically a few items for patient
Subjective Data - ANSWER Information reported by the patient/family/caregiver; includes pain
levels, emotions, perceptions, personal experiences
Objective Data - ANSWER Information gathered by observation, measurement, or diagnostic
testing verified by nurse/health care providers; includes VS, lab results, physical exam findings,
imaging studies
Examination Techniques: Head - ANSWER Inspect: head shape, symmetry, abnormalities (lumps,
lesions, scalp condition)
Palpation: tenderness, masses, or deformities, assess TMJ for crepitus/pain
Examination Techniques: Ears - ANSWER Inspection: lesions, symmetry, discharge, deformities
Palpation: tenderness (Tragus, mastoid process tenderness in otitis externa, mastoiditis)
EXAM 1 NEWEST 2025 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+ | SUCCESS
GUARANTEED
SOAP notes: Chief Complaint (CC) - ANSWER In patient's words on what brought them in
SOAP notes: History of Present Illness (HPI) - ANSWER Chronological order of events, state of
health before CC, OLDCARTS
OLDCARTS - ANSWER Onset, Location, Duration, Character, Aggravating factors, Relieving
Factors, Treatment, Severity
SOAP notes: Past Medical History (PMH) - ANSWER Adult illnesses, childhood illnesses,
immunizations, surgery, allergies, current medications
SOAP notes: Family History (FH) - ANSWER Parents/siblings/grandparents: medical illness, age,
cause of death
SOAP notes: Social History (SH) - ANSWER Education, marital status, occupation, alcohol/drug
use, smoking status, sexual history, exercise, nutrition, religious preference
SOAP notes: Review of Systems (ROS) - ANSWER General, hair/skin/nails, head, neck, eyes, ears,
nose, mouth & throat, cardiovascular, respiratory, breasts, GI, GU, musculoskeletal, peripheral,
neurological, psychiatric
ROS: general WNL - ANSWER No fever, night sweats, or fatigue
,ROS: hair, skin, & nails WNL - ANSWER No hair loss, rashes
ROS: head WNL - ANSWER No headaches, no sinus tenderness, no trauma to head
ROS: Neck WNL - ANSWER No pain, no swelling
ROS: Eyes WNL - ANSWER No eye pain, itching, or tearing. No vision problems. Recent eye
exams (acuity w/ or w/o correction)
ROS: Ears WNL - ANSWER No difficulty hearing, no pain in ears, no ringing
ROS: Nose WNL - ANSWER No runny nose or nasal congestion.
ROS: Mouth & Throat WNL - ANSWER No sore throat, recent dental exam, no hoarseness
ROS: Cardiovascular WNL - ANSWER No chest pain or palpitations.
ROS: Respiratory WNL - ANSWER No cough, no wheezing, no SOB
ROS: Genitourinary WNL - ANSWER Denies any increased frequency, urgency, or discomfort with
urination. Denies any blood in urine or changes in urine quantity/consistency
ROS: Gastrointestinal WNL - ANSWER No abdominal pain, no heartburn, change in bowel habits
ROS: Musculoskeletal WNL - ANSWER No joint pain, no back or neck pain. No joint swelling.
, ROS: Peripheral WNL - ANSWER No edema of ankles or lower legs, no change in color of lower
extremities
ROS: Neurological WNL - ANSWER No dizziness, no weakness
ROS: Psychiatric WNL - ANSWER Denies depression or anxiety
SOAP notes: Physical Examination (PE) - ANSWER VS & labs, General appearance, HEENT, neck,
lymph nodes, chest, cardiac, abdominal, GI, skin, musculoskeletal, neurological, psychiatric
SOAP notes: Assessment - ANSWER Differential diagnoses, primary diagnosis
SOAP notes: Plan of Care (POC) - ANSWER Plan of care typically a few items for patient
Subjective Data - ANSWER Information reported by the patient/family/caregiver; includes pain
levels, emotions, perceptions, personal experiences
Objective Data - ANSWER Information gathered by observation, measurement, or diagnostic
testing verified by nurse/health care providers; includes VS, lab results, physical exam findings,
imaging studies
Examination Techniques: Head - ANSWER Inspect: head shape, symmetry, abnormalities (lumps,
lesions, scalp condition)
Palpation: tenderness, masses, or deformities, assess TMJ for crepitus/pain
Examination Techniques: Ears - ANSWER Inspection: lesions, symmetry, discharge, deformities
Palpation: tenderness (Tragus, mastoid process tenderness in otitis externa, mastoiditis)
