Comprehensive Nursing Exam Blueprint Key Concepts
Covers nursing process steps, interview phases, COLDSPA symptom analysis, health history components, and ROS across body systems—essential for accurate assessment, diagnosis, planning, intervention, and evaluation in nursing practice.
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326 EXAM 1 BLUEPRINT - SUMMER 2024
Topic/Nursing Concept Number of
Items
Bloom's Taxonomy
Classification
Remember, Understand,
Application, Analysis,
Evaluate, Create *
Module 1: Chapters 1-3
□ Steps of nursing process
□ Interview & health history
□ Physical exam techniques
4
8
8
□ Understand (12)
U Application (8)
Module 2: Chapters 4-5, 9
n Validating & documenting data
□ SBAR
Steps of clinical judgment
H Pain assessment
1
1
1
5
□ Understand (4)
□ Application (4)
Module 3: Chapters 6, 10, 11, 12
H Mental health
□ Substance abuse
□ Violence
□ Culture
□ Spirituality/Religion
5
2
2
3
3
U Understand (9)
□ Application (6)
Module 4: Chapters: 8, 9
□ Vital signs assessment 7 □ Understand (3)
□ Application (4)
Total Number of Items 50
MC= 45
FITB = 1
SATA = 2
NGN =2
* This can vary slightly.
Module 1: Chapters 1-3
Topic/Nursing Concept Number of
Items
Bloom's Taxonomy
Classification
Remember, Understand,
Application, Analysis,
Evaluate, Create *
Module 1: Chapters 1-3
□ Steps of nursing process
□ Interview & health history
□ Physical exam techniques
4
8
8
□ Understand (12)
U Application (8)
Module 2: Chapters 4-5, 9
n Validating & documenting data
□ SBAR
Steps of clinical judgment
H Pain assessment
1
1
1
5
□ Understand (4)
□ Application (4)
Module 3: Chapters 6, 10, 11, 12
H Mental health
□ Substance abuse
□ Violence
□ Culture
□ Spirituality/Religion
5
2
2
3
3
U Understand (9)
□ Application (6)
Module 4: Chapters: 8, 9
□ Vital signs assessment 7 □ Understand (3)
□ Application (4)
Total Number of Items 50
MC= 45
FITB = 1
SATA = 2
NGN =2
* This can vary slightly.
Module 1: Chapters 1-3
326 EXAM 1 BLUEPRINT - SUMMER 2024
□ Steps of nursing process
□ A= Assessment: Collecting data is that subjective and objective
n D= Diagnosis: Analyzing subjective and objective data to make and
prioritize professional clinical judgements, (client concerns, collaborative
problems, or referral)
□ P= Planning: Generating solutions, developing a plan, and determining
which outcomes need to be met first
n 1= Implementation: Taking action. Prioritizing and implementing the
planned interventions
□ E= Evaluation: Assessing whether outcomes have been met and revising
the plan if the interventions did not make a difference
□ Interview & health history
□ Phases of the interview:
□ Preintroductory Phase= The nurse reviews the medical record
before meeting with the client. Prior knowledge of the patient's
biographical information can assist the nurse with conducting the
interview.
□ Introductory Phase= The nurse introduces themselves to the
client, explains the purpose of the interview, discusses the type of
questions that will be asked, explains the reason for taking notes,
and ensures confidentiality (HIPAA). The nurse makes sure that
the patient is comfortable (physically and emotionally) and has
privacy. Interview is conducted at eye level demonstrating respect
and that the nurse and client are at eye levels. The key is to
develop a rapport to ensure that the client trusts you to fully
disclose information. Developing rapport is influenced heavily on
verbal and nonverbal communication.
□ Working Phase= The nurse addresses the patients comments
regarding important biographical data, reason for seeking care,
history of present health concern, past health history, family
history, review of body systems (ROS) for current health problems,
lifestyle and health practices, and developmental level. The nurse
then listens, observes cues, and applies critical thinking skills to
interpret and validate information received from the patient. Then
the nurse and patient collaborate to identify the clients problems
and goals. This can be free flowing or more structured based on
time and specific data needed to be collected.
□ Summary and closing phase= The nurse summarizes the
information collected during the working phase. Validates
problems and goals with the patient. Identifies and discusses
possible plans to resolve the problem. Finally, the nurse asks if
there are any other concerns and if there are any further
questions.
