MSN 610 HEAD TO TOE ASSESSMENT.
EXAM QUESTIONS AND ANSWERS 2026
VERIFIED.
Introduction - ANS - scan room/show ID
- introduction/ask permission to record exam on video
- sanitize hands/"let me know if you have any questions throughout the exam"
- your vitals were:
BP: 118/78; HR 76; RR 16; O2 99%; 97.4
- "when I walked in, I noticed you had a steady gait, you maintain good posture, you look well-
nourished and well-groomed.
inspection of skin and face - ANS - color is appropriate to ethnicity and no visible abnormal
findings bilaterally
- facial features are symmetric bilaterally and no abnormalities are noted on external ears, eyes,
nose, mouth/lips
- no involuntary facial movements or crusting of the eyebrows or eyelashes noted
Touching/palpating skin and face - ANS - Skin turgor is less than 2 seconds
- please let me know if you feel any pain or discomfort when I palpate your face and skin
inspecting head/skull for shape/contour, hair distribution; palpating head/skull for
lumps/abnormalities - ANS - head is normocephalic and atraumatic
- skull is symmetric
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, - scalp has no lumps/bumps/masses
- hair texture is fine with normal and even hair distribution (no signs of hair loss or brittleness);
quantity is thick
- do you feel any pain or tenderness anywhere when I palpate?
temporal mandibular joint - ANS - is there any pain or tenderness when I press here?
- open and close your mouth please
- no clicking noted and no palpable abnormalities bilaterally
eye exam using ophthalmoscope examining back of eyes - ANS - please look straight ahead
- finding red reflex, which yours is intact
- following the red reflex in to examine the lens, retinal surface, the blood vessels, following
them to the optic disc, cup, and retina vessels
- bilateral exam
- no abnormalities noted in either eye
ear exam using otoscope - ANS - tug test: any pain or discomfort?
- using largest speculum that would fit in ear
- pull pinna up and back to straighten canal
- auditory canal is pink and clear, no abnormalities.
- tympanic membrane, which is intact and pearly gray with no abnormalitie
- specific structures identified are the bony prominences of the malleus, handle of the malleus,
and the light reflex. R cone of light = 5:00. L cone of light = 7:00
- bilateral exam
nasal exam using otoscope - ANS - flex neck slightly back so I can take a look inside your nose
- mucosa tissue glistens and is deep pink, no visual abnormalities
- scant watery clear mucous
- septum has no septal deviation, is midline and straight, no abnormalities noted
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 14
EXAM QUESTIONS AND ANSWERS 2026
VERIFIED.
Introduction - ANS - scan room/show ID
- introduction/ask permission to record exam on video
- sanitize hands/"let me know if you have any questions throughout the exam"
- your vitals were:
BP: 118/78; HR 76; RR 16; O2 99%; 97.4
- "when I walked in, I noticed you had a steady gait, you maintain good posture, you look well-
nourished and well-groomed.
inspection of skin and face - ANS - color is appropriate to ethnicity and no visible abnormal
findings bilaterally
- facial features are symmetric bilaterally and no abnormalities are noted on external ears, eyes,
nose, mouth/lips
- no involuntary facial movements or crusting of the eyebrows or eyelashes noted
Touching/palpating skin and face - ANS - Skin turgor is less than 2 seconds
- please let me know if you feel any pain or discomfort when I palpate your face and skin
inspecting head/skull for shape/contour, hair distribution; palpating head/skull for
lumps/abnormalities - ANS - head is normocephalic and atraumatic
- skull is symmetric
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 14
, - scalp has no lumps/bumps/masses
- hair texture is fine with normal and even hair distribution (no signs of hair loss or brittleness);
quantity is thick
- do you feel any pain or tenderness anywhere when I palpate?
temporal mandibular joint - ANS - is there any pain or tenderness when I press here?
- open and close your mouth please
- no clicking noted and no palpable abnormalities bilaterally
eye exam using ophthalmoscope examining back of eyes - ANS - please look straight ahead
- finding red reflex, which yours is intact
- following the red reflex in to examine the lens, retinal surface, the blood vessels, following
them to the optic disc, cup, and retina vessels
- bilateral exam
- no abnormalities noted in either eye
ear exam using otoscope - ANS - tug test: any pain or discomfort?
- using largest speculum that would fit in ear
- pull pinna up and back to straighten canal
- auditory canal is pink and clear, no abnormalities.
- tympanic membrane, which is intact and pearly gray with no abnormalitie
- specific structures identified are the bony prominences of the malleus, handle of the malleus,
and the light reflex. R cone of light = 5:00. L cone of light = 7:00
- bilateral exam
nasal exam using otoscope - ANS - flex neck slightly back so I can take a look inside your nose
- mucosa tissue glistens and is deep pink, no visual abnormalities
- scant watery clear mucous
- septum has no septal deviation, is midline and straight, no abnormalities noted
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 14
