Nursing 624 EXAM: Health History, Physical Assessment, Pediatric to Geriatric
Care, Growth & Development, Mental Status, Functional Assessment, Vital
Signs, Pain Assessment (PQRST, FLACC, PIPP, N-PASS, CRIES, PAINAD), HEAD-TO-
TOE (CHARMING: Cardiac/Neck, HEENT, Abdomen, Respiratory, Musculoskeletal,
Integumentary, Neuro, General Inspection), SOAP Note Documentation, HPI,
OLD CARTS Variables, Review of Systems, Chief Complaint, Past Medical History
(Prenatal, Immunizations, Illness, Surgeries), Family & Social History,
Developmental Milestones, Adolescent & Puberty Assessment, Growth Charts
(WHO/CDC), Gestational Age (Ballard Tool), Infant Head Circumference,
Functional Assessment, Culture, Race, Culturally Competent Care, Cultural
Awareness & Humility, RESPECT Tool, Transgender Care, Disability, Brain
Development & Long-Term Effects of Trauma, Communication Techniques (Four
Cs, Open-Ended, Direct, Leading Questions), Depression & Anxiety Screening
(PHQ-2, PHQ-9, GAD-7, Geriatric Depression Scale), Mental Status Screening
(Appearance, Behavior, Cognitive Abilities, Emotional Stability, Speech &
Language), Aphasia (Broca, Wernicke, Global), Delirium vs Dementia, MMSE,
MoCA, Mini-Cog, Nutrition Assessment (Macro/Micronutrients, BMI, Waist
Circumference), Blood Pressure & Vital Sign Norms (Age-Specific, Postural
Hypotension, Arm vs Leg) Exam Questions Verified and Provided with Complete
A+ Graded Rationales Latest Updated 2026
One way that a health history for an infant differs from that of an adult is the inclusion of what?
Prenatal information.
,Mr. Blakely is a 59-year-old man requiring a routine physical examination. He will be having his
visual acuity tested. What equipment is needed for this specific exam?
Snellen eye chart.
Which technique will most likely facilitate the examination of a small frightened girl?
Tell the child a story in order to distract her.
Your patient presents to the office with a chief complaint of shoulder pain that he reports as
stabbing. In using the mnemonic OLDCARTS, this is noted as?
Character.
When meeting a patient for the first time make sure to do what?
Introduce yourself (first and last name). ~Acute care nurse practitioner student.~
Head to Toe exam includes what areas? H&P (8)
CHARMING
1. Cardiac and Neck.
2. HEENT.
3. Abdomen.
4. Respiratory.
5. Musculoskeletal.
6. Integumentary.
7. Neuro.
,8. General inspection.
Why is the SOAP note important?
Consistency between all providers.
What is included in the SOAP note?
S. Subjective data. What the pt. tell you. CC, All history, ROS.
O. Objective data. What I observe. Direct observation. Vitals, physical exam, includes ICD-9 and
10, labs, data from other sources/letter/results.
A. Assessment. List of possible diagnoses (active, temporary and inactive).
P. Plan.
What is included in the Subjective Data? Order is important!
Chief Complaint (CC)
History of present illness (HPI)
Past Medical History (PMH)
Family History (FH)
Social History (SH)
Review of Systems (ROS). Document pertinent positives, must say denies problems with...
What part of the subjective data is always in quotes?
Chief Complaint.
, This is the story of what brought them to you.
History of Present Illness (HPI).
Always begin HPI how?
With the age of the patient and their gender, occupation along with their CC and beginning of
history of present illness.
This is in chronological order, written in paragraph form in short, concise statements?
HPI. Always the 1st paragraph.
What variables comprise an History of Present Illness (HPI)? Characteristics of the CURRENT
symptoms.
