NUR 6001 HEENT Exam 1 Review Guide 2026 | Advanced
Health Assessment| Complete Solutions PDF- William
Paterson University
Health History and SOAP documentation
● SOAP- subjective, objective, assessment, plan
● Old carts - onset, location, duration, characteristics, alleviating factors, aggravating factors,
radiation or relieving pain, timing, severity
HPI - history of present illness
Acronyms to remember all components
● PQRST - precipitation, quality, radiation, severity, timing
● Client outcomes - character, location, impact, expectation, neglect, timing, other,
understanding/beliefs, treatment, complementary, options, modulating, exposure, spirituality
SOAP notes
● Subjective data is given from the patient, even ROS.
● Objective data is taken by the practitioner aka assessment.
● Past medical history means that it doesn't pertain to this visit. Even if the patient currently suffers
from a comorbidity, it is past.
Quizlet
https://quizlet.com/439856455/rhoads-advanced-health-assessment-chapter-1-flash-cards/
Skin:
Common Geriatric Lesions:
● Xerosis: Impaired keratinocyte formation, which results in abnormal epidermal cell turnover, is
responsible for xerosis, the most common cause of itch in the elderly
● Stasis Dermatitis: Dry, itchy skin of the lower extremities warrants special evaluation for
advancing vascular changes. Superficial varicose veins with the underlying vascular impediments
of edema and pressure manifest as an eruption of the lower leg seen in stasis dermatitis. The
inflamed, sometimes ulcerated skin of acute stasis dermatitis may be accompanied by the chronic
changes of stasis dermatitis including hyperpigmentation, lichenification, and scars of healed
, ulcers.
● Rosacea: While not limited to the geriatric population, rosacea is an underdiagnosed and
misdiagnosed inflammatory condition, which is chronic and progressive. The hallmark of rosacea
in the geriatric population is in the bulky tissue (phymatous) and dilated telangiectatic vessels
commonly seen after years of persistent redness and flushing. Another common variant of
rosacea in the elderly is ocular rosacea, often overlooked in the ocular examination.
● Common Geriatric Skin Tumors:
Eye Exam
● Eye Assessment - A good mnemonic for an eye history is to ask “RSVP” questions. If all answers
are YES = urgent ophthalmology consult required.
○ Redness Sensitivity to light Vision Loss Pain
○ Any sudden loss of vision = ocular emergency
● Pupils
○ Arcus senilis - white or gray ring at corneal margin seen in older adults. Caused by fat
deposits in the cornea or hyaline degeneration. See Photo Below.
○ Pterygium - Wedge-shaped and raised conjunctival growth, usually extending from nasal
side. May be related to chronic irritation.
● Eyelids
○ Endotropion - inward turning of lid margin and lashes toward eye surface (incidence
increases with age)
○ Exotropion - outward turning of the lid margin and lashes outward, away from eye
(incidence increases with age)
Health Assessment| Complete Solutions PDF- William
Paterson University
Health History and SOAP documentation
● SOAP- subjective, objective, assessment, plan
● Old carts - onset, location, duration, characteristics, alleviating factors, aggravating factors,
radiation or relieving pain, timing, severity
HPI - history of present illness
Acronyms to remember all components
● PQRST - precipitation, quality, radiation, severity, timing
● Client outcomes - character, location, impact, expectation, neglect, timing, other,
understanding/beliefs, treatment, complementary, options, modulating, exposure, spirituality
SOAP notes
● Subjective data is given from the patient, even ROS.
● Objective data is taken by the practitioner aka assessment.
● Past medical history means that it doesn't pertain to this visit. Even if the patient currently suffers
from a comorbidity, it is past.
Quizlet
https://quizlet.com/439856455/rhoads-advanced-health-assessment-chapter-1-flash-cards/
Skin:
Common Geriatric Lesions:
● Xerosis: Impaired keratinocyte formation, which results in abnormal epidermal cell turnover, is
responsible for xerosis, the most common cause of itch in the elderly
● Stasis Dermatitis: Dry, itchy skin of the lower extremities warrants special evaluation for
advancing vascular changes. Superficial varicose veins with the underlying vascular impediments
of edema and pressure manifest as an eruption of the lower leg seen in stasis dermatitis. The
inflamed, sometimes ulcerated skin of acute stasis dermatitis may be accompanied by the chronic
changes of stasis dermatitis including hyperpigmentation, lichenification, and scars of healed
, ulcers.
● Rosacea: While not limited to the geriatric population, rosacea is an underdiagnosed and
misdiagnosed inflammatory condition, which is chronic and progressive. The hallmark of rosacea
in the geriatric population is in the bulky tissue (phymatous) and dilated telangiectatic vessels
commonly seen after years of persistent redness and flushing. Another common variant of
rosacea in the elderly is ocular rosacea, often overlooked in the ocular examination.
● Common Geriatric Skin Tumors:
Eye Exam
● Eye Assessment - A good mnemonic for an eye history is to ask “RSVP” questions. If all answers
are YES = urgent ophthalmology consult required.
○ Redness Sensitivity to light Vision Loss Pain
○ Any sudden loss of vision = ocular emergency
● Pupils
○ Arcus senilis - white or gray ring at corneal margin seen in older adults. Caused by fat
deposits in the cornea or hyaline degeneration. See Photo Below.
○ Pterygium - Wedge-shaped and raised conjunctival growth, usually extending from nasal
side. May be related to chronic irritation.
● Eyelids
○ Endotropion - inward turning of lid margin and lashes toward eye surface (incidence
increases with age)
○ Exotropion - outward turning of the lid margin and lashes outward, away from eye
(incidence increases with age)
