NR 509 SHADOW HEALTH NURSING
ASSESSMENT COURSEWORK WEEKS 5 6 7
COMPREHENSIVE REVIEW 2026
◉ Presentation of retinal detachment. Answer: If sudden visual loss is
unilateral and painless,
◉ Obtunded. Answer: patient opens the eyes and looks at you but
responds slowly and is somewhat confused. Alertness and interest in the
environment are decreased.
◉ Cranial nerve for lateral gaze. Answer: CN6: Abducens
◉ Adult Illnesses. Answer: Medical: Illnesses such as diabetes,
hypertension, hepatitis, asthma, and human immunodeficiency virus
(HIV); hospitalizations; number and gender of sexual partners; and risk-
taking sexual practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods
of contraception, and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and
treatments
◉ Present Illness. Answer: chronologic description of the problems
prompting the patient's visit, including the onset of the problem, the
, setting in which it developed, its manifestations, and any treatments to
date.Each problem/symptom needs: (1) location; (2) quality; (3) quantity
or severity; (4) timing, including onset, duration, and frequency; (5) the
setting in which it occurs; (6) factors that have aggravated
-meds, allergies, tobacco use, ETOH and drug use
◉ Absence of red reflex. Answer: an opacity of the lens (cataract) or,
possibly, the vitreous (or even an artificial eye). Less commonly, a
detached retina or, in children, a retinoblastoma may obscure this reflex.
◉ S/S of seasonal allergies. Answer: Itching, watery eyes, sneezing, ear
congestion, postnasal drainage
◉ Presentation of optic neuritis. Answer: Enlarged blind spot, vision
loss in 1 eye, loss of color vision, hole in center of vision, trouble seeing
to the side, eye pain
◉ pityriasis rosea. Answer: Multiple round to oval scaling violaceous
plaques on abdomen and back
◉ Acromion. Answer: tip of shoulder
◉ What to do for + finding on physical exam, but - workup. Answer:
continue using test, but less lab and diagnostics
ASSESSMENT COURSEWORK WEEKS 5 6 7
COMPREHENSIVE REVIEW 2026
◉ Presentation of retinal detachment. Answer: If sudden visual loss is
unilateral and painless,
◉ Obtunded. Answer: patient opens the eyes and looks at you but
responds slowly and is somewhat confused. Alertness and interest in the
environment are decreased.
◉ Cranial nerve for lateral gaze. Answer: CN6: Abducens
◉ Adult Illnesses. Answer: Medical: Illnesses such as diabetes,
hypertension, hepatitis, asthma, and human immunodeficiency virus
(HIV); hospitalizations; number and gender of sexual partners; and risk-
taking sexual practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods
of contraception, and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and
treatments
◉ Present Illness. Answer: chronologic description of the problems
prompting the patient's visit, including the onset of the problem, the
, setting in which it developed, its manifestations, and any treatments to
date.Each problem/symptom needs: (1) location; (2) quality; (3) quantity
or severity; (4) timing, including onset, duration, and frequency; (5) the
setting in which it occurs; (6) factors that have aggravated
-meds, allergies, tobacco use, ETOH and drug use
◉ Absence of red reflex. Answer: an opacity of the lens (cataract) or,
possibly, the vitreous (or even an artificial eye). Less commonly, a
detached retina or, in children, a retinoblastoma may obscure this reflex.
◉ S/S of seasonal allergies. Answer: Itching, watery eyes, sneezing, ear
congestion, postnasal drainage
◉ Presentation of optic neuritis. Answer: Enlarged blind spot, vision
loss in 1 eye, loss of color vision, hole in center of vision, trouble seeing
to the side, eye pain
◉ pityriasis rosea. Answer: Multiple round to oval scaling violaceous
plaques on abdomen and back
◉ Acromion. Answer: tip of shoulder
◉ What to do for + finding on physical exam, but - workup. Answer:
continue using test, but less lab and diagnostics
