physical assessment

Question 1

introduce self appropriately

Question 2

performs hand hygiene

Question 3

patient verification (name and DOB)

Question 4

conducts basic vital sign assessment (HR, BP, RR, SpO2, Pain)

Question 5

explain assessment to patient

Question 6

review medications, allergies and ask about any concerns

Question 7

review past medical history

Question 8

ask about smoking history

Question 9

ask about illicit drug use

Question 10

inspect face, head for shape, comment on symmetry

Question 11

inspects external nose and lips

Question 12

inspects neck, trachea, and thyroid

Question 13

inspect external ears and mastoid process

Question 14

assess carotid pulses

Question 15

obtain glasgow coma scale

Question 16

assesses level of consciousness (LOC), orientation to person, place and time, cognition, and memory

Question 17

Assess gait/balance

Question 18

pupils

Question 19

neurovascular response (RUE, RLE < LUE, LLE)

Question 20

assess for presence of cough/gag/corneal

Question 21

assess for language barrier

Question 22

RESPIRATORY

Question 23

assess respiratory pattern

Question 24

Auscultates breath sounds

Question 25

evaluates use of accessory muscles

Question 26

any cough/sputum production (amount, color, consistency)

Question 27

assess for shortness of breath or dyspnea

Question 28

assess if position impacts breathing

Question 29

CARDIAC

Question 30

assesses cardiac rhythm (320/340), regularity, and rhythm tolerance

Question 31

Listens to heart sounds: S1, S2, gallop or murmurs

Question 32

Examine for JVD

Question 33

Assess IV site

Question 34

GASTROINESTINAL

Question 35

inspects abdomen

Question 36

auscultates bowel sounds

Question 37

palpates abdomen for tenderness

Question 38

asks patient last bowel movement

Question 39

GENITOURINARY

Question 40

Obtains I/O for past 24 hours

Question 41

Assesses pain or burning upon urination

Question 42

assesses continence of patient

Question 43

assesses color, order of urine

Question 44

Assesses for urinary diversions (foley, suprapubic catheter, ureterostomy)

Question 45

MUSCULOSKELETAL

Question 46

Assesses extremities for movement (RUE, LUE, RLE, LLE)

Question 47

Inspects for bruises, lesions, lacerations, tenderness

Question 48

palpate peripheral pulses

Question 49

SKIN

Question 50

color, condition, temperature, integrity

Question 51

mucous membranes

Question 52

PERIPHERAL VASCULAR

Question 53

edema

Question 54

capillary refill

Question 55

SAFETY

Question 56

bed in low position

Question 57

call lights within reach

Question 58

space is clutter free

Question 59

personal belongings within reach

Question 60

slip resistant socks on

Question 61

CONCLUSION

Question 62

conclude exam

Question 63

closes with professional comments

Question 64

thanks the patient for exam