NR 302: Health Assessment 1
NR 302 Final Exam Concepts Elaborated for Easier Understanding & Exam
pass. Latest Version-2023-Chamberlain University
Chapter 1: Evidence-Based Assessment
• Define and recognize examples of Subjective and Objective data
• Objective is obtained through observation and is verifiable; information
gathered from the patient by the use of observation, palpation, percussion,
and auscultation, as well as the use of instruments and techniques that
provide specific measurements
• Subjective is information that the patient shares about his or her health
situation. They are gathered through the patients report and are verifiable
only by the patient.
• Identify order and tasks of each step of the Nursing Process
• ADPIE
• Assessment- information collection/ gathering data
• Diagnosis- information interpretation, stating problems & strengths
• Plan/ Outcome- setting nursing goals desired outcomes and planning
interventions
• Implementation- performing nursing interventions
• Evaluation- patient’s status and effectiveness of nursing interventions
• Recognize the difference between different levels of Nursing Experience
• Novice: starting out in an area of learning; uses rules to guide performance
• Competency: building on 2 to 3 years of clinical experience; see actions in the
context of patient goals or plans
• Proficient: adding to time and -experience; understands the patient situation
as a whole rather than individual parts-apply long term goals
• Expert: attained mastery of an area of learning; performs clinical judgement
using intuitive analysis
Chapter 4: The Complete Health History
• Identify guidelines for recommending immunizations
• Recommend vaccine and how important it is
• Use the current CDC recommendations for adults; but be aware or primary
conditions/ precautions, person’s lifestyle, occupation, and travel
• Identify examples of what should be documented in the medication reconciliation
• Medication reconciliation: comparison of a list of current medications with a
previous list, which is done at every hospitalization and every clinic visit
• Identify and understand each component of mnemonic PQRSTU and its place within the
health history
• P= provocative or palliative- What brings it on? What were you doing when
you first noticed it? What makes it better/ worse?
• Q= quality or quantity- How does it look, feel, sound? How intense/ severe is
it?
NR 302: Health Assessment 1
, NR 302: Health Assessment 1
• R= region or radiation – where is it? Does it spready anywhere?
• S= severity scale: 1 to 10
• T= timing or onset- exactly when did it first occur? Duration- how long did it
last? Frequency- How often does it occur?
• U= understand patients’ perception of problem – what do you think it
means?
• Identify how a review of systems should be recorded
• Evaluate past and present state of each body system
• Assess that all pertinent data relative to each body system have been
noted
• Avoid writing in negative for body systems as you want to record
either presence of absence of symptoms
• Do not include objective data
• Limit to patient statements or subjective data
• Include all relevant body systems
• Approach:
• General overall health state
• Skin and hair
• Head
• Eyes and ears
• Nose and sinuses
• Mouth and throat
• Neck
• Breast and axilla
• Focus on body systems looking at specific indicators and focusing on health
promotion
• Respiratory
• Cardiovascular
• Peripheral vascular
• Gastrointestinal
• Urinary
• Musculoskeletal
• Neurologic
• Hematologic
• Endocrine
• Focus on systems specific to gender looking at specific indicators an focusing
on health promotion
• Male genital
• Female genital
• Sexual health
NR 302: Health Assessment 1
NR 302 Final Exam Concepts Elaborated for Easier Understanding & Exam
pass. Latest Version-2023-Chamberlain University
Chapter 1: Evidence-Based Assessment
• Define and recognize examples of Subjective and Objective data
• Objective is obtained through observation and is verifiable; information
gathered from the patient by the use of observation, palpation, percussion,
and auscultation, as well as the use of instruments and techniques that
provide specific measurements
• Subjective is information that the patient shares about his or her health
situation. They are gathered through the patients report and are verifiable
only by the patient.
• Identify order and tasks of each step of the Nursing Process
• ADPIE
• Assessment- information collection/ gathering data
• Diagnosis- information interpretation, stating problems & strengths
• Plan/ Outcome- setting nursing goals desired outcomes and planning
interventions
• Implementation- performing nursing interventions
• Evaluation- patient’s status and effectiveness of nursing interventions
• Recognize the difference between different levels of Nursing Experience
• Novice: starting out in an area of learning; uses rules to guide performance
• Competency: building on 2 to 3 years of clinical experience; see actions in the
context of patient goals or plans
• Proficient: adding to time and -experience; understands the patient situation
as a whole rather than individual parts-apply long term goals
• Expert: attained mastery of an area of learning; performs clinical judgement
using intuitive analysis
Chapter 4: The Complete Health History
• Identify guidelines for recommending immunizations
• Recommend vaccine and how important it is
• Use the current CDC recommendations for adults; but be aware or primary
conditions/ precautions, person’s lifestyle, occupation, and travel
• Identify examples of what should be documented in the medication reconciliation
• Medication reconciliation: comparison of a list of current medications with a
previous list, which is done at every hospitalization and every clinic visit
• Identify and understand each component of mnemonic PQRSTU and its place within the
health history
• P= provocative or palliative- What brings it on? What were you doing when
you first noticed it? What makes it better/ worse?
• Q= quality or quantity- How does it look, feel, sound? How intense/ severe is
it?
NR 302: Health Assessment 1
, NR 302: Health Assessment 1
• R= region or radiation – where is it? Does it spready anywhere?
• S= severity scale: 1 to 10
• T= timing or onset- exactly when did it first occur? Duration- how long did it
last? Frequency- How often does it occur?
• U= understand patients’ perception of problem – what do you think it
means?
• Identify how a review of systems should be recorded
• Evaluate past and present state of each body system
• Assess that all pertinent data relative to each body system have been
noted
• Avoid writing in negative for body systems as you want to record
either presence of absence of symptoms
• Do not include objective data
• Limit to patient statements or subjective data
• Include all relevant body systems
• Approach:
• General overall health state
• Skin and hair
• Head
• Eyes and ears
• Nose and sinuses
• Mouth and throat
• Neck
• Breast and axilla
• Focus on body systems looking at specific indicators and focusing on health
promotion
• Respiratory
• Cardiovascular
• Peripheral vascular
• Gastrointestinal
• Urinary
• Musculoskeletal
• Neurologic
• Hematologic
• Endocrine
• Focus on systems specific to gender looking at specific indicators an focusing
on health promotion
• Male genital
• Female genital
• Sexual health
NR 302: Health Assessment 1
