NURS 5220 ADVANCED HEALTH
ASSESSMENT TEST 1 EXPANDED STUDY
GUIDE
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ph,qzEyes,qzENT,qzChest/Lungs,qzHeart,qzandqzBloodqzVessels
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terqzeachqzsection,qzquizqzyourselfqzbyqzcoveringqztheqz"rapidqzrecall"qztables.qzFinishqzwithqztheqz100-questionqzpracticeqztest.
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SOAPqzandqzDiagnosticqzReasoning 8 12% 12
GrowthqzandqzMeasurement 2 3% 3
Skin,qzHair,qzandqzNails 8 12% 12
HeadqzandqzNeck 5 8% 8
LymphaticqzSystem 5 8% 8
Eyes 5 8% 8
Ear,qzNose,qzandqzThroat 10 15% 15
ChestqzandqzLung 10 15% 15
Heart 10 15% 15
BloodqzVessels 2 3% 4
Total 65 100% 100
Examqzpearl:qzTheqztestqzisqznotqzopenqzbook.qzYourqzbestqzreturnqzonqzstudyqztimeqzisqzmemorizingqzpatterns:qzsubjectiveqzvsqzobjectiv
e,qzexam
sequence,qznormalqzvsqzabnormalqzfindings,qzandqzwhichqzabnormalqzfindingqzpointsqztoqzwhichqzcondition.
,NURSqz5220qzAdvancedqzHealthqzAssessmentqz-qzTestqz1qzExpandedqzStudyqzGuide
,1. Module 1 Foundations: SOAP, History, and Diagnostic Reasoning
qz qz qz qz qz qz qz
SubjectiveqzvsqzObjectiveqzData
Category Meaning Examples Testqztrap
Subjective Whatqztheqzpatientqzstates,qzreports,qzf "Myqzchestqzhurts."qzPainqz8/10.qzNaus Painqzscoreqzisqzsubjectiveqzeven
eels,qzbelieves,qzorqzdescribes.qzSymp eaqzxq z 3qzdays.qzFamilyqzhistoryqzofqzM qzthoughqzitqzisqzaqznumber.qzItqzis
tomsqzliveqzhere. I.qzMedicationqzuseqzreportedqzbyqzpati qzwhatqztheqzpatientqzsays.
ent.
Objective Whatqztheqzexaminerqzobserves,qzmea BPqz160/92.qzRRqz26.qzSpO2qz88%. Doqznotqzputqzpatientqzquo
sures,qzpalpates,qzpercusses,qzauscult Wheezingqzheard.qzRashqz4qzcmqzxqz3qzc tes,qzsymptomqzdescriptio
ates,qzorqzverifiesqzwithqzdiagnostics. m.qzCBCqzresult. ns,qzorqzpatient-
reportedqzhistoryqzinqzObj
ective.
High-yieldqztestqztargets:
• Subjectiveqz=qzsymptoms,qzpatientqzstatements,qzCC,qzHPI,qzPMH,qzFH,qzSH,qzROS.
• Objectiveqz=qzphysicalqzexam,qzvitalqzsigns,qzobservedqzbehavior,qzmeasurements,qzlabs,qzimaging,qzdiagnosticqzresults.
• Assessmentqz=qzdiagnosis,qzworkingqzdiagnosis,qzdifferentials,qzrule-outs,qzriskqzfactors,qzhealthqzmaintenanceqzneeds.
• Planqz=qztests,qztreatments,qzeducation,qzreferrals,qzfollow-up,qzandqzhealthqzmaintenance.
SOAPqzNoteqzStructure
SOAPqzElement Whatqzbelongsqzthere Commonqzexamples
Sqz-qzSubjective Chiefqzconcern,qzHPI,qzROS,qzPMH,qzmedications,qzallerg "Coughqzforqz4qzdays."qzReportsqzfever.qzDeniesqzch
ies,qzfamilyqzhistory,qzsocialqzhistory,qzpatientqzgoalsqzandq estqzpain.qzSmokerqzxqz20qzyears.
zconcerns.
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tiveqzmeasurements,qzlabs,qzimaging,qzscreeningqzresults e.
.
Aqz-qzAssessment Bestqzexplanationqzforqztheqzpatientqzdata,qzdifferentials Community-
,qzrule-outs,qzclinicalqzimpression,qzhealthqzrisks. acquiredqzpneumoniaqzvsqzviralqzbronchitis;qzdehydrati
onqzrisk.
