Documentation Assessment

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Question 1 of 34

Infant well flexed, crying intermittently, easily consoled when held is an example of ❌

Drag and drop to complete the text.

Physical Exam

Chief Complaint

HPI

ROS

Assessment

Plan

Explanation

Question 2 of 34

Reproducible pain noted on palpation of right sternal-intercostal margin is an example of ❌

Drag and drop to complete the text.

Physical Exam

Chief Complaint

HPI

ROS

Assessment

Plan

Explanation

Question 3 of 34

Right typmanic membrane pale-yellow in appearance, bulging with loss of landmarks and light reflex is an example of ❌

Drag and drop to complete the text.

Physical Exam

Chief Complaint

HPI

ROS

Assessment

Plan

Explanation

Question 4 of 34

No point tenderness noted over left medial or lateral malleolus is an example of ❌

Drag and drop to complete the text.

Physical Exam

Chief Complaint

HPI

ROS

Assessment

Plan

Explanation

Question 5 of 34

Upper respiratory infection is an example of ❌

Drag and drop to complete the text.

Assessment

Chief Complaint

HPI

ROS

Physical Exam

Plan

Explanation

Question 6 of 34

Jaundice is an example of ❌

Drag and drop to complete the text.

Assessment

Chief Complaint

ROS

HPI

Physical Exam

Plan

Explanation

Question 7 of 34

Costochondritis is an example of ❌

Drag and drop to complete the text.

Assessment

Chief Complaint

HPI

ROS

Physical Exam

Plan

Explanation

Question 8 of 34

Right Otitis media is an example of ❌

Drag and drop to complete the text.

Assessment

Chief Complaint

HPI

ROS

Physical Exam

Plan

Explanation

Question 9 of 34

Sprain of Ankle is an example of ❌

Drag and drop to complete the text.

Assessment

Chief Complaint

HPI

ROS

Physical Exam

Plan

Explanation

Question 10 of 34

Use indirect sunlight exposure (through a window on infant) to help facilitate excretion of bilirubin through stools is an example of ❌

Drag and drop to complete the text.

Plan

Chief Complaint

HPI

ROS

Physical Exam

Assessment

Explanation

Question 11 of 34

Use ibuprofen 400 mg every 6 hours PRN for discomfort is an example of ❌

Drag and drop to complete the text.

Plan

Chief Complaint

HPI

ROS

Physical Exam

Assessment

Explanation

Question 12 of 34

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 ❌

Drag and drop to complete the text.

Plan

Chief Complaint

HPI

ROS

Assessment

Physical Exam

Explanation

Question 13 of 34

Amoxicillin (400 mg/5ml), give 5 ml PO BID x 10 days. Dispense Quantity Sufficient (QS) with no refills is an example of ❌

Drag and drop to complete the text.

Plan

Chief Complaint

HPI

ROS

Physical Exam

Assessment

Explanation

Question 14 of 34

Cool mist humidifier at the bedside with sleep is an example of ❌

Drag and drop to complete the text.

Plan

Chief Complaint

HPI

ROS

Physical Exam

Assessment

Explanation

Question 15 of 34

"8 y/o with cough and congestion" is an example of ❌.

Drag and drop to complete the text.

Chief Complaint

HPI

ROS

Physical Exam

Assessment

Plan

Explanation

Question 16 of 34

"Cough Started 3 days ago" is an example of ❌.

Drag and drop to complete the text.

HPI

Chief Complaint (CC)

ROS

Physical Exam

Assessment

Plan

Explanation

Question 17 of 34

"Newborn with yellow skin” is an example of ❌

Drag and drop to complete the text.

Chief Complaint (CC)

HPI

ROS

Physical Exam

Assessment

Plan

Explanation

Question 18 of 34

"16 y/o with chest pain" is an example of ❌.

Drag and drop to complete the text.

Chief Complaint (CC)

HPI

ROS

Physical Exam

Assessment

Plan

Explanation

Question 19 of 34

"2 y/o pulling his ears" is an example of ❌.

Drag and drop to complete the text.

Chief Complaint (CC)

HPI

ROS

Physical Exam

Assessment

Plan

Explanation

Question 20 of 34

"10 y/o with foot pain" is an example of ❌.

Drag and drop to complete the text.

Chief Complaint (CC)

HPI

ROS

Physical Exam

Assessment

Plan

Explanation

Question 21 of 34

"Yellowness of skin seemed to gradually get worse, not sudden" is an example of ❌.

Drag and drop to complete the text.

HPI

Chief Complaint

ROS

Physical Exam

Assessment

Plan

Explanation

Question 22 of 34

"Pain in chest has been worse when moving and better when still" is an example of ❌.

Drag and drop to complete the text.

HPI

Chief Complaint

ROS

Physical Exam

Assessment

Plan

Explanation

Question 23 of 34

"Mom says Tylenol has helped the pain in his ears" is an example of ❌.

Drag and drop to complete the text.

HPI

Chief Complaint

ROS

Physical Exam

Assessment

Plan

Explanation

Question 24 of 34

"Pain located is in left ankle" is an example of ❌.

Drag and drop to complete the text.