□ Health History:
□ Steps of nursing process
□ A= Assessment: Collecting data is that subjective and objective
n D= Diagnosis: Analyzing subjective and objective data to make and
prioritize professional clinical judgements, (client concerns, collaborative
problems, or referral)
□ P= Planning: Generating solutions, developing a plan, and determining
which outcomes need to be met first
n 1= Implementation: Taking action. Prioritizing and implementing the
planned interventions
□ E= Evaluation: Assessing whether outcomes have been met and revising
the plan if the interventions did not make a difference
□ Interview & health history
□ Phases of the interview:
□ Preintroductory Phase= The nurse reviews the medical record
before meeting with the client. Prior knowledge of the patient's
biographical information can assist the nurse with conducting the
interview.
□ Introductory Phase= The nurse introduces themselves to the
client, explains the purpose of the interview, discusses the type of
questions that will be asked, explains the reason for taking notes,
and ensures confidentiality (HIPAA). The nurse makes sure that
the patient is comfortable (physically and emotionally) and has
privacy. Interview is conducted at eye level demonstrating respect
and that the nurse and client are at eye levels. The key is to
develop a rapport to ensure that the client trusts you to fully
disclose information. Developing rapport is influenced heavily on
verbal and nonverbal communication.
□ Working Phase= The nurse addresses the patients comments
regarding important biographical data, reason for seeking care,
history of present health concern, past health history, family
history, review of body systems (ROS) for current health problems,
lifestyle and health practices, and developmental level. The nurse
then listens, observes cues, and applies critical thinking skills to
interpret and validate information received from the patient. Then
the nurse and patient collaborate to identify the clients problems
and goals. This can be free flowing or more structured based on
time and specific data needed to be collected.
□ Summary and closing phase= The nurse summarizes the
information collected during the working phase. Validates
problems and goals with the patient. Identifies and discusses
possible plans to resolve the problem. Finally, the nurse asks if
there are any other concerns and if there are any further
questions.
□ Health History:
326 EXAM 1 BLUEPRINT - SUMMER 2024
□ COLDSPA= Used as a comprehensive analysis of any symptom to
promote an accurate clinical judgement. Also used for history of
present health concern
o C=Character: Describe the signs and symptoms
□ Feeling, appearance, sound, smell, taste, ect
o O=Onset: when did it begin?
o L= Location: where does it occur?
o D=Duration: how long does it last?
o S= Severity: on a scale 0-10 (0 being no pain and 10 being
the worse pain you've experienced) what is the pain scale?
o P= Pattern: what makes it better or worse?
o A= Associated factors: what other symptoms occur with it?
How does it affect you?
□ Are there any other problems that seem related to
your problem?
□ Complete health history= excellent way to begin the health
assessment because it provides the foundation for clinical
judgments in identifying nursing problems, where to focus, and
areas where a more detailed physical examination may be
required. Health history data are used to identify clients' strengths
and limitations in lifestyle and health status. Also provides specific
cues to health problems that are most apparent to the client.
H Head to toe physical assessment= collection of subjective data
usually requires that the nurse take a complete health history. This
can be modified or shortened when necessary. Taking a health
history should begin with an explanation on why the information
is being requested.
o Biographical data:
H Name
□ Address
□ Phone
□ Gender
□ Provider of history
n Date of birth
□ Place of birth
□ Race or Ethnicity
□ Primary or secondary language
□ Marital status
□ Religion
□ Education
n Occupation
□ Significant other or next of kin
o Reasons for seeking health care
□ COLDSPA= Used as a comprehensive analysis of any symptom to
promote an accurate clinical judgement. Also used for history of
present health concern
o C=Character: Describe the signs and symptoms
□ Feeling, appearance, sound, smell, taste, ect
o O=Onset: when did it begin?
o L= Location: where does it occur?
o D=Duration: how long does it last?
o S= Severity: on a scale 0-10 (0 being no pain and 10 being
the worse pain you've experienced) what is the pain scale?
o P= Pattern: what makes it better or worse?
o A= Associated factors: what other symptoms occur with it?
How does it affect you?
□ Are there any other problems that seem related to
your problem?
□ Complete health history= excellent way to begin the health
assessment because it provides the foundation for clinical
judgments in identifying nursing problems, where to focus, and
areas where a more detailed physical examination may be
required. Health history data are used to identify clients' strengths
and limitations in lifestyle and health status. Also provides specific
cues to health problems that are most apparent to the client.
H Head to toe physical assessment= collection of subjective data
usually requires that the nurse take a complete health history. This
can be modified or shortened when necessary. Taking a health
history should begin with an explanation on why the information
is being requested.
o Biographical data:
H Name
□ Address
□ Phone
□ Gender
□ Provider of history
n Date of birth
□ Place of birth
□ Race or Ethnicity
□ Primary or secondary language
□ Marital status
□ Religion
□ Education
n Occupation
□ Significant other or next of kin
o Reasons for seeking health care
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