Pqz-qzPlan Diagnostics,qztherapeutics,qzeducation,qzreferrals,qzsafetyqz CXR,qzCBC,qzantibioticsqzifqzindicated,qzhydration,qzret
instructions,qzfollow-upqzinterval,qzprevention. urnqzprecautions,qzfollow-upqzinqz48qzhours.
Examqzpearl:qzSOAPqzisqzbothqzaqzthinkingqzprocessqzandqzaqzdocumentationqzformat.qzAqzgoodqzSOAPqznoteqzshouldqztellqzaqzchronolo
gicalqzstoryqzand
showqzwhyqztheqzassessmentqzandqzplanqzmatchqztheqzdata.
BuildingqztheqzHistory
• Startqzwithqzidentifiersqzandqzchiefqzconcern,qzthenqzmoveqzintoqzHPI,qzPMH,qzfamilyqzhistory,qzpersonal/socialqzhistory,qzandqzROS.
• Chiefqzconcernqzshouldqzbeqzinqztheqzpatient'sqzownqzwordsqzandqzshouldqzfocusqztheqzvisit.
• HPIqzisqzsymptomqzanalysis.qzItqztellsqztheqzstoryqzofqztheqzpresentqzproblemqzstartingqzfromqztheqzlastqztimeqztheqzpatientqzfeltqzwell.
• Useqzopen-endedqzquestionsqzfirst,qzthenqzdirectqzquestions.qzAvoidqzleadingqzquestions.
• Verifyqzandqzsummarizeqzwhatqzyouqzheardqzbeforeqzmovingqzon.
History Purpose Examplesqzofqzwhatqztoqzask
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iefqzandqzinqzpatientqzwords.
HPI Analyzeqzcurrentqzproblemqzandqzdiffere Onset,qzlocation,qzduration,qzcharacter,qzaggravatingqzfactors,qzrelievingqzfactors,qzti
ntiateqzpossibleqzcauses. ming/treatments,qzseverity,qzassociatedqzsymptoms.
PMH Identifyqzpriorqzconditionsqzandqzriskq Medications,qzallergiesqzandqzreactions,qzimmunizations,qzsurgeries,qzhospitalization
zfactors. s,qztransfusions,qzadult/childhoodqzillness,qzscreeningqztests.
FH Identifyqzgenetic/familialqzpatterns. Threeqzgenerations;qzageqzandqzhealth/deathqzofqzrelatives;qzcancersqzbeforeqzageqz
50;qzMI,qzHTN,qzdiabetes,qzstroke,qzthyroid,qzasthma.
SH Identifyqzlifestyle,qzenvironmental,qza Occupation,qzexposures,qzhousing,qzsafety,qztobacco,qzalcohol,qzdrugs,qzmilitaryqzhis
ndqzaccess-to-careqzrisks. tory,qztravel,qzsexualqzhistory,qzspirituality,qzfinances,qzaccessqztoqzcare.
ROS Inventoryqzsymptomsqzsystem- General,qzskin,qzHEENT,qzlymph,qzchest/lungs,qzheart,qzGI,qzGU,qzMSK,qzneuro,qzps
by- ych.
systemqzandqzidentifyqzoverlook
edqzproblems.
Memoryqzhook:qzHPIqz=qztheqzstoryqzofqzthisqzproblem.qzPMH/FH/SHqz=qztheqzriskqzbackground.qzROSqz=qzsystemqzinventory.
, NURSqz5220qzAdvancedqzHealthqzAssessmentqz-qzTestqz1qzExpandedqzStudyqzGuide
ASSESSMENT TEST 1 EXPANDED STUDY
GUIDE
Moduleqz1qz+qzModuleqz2:qzSOAP/DiagnosticqzReasoning,qzGrowthqz&qzMeasurement,qzSkin,qzHead/Neck,qzLym
ph,qzEyes,qzENT,qzChest/Lungs,qzHeart,qzandqzBloodqzVessels
Includesqzaqz100-
questionqzpracticeqztestqzwithqzanswersqzandqzrationalesqzafterqzeachqzquestion
Howqztoqzuseqzthisqzguide:qzReadqztheqzblueprintqzfirst,qzthenqzstudyqzeachqzbody-
systemqzsection.qzMemorizeqztheqzexamqzsequence,qznormalqzfindings,qzabnormalqzfindings,qzredqzflags,qzandqzlifespanqzvariations.qzAf
terqzeachqzsection,qzquizqzyourselfqzbyqzcoveringqztheqz"rapidqzrecall"qztables.qzFinishqzwithqztheqz100-questionqzpracticeqztest.
