Head to Toe Assessment

Question 1

head to toe assessment

Answer 1

inspect, palpate, percuss, auscultate

Question 2

introduction

Answer 2

knock, introduce, wash hands, provide privacy, verifyusing 2 identifiers (name and birthday), explain what to do

Question 3

orientation

Answer 3

name? where are you? Month? Current president? What brought you here?

Question 4

vital signs

Answer 4

heart rate, blood pressure, oxygen saturation, temperature and respiratory rate

Question 5

normal HR

Answer 5

60-100 bpm

Question 6

normal BP

Answer 6

120/80 mmHg

Question 7

normal SPO2

Answer 7

95-100%

Question 8

normal temperature

Answer 8

36.5 - 37.2 C

Question 9

normal respiratory rate

Answer 9

12 - 20 cpm

Question 10

head assessment

Answer 10

inspect and palpate head, scalp, hair

Question 11

face assessment

Answer 11

inspect, check for symmetry, assess cranial nerve VII: facial

Question 12

Cranial nerve VII: facial assessment

Answer 12

raise eyebrows, smile, frown, show teeth, puff out cheecks, tightly close eyes

Question 13

eye assessment

Answer 13

inspect external eye structures, color of conjunctiva and sclera

Question 14

PERRLA

Answer 14

used to check the appearance and function of your pupils.

Question 15

PERRLA means

Answer 15

pupils, equal, round, reactive to light and accomodation

Question 16

ear assessment

Answer 16

used to check the appearance and function of your pupils.

Question 17

nose assessment

Answer 17

used to check the appearance and function of your pupils.

Question 18

mouth assessment

Answer 18

used to check the appearance and function of your pupils.

Question 19

5 areas for listening to the heart

Answer 19

aortic, pulmonic, erb’s point, tricuspid, mitral

Question 20

acronym for 5 areas for listening to the heart

Answer 20

all people enjoy time magazine

Question 21

neck assessment

Answer 21

inspect and palpate carotid pulse and check skin turgor (under clavicle)

Question 22

heart assessment

Answer 22

auscultate heart sounds with diaphram and bell

Question 23

posterior chest assessment

Answer 23

inspect, auscultate lung sounds in posterior and lateral chest and auscultate in a sequence to compare lungs (RU, LU, RM, LM)

Question 24

anterior chest assessment

Answer 24

inspect use of accessory muscles, AP to transverse diameter, sternum configuration, palpate symmetric expansion and auscultate lung sounds : anterior and lateral