SOAP Note Documentation Quiz

A nurse is documenting a patient's complaint of chest pain in a SOAP note. Where should this information be recorded?

• Subjective

• Objective

• Assessment

• Plan

A physical therapist in sports medicine notes swelling and bruising around an athlete's ankle during a post-game evaluation. In which section of the SOAP note should this be documented?

• Subjective

• Objective

• Assessment

• Plan

A nurse assesses a patient who reports a sore throat and difficulty swallowing. Upon examination, the nurse finds red, swollen tonsils. How should the nurse record the swollen tonsils in the SOAP note?

• Subjective

• Objective

• Assessment

• Plan

A sports medicine specialist determines that an athlete has a Grade 2 sprain based on clinical examination and diagnostic testing. Where should this diagnosis be recorded in the SOAP note?

• Subjective

• Objective

• Assessment

• Plan

After evaluating a patient with knee pain, the sports medicine professional recommends rest, ice, and anti-inflammatory medications for one week. Where would this recommendation go in the SOAP note?

• Subjective

• Objective

• Assessment

• Plan