TestqzArea ActualqzTes Approx.qz%qzofqzE PracticeqzQsqzinqzthi
tqzQuestion xam sqzguide
s
SOAPqzandqzDiagnosticqzReasoning 8 12% 12
GrowthqzandqzMeasurement 2 3% 3
Skin,qzHair,qzandqzNails 8 12% 12
HeadqzandqzNeck 5 8% 8
LymphaticqzSystem 5 8% 8
Eyes 5 8% 8
Ear,qzNose,qzandqzThroat 10 15% 15
ChestqzandqzLung 10 15% 15
Heart 10 15% 15
BloodqzVessels 2 3% 4
Total 65 100% 100
Examqzpearl:qzTheqztestqzisqznotqzopenqzbook.qzYourqzbestqzreturnqzonqzstudyqztimeqzisqzmemorizingqzpatterns:qzsubjectiveqzvsqzobjectiv
e,qzexam
sequence,qznormalqzvsqzabnormalqzfindings,qzandqzwhichqzabnormalqzfindingqzpointsqztoqzwhichqzcondition.
,NURSqz5220qzAdvancedqzHealthqzAssessmentqz-qzTestqz1qzExpandedqzStudyqzGuide
,1. Module 1 Foundations: SOAP, History, and Diagnostic Reasoning
qz qz qz qz qz qz qz
SubjectiveqzvsqzObjectiveqzData
Category Meaning Examples Testqztrap
Subjective Whatqztheqzpatientqzstates,qzreports,qzf "Myqzchestqzhurts."qzPainqz8/10.qzNaus Painqzscoreqzisqzsubjectiveqzeven
eels,qzbelieves,qzorqzdescribes.qzSymp eaqzxq z 3qzdays.qzFamilyqzhistoryqzofqzM qzthoughqzitqzisqzaqznumber.qzItqzis
tomsqzliveqzhere. I.qzMedicationqzuseqzreportedqzbyqzpati qzwhatqztheqzpatientqzsays.
ent.
Objective Whatqztheqzexaminerqzobserves,qzmea BPqz160/92.qzRRqz26.qzSpO2qz88%. Doqznotqzputqzpatientqzquo
sures,qzpalpates,qzpercusses,qzauscult Wheezingqzheard.qzRashqz4qzcmqzxqz3qzc tes,qzsymptomqzdescriptio
ates,qzorqzverifiesqzwithqzdiagnostics. m.qzCBCqzresult. ns,qzorqzpatient-
reportedqzhistoryqzinqzObj
ective.
High-yieldqztestqztargets:
• Subjectiveqz=qzsymptoms,qzpatientqzstatements,qzCC,qzHPI,qzPMH,qzFH,qzSH,qzROS.
• Objectiveqz=qzphysicalqzexam,qzvitalqzsigns,qzobservedqzbehavior,qzmeasurements,qzlabs,qzimaging,qzdiagnosticqzresults.
• Assessmentqz=qzdiagnosis,qzworkingqzdiagnosis,qzdifferentials,qzrule-outs,qzriskqzfactors,qzhealthqzmaintenanceqzneeds.
• Planqz=qztests,qztreatments,qzeducation,qzreferrals,qzfollow-up,qzandqzhealthqzmaintenance.
SOAPqzNoteqzStructure
SOAPqzElement Whatqzbelongsqzthere Commonqzexamples
Sqz-qzSubjective Chiefqzconcern,qzHPI,qzROS,qzPMH,qzmedications,qzallerg "Coughqzforqz4qzdays."qzReportsqzfever.qzDeniesqzch
ies,qzfamilyqzhistory,qzsocialqzhistory,qzpatientqzgoalsqzandq estqzpain.qzSmokerqzxqz20qzyears.
zconcerns.
