Shadow Health Focused Exam Chest Pain Brian Foster 2026/2027 | Nursing Assessment Questions & Clinical Reasoning Review

Experience Overview

FOCUSED EXAM: CHEST PAIN

Patient: Brian Foster

Grade: 100%

Subjective Data Collection

23 out of 23

Objective Data Collection

21 out of 21

Time

183 minutes total spent in assignment

Objective Data Collection: 21 of 21 (100%)

Inspected face
1 of 1 point

Appearance (1/1 point)
 No visible abnormal findings
 Rash or lesion
 Cyanosis
 Pallor
 Redness or flushing
 Evidence of trauma (scar, laceration, or bruising)

Inspected for jugular venous distension
1 of 1 point

Height Of Venous Pressure (1/1 point)
 4 cm or less above the sternal angle
 More than 4 cm above the sternal angle

Inspected chest
1 of 1 point

Symmetry (1/2 point)
 Symmetric
 Asymmetric

,Appearance (1/2 point)
 No visible abnormal findings
 Rash or lesion
 AP diameter abnormal
 Intercostal retraction while breathing
 Excessive use of accessory muscles while breathing
 Pectus excavatum
 Skin growths (freckles or moles)
 Evidence of skin trauma (scar, laceration, or bruising)

Inspected hands and fingernails
1 of 1 point

Right: Appearance (1/4 point)
 No visible abnormal findings
 Redness
 Moles or skin tags
 Masses (warts, cysts, or tumors)
 Freckles, birthmark, or other discoloration
 Excessive dry or flaking skin
 Purpura
 Scarring
 Laceration, lesion, or wound
 Bruising
 Rash
Left: Appearance (1/4 point)
 No visible abnormal findings
 Redness
 Moles or skin tags
 Masses (warts, cysts, or tumors)
 Freckles, birthmark, or other discoloration
 Excessive dry or flaking skin
 Purpura
 Scarring
 Laceration, lesion, or wound
 Bruising
 Rash
Right: Nail Changes (1/4 point)
 No visible abnormal findings
 Pallor
 Cyanosis
 Splinter hemorrhages
 Clubbing
Left: Nail Changes (1/4 point)
 No visible abnormal findings
 Pallor

,  Cyanosis
 Splinter hemorrhages
 Clubbing

Inspected lower extremities and toenails
1 of 1 point

Right: Appearance (1/4 point)
 No visible abnormal findings
 Visible distortion or swelling
 Brownish pigmentation
 Skin thickening
 Ulceration
 Varicose veins
Right: Nail Changes (1/4 point)
 No visible abnormal findings
 Pallor
 Cyanosis
 Splinter hemorrhages
 Clubbing
Left: Appearance (1/4 point)
 No visible abnormal findings
 Visible distortion or swelling
 Brownish pigmentation
 Skin thickening
 Ulceration
 Varicose veins
Left: Nail Changes (1/4 point)
 No visible abnormal findings
 Pallor
 Cyanosis
 Splinter hemorrhages
 Clubbing

Inspect lower extremities for edema
1 of 1 point

Right: Edema (1/4 point)
 No edema
 Pitting
 Non-pitting
Right: Severity Of Edema (1/4 point)
 No edema
 1+ Slight pitting
 2+ Deeper pit, disappears in 10 to 15 seconds
 3+ Noticeably deep pit that lasts more than a minute

,  4+ Very deep pit that lasts 2 to 5 minutes
Left: Edema (1/4 point)
 No edema
 Pitting
 Non-pitting
Left: Severity Of Edema (1/4 point)
 No edema
 1+ Slight pitting
 2+ Deeper pit, disappears in 10 to 15 seconds
 3+ Noticeably deep pit that lasts more than a minute
 4+ Very deep pit that lasts 2 to 5 minutes

Tested capillary refill time
1 of 1 point

Fingers (1/2 point)
 Less than 3 seconds
 Greater than 3 seconds
Toes (1/2 point)
 Less than 3 seconds
 Greater than 3 seconds

Palpated carotid arteries
1 of 1 point

Right: Vibration (1/4 point)
 No thrill
 Thrill
Right: Amplitude (1/4 point)
 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse
Left: Vibration (1/4 point)
 No thrill
 Thrill
Left: Amplitude (1/4 point)
 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Palpated PMI
1 of 1 point