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Shadow Health Focused
Exam Chest Pain – Brian
Foster | Complete Nursing
Assessment &
Documentation Guide
https://www.stuvia.com/user/assistanthttps://www.stuvia.com/user/assistanthttps://www.stuvi
a.com/user/assistanthttps://www.stuvia.com/user/assistant
,Shadow_Health_Focused_Exam_Chest_Pain_Brian_Foster_scored_100___2023_2024.pdf.pdf
Shadow_Health_Focused_Exam_Chest_Pain_Brian_Foster_scored_100___2023_2024.pdf.pdf
Page 1 of 48
Shadow Health Focused Exam Chest Pain Brian Foster-scored
100% -2023-2024
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
6/15/2026, 2:07:42 PM Shadow_Health_Focused_Exam_Chest_Pain_Brian_Foster_scored_100___2023_2024.pdf.pdf
6/15/2026
,Shadow_Health_Focused_Exam_Chest_Pain_Brian_Foster_scored_100___2023_2024.pdf.pdf
Shadow_Health_Focused_Exam_Chest_Pain_Brian_Foster_scored_100___2023_2024.pdf.pdf
Page 2 of 48
• 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
6/15/2026, 2:07:42 PM Shadow_Health_Focused_Exam_Chest_Pain_Brian_Foster_scored_100___2023_2024.pdf.pdf
6/15/2026
, Shadow_Health_Focused_Exam_Chest_Pain_Brian_Foster_scored_100___2023_2024.pdf.pdf
Shadow_Health_Focused_Exam_Chest_Pain_Brian_Foster_scored_100___2023_2024.pdf.pdf
Page 3 of 48
• 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
6/15/2026, 2:07:42 PM Shadow_Health_Focused_Exam_Chest_Pain_Brian_Foster_scored_100___2023_2024.pdf.pdf
6/15/2026
a.com/user/assistant
Shadow Health Focused
Exam Chest Pain – Brian
Foster | Complete Nursing
Assessment &
Documentation Guide
https://www.stuvia.com/user/assistanthttps://www.stuvia.com/user/assistanthttps://www.stuvi
a.com/user/assistanthttps://www.stuvia.com/user/assistant
,Shadow_Health_Focused_Exam_Chest_Pain_Brian_Foster_scored_100___2023_2024.pdf.pdf
Shadow_Health_Focused_Exam_Chest_Pain_Brian_Foster_scored_100___2023_2024.pdf.pdf
Page 1 of 48
Shadow Health Focused Exam Chest Pain Brian Foster-scored
100% -2023-2024
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
6/15/2026, 2:07:42 PM Shadow_Health_Focused_Exam_Chest_Pain_Brian_Foster_scored_100___2023_2024.pdf.pdf
6/15/2026
,Shadow_Health_Focused_Exam_Chest_Pain_Brian_Foster_scored_100___2023_2024.pdf.pdf
Shadow_Health_Focused_Exam_Chest_Pain_Brian_Foster_scored_100___2023_2024.pdf.pdf
Page 2 of 48
• 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
6/15/2026, 2:07:42 PM Shadow_Health_Focused_Exam_Chest_Pain_Brian_Foster_scored_100___2023_2024.pdf.pdf
6/15/2026
, Shadow_Health_Focused_Exam_Chest_Pain_Brian_Foster_scored_100___2023_2024.pdf.pdf
Shadow_Health_Focused_Exam_Chest_Pain_Brian_Foster_scored_100___2023_2024.pdf.pdf
Page 3 of 48
• 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
6/15/2026, 2:07:42 PM Shadow_Health_Focused_Exam_Chest_Pain_Brian_Foster_scored_100___2023_2024.pdf.pdf
6/15/2026