Oqz-qzObjective Generalqzsurvey,qzvitals,qzphysicalqzexamqzfindings,qzobjec Tqz101.3qzF,qzHRqz112,qzcracklesqzRLL,qzCXRqzinfiltrat
tiveqzmeasurements,qzlabs,qzimaging,qzscreeningqzresults e.
.
Aqz-qzAssessment Bestqzexplanationqzforqztheqzpatientqzdata,qzdifferentials Community-
,qzrule-outs,qzclinicalqzimpression,qzhealthqzrisks. acquiredqzpneumoniaqzvsqzviralqzbronchitis;qzdehydrati
onqzrisk.
Pqz-qzPlan Diagnostics,qztherapeutics,qzeducation,qzreferrals,qzsafetyqz CXR,qzCBC,qzantibioticsqzifqzindicated,qzhydration,qzret
instructions,qzfollow-upqzinterval,qzprevention. urnqzprecautions,qzfollow-upqzinqz48qzhours.
Examqzpearl:qzSOAPqzisqzbothqzaqzthinkingqzprocessqzandqzaqzdocumentationqzformat.qzAqzgoodqzSOAPqznoteqzshouldqztellqzaqzchronolo
gicalqzstoryqzand
showqzwhyqztheqzassessmentqzandqzplanqzmatchqztheqzdata.
BuildingqztheqzHistory
• Startqzwithqzidentifiersqzandqzchiefqzconcern,qzthenqzmoveqzintoqzHPI,qzPMH,qzfamilyqzhistory,qzpersonal/socialqzhistory,qzandqzROS.
• Chiefqzconcernqzshouldqzbeqzinqztheqzpatient'sqzownqzwordsqzandqzshouldqzfocusqztheqzvisit.
• HPIqzisqzsymptomqzanalysis.qzItqztellsqztheqzstoryqzofqztheqzpresentqzproblemqzstartingqzfromqztheqzlastqztimeqztheqzpatientqzfeltqzwell.
• Useqzopen-endedqzquestionsqzfirst,qzthenqzdirectqzquestions.qzAvoidqzleadingqzquestions.
• Verifyqzandqzsummarizeqzwhatqzyouqzheardqzbeforeqzmovingqzon.
History Purpose Examplesqzofqzwhatqztoqzask
qzArea
CC Reasonqzforqzseekingqzcare,qzusuallyqzbr "Whatqzbringsqzyouqzinqztoday?"qz"Whatqzisqzbotheringqzyouqztheqzmost?"
iefqzandqzinqzpatientqzwords.
HPI Analyzeqzcurrentqzproblemqzandqzdiffere Onset,qzlocation,qzduration,qzcharacter,qzaggravatingqzfactors,qzrelievingqzfactors,qzti
ntiateqzpossibleqzcauses. ming/treatments,qzseverity,qzassociatedqzsymptoms.
PMH Identifyqzpriorqzconditionsqzandqzriskq Medications,qzallergiesqzandqzreactions,qzimmunizations,qzsurgeries,qzhospitalization
zfactors. s,qztransfusions,qzadult/childhoodqzillness,qzscreeningqztests.
FH Identifyqzgenetic/familialqzpatterns. Threeqzgenerations;qzageqzandqzhealth/deathqzofqzrelatives;qzcancersqzbeforeqzageqz
50;qzMI,qzHTN,qzdiabetes,qzstroke,qzthyroid,qzasthma.
SH Identifyqzlifestyle,qzenvironmental,qza Occupation,qzexposures,qzhousing,qzsafety,qztobacco,qzalcohol,qzdrugs,qzmilitaryqzhis
ndqzaccess-to-careqzrisks. tory,qztravel,qzsexualqzhistory,qzspirituality,qzfinances,qzaccessqztoqzcare.
ROS Inventoryqzsymptomsqzsystem- General,qzskin,qzHEENT,qzlymph,qzchest/lungs,qzheart,qzGI,qzGU,qzMSK,qzneuro,qzps
by- ych.
systemqzandqzidentifyqzoverlook
edqzproblems.
Memoryqzhook:qzHPIqz=qztheqzstoryqzofqzthisqzproblem.qzPMH/FH/SHqz=qztheqzriskqzbackground.qzROSqz=qzsystemqzinventory.
, NURSqz5220qzAdvancedqzHealthqzAssessmentqz-qzTestqz1qzExpandedqzStudyqzGuide