OLD CARTS
1. Onset (Timing, when did it start, constant or comes and goes).
2. Location.
3. Duration.
4. Character (quality)
5. Aggravating/Alleviating Factors (modifying factors)
6. Region/Radiation (associated s/s)
7. Timing.
8. Severity/Scale (1-10)
Care, Growth & Development, Mental Status, Functional Assessment, Vital
Signs, Pain Assessment (PQRST, FLACC, PIPP, N-PASS, CRIES, PAINAD), HEAD-TO-
TOE (CHARMING: Cardiac/Neck, HEENT, Abdomen, Respiratory, Musculoskeletal,
Integumentary, Neuro, General Inspection), SOAP Note Documentation, HPI,
OLD CARTS Variables, Review of Systems, Chief Complaint, Past Medical History
(Prenatal, Immunizations, Illness, Surgeries), Family & Social History,
Developmental Milestones, Adolescent & Puberty Assessment, Growth Charts
(WHO/CDC), Gestational Age (Ballard Tool), Infant Head Circumference,
Functional Assessment, Culture, Race, Culturally Competent Care, Cultural
Awareness & Humility, RESPECT Tool, Transgender Care, Disability, Brain
Development & Long-Term Effects of Trauma, Communication Techniques (Four
Cs, Open-Ended, Direct, Leading Questions), Depression & Anxiety Screening
(PHQ-2, PHQ-9, GAD-7, Geriatric Depression Scale), Mental Status Screening
(Appearance, Behavior, Cognitive Abilities, Emotional Stability, Speech &
Language), Aphasia (Broca, Wernicke, Global), Delirium vs Dementia, MMSE,
MoCA, Mini-Cog, Nutrition Assessment (Macro/Micronutrients, BMI, Waist
Circumference), Blood Pressure & Vital Sign Norms (Age-Specific, Postural
Hypotension, Arm vs Leg) Exam Questions Verified and Provided with Complete
A+ Graded Rationales Latest Updated 2026
One way that a health history for an infant differs from that of an adult is the inclusion of what?
Prenatal information.
,Mr. Blakely is a 59-year-old man requiring a routine physical examination. He will be having his
visual acuity tested. What equipment is needed for this specific exam?
Snellen eye chart.
Which technique will most likely facilitate the examination of a small frightened girl?
Tell the child a story in order to distract her.
Your patient presents to the office with a chief complaint of shoulder pain that he reports as
stabbing. In using the mnemonic OLDCARTS, this is noted as?
Character.
When meeting a patient for the first time make sure to do what?
Introduce yourself (first and last name). ~Acute care nurse practitioner student.~
Head to Toe exam includes what areas? H&P (8)
CHARMING
1. Cardiac and Neck.
2. HEENT.
3. Abdomen.
4. Respiratory.
5. Musculoskeletal.
6. Integumentary.
7. Neuro.
,8. General inspection.
Why is the SOAP note important?
Consistency between all providers.
What is included in the SOAP note?
S. Subjective data. What the pt. tell you. CC, All history, ROS.
O. Objective data. What I observe. Direct observation. Vitals, physical exam, includes ICD-9 and
10, labs, data from other sources/letter/results.
A. Assessment. List of possible diagnoses (active, temporary and inactive).
P. Plan.
What is included in the Subjective Data? Order is important!
Chief Complaint (CC)
History of present illness (HPI)
Past Medical History (PMH)
Family History (FH)
Social History (SH)
Review of Systems (ROS). Document pertinent positives, must say denies problems with...
What part of the subjective data is always in quotes?
Chief Complaint.
, This is the story of what brought them to you.
History of Present Illness (HPI).
Always begin HPI how?
With the age of the patient and their gender, occupation along with their CC and beginning of
history of present illness.
This is in chronological order, written in paragraph form in short, concise statements?
HPI. Always the 1st paragraph.
What variables comprise an History of Present Illness (HPI)? Characteristics of the CURRENT
symptoms.
OLD CARTS
1. Onset (Timing, when did it start, constant or comes and goes).
2. Location.
3. Duration.
4. Character (quality)
5. Aggravating/Alleviating Factors (modifying factors)
6. Region/Radiation (associated s/s)
7. Timing.
8. Severity/Scale (1-10)
