NURS 201Focused Exam Pain Completed Shadow
Health Objective.
Objective Data Collection: 27.47 of 28 (98.11%)
Correct Incorrect
Partially correct Missed
Assessed Vitals 1 of 1 point
Temperature (1/5 point) Blood Pressure (1/5 point)
Normother Normotensi
mic ve
Hyperthermi Hypertensiv
c e
Hypothermi Hypotensive
c
Heart Rate (1/5 point) Respiratory Rate (1/5 point)
No abnormal No abnormal
findings findings
Tachycardic Tachypnea
Bradycardic Bradypnea
Oxygen Saturation (1/5 point)
No abnormal
findings
Hypoxemia
Appropriate Fluid (1/3 point) Appropriate Label (1/3 point)
Bag is normal saline labeled
Bag is not normal
saline Bag is not
, N nd dosage are correct
a Name is incorrect
m Dosage is incorrect
e Infuse rate is
incorrect Bag is not
a labeled
Fluid Appearance (1/3 point)
No visible abnormal
appearance Cloudy
Inappropriate
color
Crystallization
Observations (1/1 point)
, IV pump is infusing IV fluid at the ordered
rate IV pump is infusing IV fluid at a
slower than the
ordered rate
IV pump is infusing IV fluid at a faster
than the ordered rate
Insertion Site (1/2 point) Dressing (1/2 point)
No visible abnormal Dry and
signs Erytherma intact Moist
Infiltration dressing
Skull Symmetry (1/3 point) Facial Feature Symmetry (1/3 point)
Symmetri Symmetri
c c
Asymmetr Asymmetr
ic ic
Appearance (1/3 point)
No visible abnormal
findings Rash
Papules, pustules, or comedones
Skin growths (freckles, moles, or birth
mark) Excessive hair growth
Evidence of skin trauma (scar,
laceration, or bruising)
Drooping eye
Drooping
mouth
Eyelids (1/3 point) Conjunctiva And Lens (1/3 point)
No visible abnormal No visible abnormal
findings Ptosis findings Sclera -
Swellin injection
g Sclera - icterus
Lesion Lens
Allergic shiners opacification
Health Objective.
Objective Data Collection: 27.47 of 28 (98.11%)
Correct Incorrect
Partially correct Missed
Assessed Vitals 1 of 1 point
Temperature (1/5 point) Blood Pressure (1/5 point)
Normother Normotensi
mic ve
Hyperthermi Hypertensiv
c e
Hypothermi Hypotensive
c
Heart Rate (1/5 point) Respiratory Rate (1/5 point)
No abnormal No abnormal
findings findings
Tachycardic Tachypnea
Bradycardic Bradypnea
Oxygen Saturation (1/5 point)
No abnormal
findings
Hypoxemia
Appropriate Fluid (1/3 point) Appropriate Label (1/3 point)
Bag is normal saline labeled
Bag is not normal
saline Bag is not
, N nd dosage are correct
a Name is incorrect
m Dosage is incorrect
e Infuse rate is
incorrect Bag is not
a labeled
Fluid Appearance (1/3 point)
No visible abnormal
appearance Cloudy
Inappropriate
color
Crystallization
Observations (1/1 point)
, IV pump is infusing IV fluid at the ordered
rate IV pump is infusing IV fluid at a
slower than the
ordered rate
IV pump is infusing IV fluid at a faster
than the ordered rate
Insertion Site (1/2 point) Dressing (1/2 point)
No visible abnormal Dry and
signs Erytherma intact Moist
Infiltration dressing
Skull Symmetry (1/3 point) Facial Feature Symmetry (1/3 point)
Symmetri Symmetri
c c
Asymmetr Asymmetr
ic ic
Appearance (1/3 point)
No visible abnormal
findings Rash
Papules, pustules, or comedones
Skin growths (freckles, moles, or birth
mark) Excessive hair growth
Evidence of skin trauma (scar,
laceration, or bruising)
Drooping eye
Drooping
mouth
Eyelids (1/3 point) Conjunctiva And Lens (1/3 point)
No visible abnormal No visible abnormal
findings Ptosis findings Sclera -
Swellin injection
g Sclera - icterus
Lesion Lens
Allergic shiners opacification