HPI

Chief Complaint

ROS

Physical Exam

Assessment

Plan

Explanation

Question 25 of 34

“Was riding his bike and got his left foot 'caught in the wheel spokes'” is an example of ❌.

Drag and drop to complete the text.

HPI

Chief Complaint

ROS

Physical Exam

Assessment

Plan

Explanation

Question 26 of 34

"Reports a bark-like cough, denies shortness of breath" is an example of ❌.

Drag and drop to complete the text.

ROS

Chief Complaint

HPI

Physical Exam

Assessment

Plan

Explanation

Question 27 of 34

"Denies Nauseas and Vomiting" is an example of ❌.

Drag and drop to complete the text.

ROS

Chief Complaint

HPI

Physical Exam

Assessment

Plan

Explanation

Question 28 of 34

"Denies chest palpitations" is an example of ❌.

Drag and drop to complete the text.

ROS

Chief Complaint

Physical Exam

Assessment

Plan

HPI

Explanation

Question 29 of 34

"Reports limitation of movement in left foot/ankle" is an example of ❌.

Drag and drop to complete the text.

ROS

Chief Complaint

HPI

Physical Exam

Assessment

Plan

Explanation

Question 30 of 34

"Denies nosebleeds, nasal discharge, and frequency of colds" is an example of ❌.

Drag and drop to complete the text.

ROS

Chief Complaint

HPI

Physical Exam

Assessment

Plan

Explanation

Question 31 of 34

"Reports change in skin color to yellow, denies rashes" is an example of ❌.

Drag and drop to complete the text.

ROS

Chief Complaint

HPI

Physical Exam

Assessment

Plan

Explanation

Question 32 of 34

Nasal turbinates erythematous and swollen, clear rhinorrhea present to both nares is an example of ❌.

Drag and drop to complete the text.

Physical Exam

Chief Complaint

HPI

ROS

Assessment

Plan

Explanation

Question 33 of 34

Not ill-appearing, alert, and smiling is an example of ❌.

Drag and drop to complete the text.

Physical Exam

Chief Complaint

HPI

ROS

Assessment

Plan

Explanation

Question 34 of 34

Use the RICE method: Rest, Ice, Compression, and Elevation, for additional comfort and to promote healing is an example of ❌

Drag and drop to complete the text.

Plan

Chief Complaint

HPI

ROS

Physical Exam

Assessment

Explanation

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	Created by April Bice over 6 years ago

Quiz on Documentation Assessment , created by April Bice on 19/12/2017.

Documentation Assessment

Question 1 of 34

Infant well flexed, crying intermittently, easily consoled when held is an example of ❌

Drag and drop to complete the text.

Explanation

Question 2 of 34

Reproducible pain noted on palpation of right sternal-intercostal margin is an example of ❌

Drag and drop to complete the text.

Explanation

Question 3 of 34

Right typmanic membrane pale-yellow in appearance, bulging with loss of landmarks and light reflex is an example of ❌

Drag and drop to complete the text.

Explanation

Question 4 of 34

No point tenderness noted over left medial or lateral malleolus is an example of ❌

Drag and drop to complete the text.

Explanation

Question 5 of 34

Upper respiratory infection is an example of ❌

Drag and drop to complete the text.

Explanation

Question 6 of 34

Jaundice is an example of ❌

Drag and drop to complete the text.

Explanation

Question 7 of 34

Costochondritis is an example of ❌

Drag and drop to complete the text.

Explanation

Question 8 of 34

Right Otitis media is an example of ❌

Drag and drop to complete the text.

Explanation

Question 9 of 34

Sprain of Ankle is an example of ❌

Drag and drop to complete the text.

Explanation

Question 10 of 34

Use indirect sunlight exposure (through a window on infant) to help facilitate excretion of bilirubin through stools is an example of ❌

Drag and drop to complete the text.

Explanation

Question 11 of 34

Use ibuprofen 400 mg every 6 hours PRN for discomfort is an example of ❌

Drag and drop to complete the text.

Explanation

Question 12 of 34

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 ❌

Drag and drop to complete the text.

Explanation

Question 13 of 34

Amoxicillin (400 mg/5ml), give 5 ml PO BID x 10 days. Dispense Quantity Sufficient (QS) with no refills is an example of ❌

Drag and drop to complete the text.

Explanation

Question 14 of 34

Cool mist humidifier at the bedside with sleep is an example of ❌

Drag and drop to complete the text.

Explanation

Question 15 of 34

"8 y/o with cough and congestion" is an example of ❌.

Drag and drop to complete the text.

Explanation

Question 16 of 34

"Cough Started 3 days ago" is an example of ❌.

Drag and drop to complete the text.

Explanation

Question 17 of 34

"Newborn with yellow skin” is an example of ❌

Drag and drop to complete the text.

Explanation

Question 18 of 34

"16 y/o with chest pain" is an example of ❌.

Drag and drop to complete the text.

Explanation

Question 19 of 34

"2 y/o pulling his ears" is an example of ❌.

Drag and drop to complete the text.

Explanation

Question 20 of 34

"10 y/o with foot pain" is an example of ❌.