Copy and Edit

Documentation Assessment

Description

Quiz on Documentation Assessment , created by April Bice on 19/12/2017.
April Bice
Quiz by April Bice , updated more than 1 year ago
April Bice
Created by April Bice about 7 years ago
938
0
0

Resource summary

Question 1

Question
Infant well flexed, crying intermittently, easily consoled when held is an example of [blank_start]Physical Exam[blank_end]
Image:
Nb Jaundice (binary/octet-stream)
Answer
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Question 2

Question
Reproducible pain noted on palpation of right sternal-intercostal margin is an example of [blank_start]Physical Exam[blank_end]
Image:
16 Y O Chest Pain (binary/octet-stream)
Answer
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Question 3

Question
Right typmanic membrane pale-yellow in appearance, bulging with loss of landmarks and light reflex is an example of [blank_start]Physical Exam[blank_end]
Image:
2 Y O Ear Pain (binary/octet-stream)
Answer
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Question 4

Question
No point tenderness noted over left medial or lateral malleolus is an example of [blank_start]Physical Exam[blank_end]
Image:
10 Y O Foot Pain (binary/octet-stream)
Answer
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Question 5

Question
Upper respiratory infection is an example of [blank_start]Assessment[blank_end]
Image:
8 Y O Cough And Cong (binary/octet-stream)
Answer
  • Assessment
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Plan

Question 6

Question
Jaundice is an example of [blank_start]Assessment[blank_end]
Image:
Nb Jaundice (binary/octet-stream)
Answer
  • Assessment
  • Chief Complaint
  • ROS
  • HPI
  • Physical Exam
  • Plan

Question 7

Question
Costochondritis is an example of [blank_start]Assessment[blank_end]
Image:
16 Y O Chest Pain (binary/octet-stream)
Answer
  • Assessment
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Plan

Question 8

Question
Right Otitis media is an example of [blank_start]Assessment[blank_end]
Image:
2 Y O Ear Pain (binary/octet-stream)
Answer
  • Assessment
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Plan

Question 9

Question
Sprain of Ankle is an example of [blank_start]Assessment[blank_end]
Image:
10 Y O Foot Pain (binary/octet-stream)
Answer
  • Assessment
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Plan

Question 10

Question
Use indirect sunlight exposure (through a window on infant) to help facilitate excretion of bilirubin through stools is an example of [blank_start]Plan[blank_end]
Image:
Nb Jaundice (binary/octet-stream)
Answer
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment

Question 11

Question
Use ibuprofen 400 mg every 6 hours PRN for discomfort is an example of [blank_start]plan[blank_end]
Image:
10 Y O Foot Pain (binary/octet-stream)
Answer
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment

Question 12

Question
Avoid full-weight bearing for the next 5 days by utilizing crutches. May ambulate and advance to full weight bearing as tolerated is an example of [blank_start]Plan[blank_end]
Image:
10 Y O Foot Pain (binary/octet-stream)
Answer
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Physical Exam

Question 13

Question
Amoxicillin (400 mg/5ml), give 5 ml PO BID x 10 days. Dispense Quantity Sufficient (QS) with no refills is an example of [blank_start]Plan[blank_end]
Image:
2 Y O Ear Pain (binary/octet-stream)
Answer
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment

Question 14

Question
Cool mist humidifier at the bedside with sleep is an example of [blank_start]Plan[blank_end]
Image:
8 Y O Cough And Cong (binary/octet-stream)
Answer
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment

Question 15

Question
"8 y/o with cough and congestion" is an example of [blank_start]Chief Complaint[blank_end].
Image:
8 Y O Cough And Cong (binary/octet-stream)
Answer
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Question 16

Question
"Cough Started 3 days ago" is an example of [blank_start]HPI[blank_end].
Image:
8 Y O Cough And Cong (binary/octet-stream)
Answer
  • HPI
  • Chief Complaint (CC)
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Question 17

Question
"Newborn with yellow skin” is an example of [blank_start]Chief Complaint (CC)[blank_end]
Answer
  • Chief Complaint (CC)
  • HPI
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Question 18

Question
"16 y/o with chest pain" is an example of [blank_start]Chief Complaint (CC)[blank_end].
Image:
16 Y O Chest Pain (binary/octet-stream)
Answer
  • Chief Complaint (CC)
  • HPI
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Question 19

Question
"2 y/o pulling his ears" is an example of [blank_start]Chief Complaint (CC)[blank_end].
Image:
2 Y O Ear Pain (binary/octet-stream)
Answer
  • Chief Complaint (CC)
  • HPI
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Question 20

Question
"10 y/o with foot pain" is an example of [blank_start]Chief Complaint (CC)[blank_end].
Image:
10 Y O Foot Pain (binary/octet-stream)
Answer
  • Chief Complaint (CC)
  • HPI
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Question 21

Question
"Yellowness of skin seemed to gradually get worse, not sudden" is an example of [blank_start]HPI[blank_end].
Image:
Nb Jaundice (binary/octet-stream)
Answer
  • HPI
  • Chief Complaint
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Question 22

Question
"Pain in chest has been worse when moving and better when still" is an example of [blank_start]HPI[blank_end].
Image:
16 Y O Chest Pain (binary/octet-stream)
Answer
  • HPI
  • Chief Complaint
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Question 23

Question
"Mom says Tylenol has helped the pain in his ears" is an example of [blank_start]HPI[blank_end].
Image:
2 Y O Ear Pain (binary/octet-stream)
Answer
  • HPI
  • Chief Complaint
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Question 24

Question
"Pain located is in left ankle" is an example of [blank_start]HPI[blank_end].
Image:
10 Y O Foot Pain (binary/octet-stream)
Answer
  • HPI
  • Chief Complaint
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Question 25

Question
“Was riding his bike and got his left foot 'caught in the wheel spokes'” is an example of [blank_start]HPI[blank_end].
Image:
10 Y O Foot Pain (binary/octet-stream)
Answer
  • HPI
  • Chief Complaint
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Question 26

Question
"Reports a bark-like cough, denies shortness of breath" is an example of [blank_start]ROS[blank_end].
Image:
8 Y O Cough And Cong (binary/octet-stream)
Answer
  • ROS
  • Chief Complaint
  • HPI
  • Physical Exam
  • Assessment
  • Plan

Question 27

Question
"Denies Nauseas and Vomiting" is an example of [blank_start]ROS[blank_end].
Image:
8 Y O Cough And Cong (binary/octet-stream)
Answer
  • ROS
  • Chief Complaint
  • HPI
  • Physical Exam
  • Assessment
  • Plan

Question 28

Question
"Denies chest palpitations" is an example of [blank_start]ROS[blank_end].
Image:
16 Y O Chest Pain (binary/octet-stream)
Answer
  • ROS
  • Chief Complaint
  • Physical Exam
  • Assessment
  • Plan
  • HPI

Question 29

Question
"Reports limitation of movement in left foot/ankle" is an example of [blank_start]ROS[blank_end].
Image:
10 Y O Foot Pain (binary/octet-stream)
Answer
  • ROS
  • Chief Complaint
  • HPI
  • Physical Exam
  • Assessment
  • Plan

Question 30

Question
"Denies nosebleeds, nasal discharge, and frequency of colds" is an example of [blank_start]ROS[blank_end].
Image:
8 Y O Cough And Cong (binary/octet-stream)
Answer
  • ROS
  • Chief Complaint
  • HPI
  • Physical Exam
  • Assessment
  • Plan

Question 31

Question
"Reports change in skin color to yellow, denies rashes" is an example of [blank_start]ROS[blank_end].
Image:
Nb Jaundice (binary/octet-stream)
Answer
  • ROS
  • Chief Complaint
  • HPI
  • Physical Exam
  • Assessment
  • Plan

Question 32

Question
Nasal turbinates erythematous and swollen, clear rhinorrhea present to both nares is an example of [blank_start]Physical Exam[blank_end].
Image:
2 Y O Ear Pain (binary/octet-stream)
Answer
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Question 33

Question
Not ill-appearing, alert, and smiling is an example of [blank_start]Physical Exam[blank_end].
Image:
8 Y O Cough And Cong (binary/octet-stream)
Answer
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Question 34

Question
Use the RICE method: Rest, Ice, Compression, and Elevation, for additional comfort and to promote healing is an example of [blank_start]Plan[blank_end]
Image:
10 Y O Foot Pain (binary/octet-stream)
Answer
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment
Show full summary Hide full summary

Want to create your own Quizzes for free with GoConqr? Learn more.

Similar

Segunda Guerra Mundial 1939-1945
miminoma
Organic Chemistry
Ella Wolf
GCSE French - Parts of the Body
Abby B
GCSE Biology - Homeostasis and Classification Flashcards
Beth Coiley
Pathos in Battle
mouldybiscuit
Study Tips to Improve your Learning
miminoma
Bowlby's Theory of Attachment
Jessica Phillips
GCSE Combined Science
Derek Cumberbatch
New English Literature GCSE
Sarah Egan
I wish I..
Cristina Cabal
3MA114 Management_test 1/2
Jakub Beyr
Browse Library