lOMoARcPSD| 62788957
NURS 1543 OSCE Review
lOMoAR cPSD
General Introduction
1. Environmental scan + preform HH
2. Introduce full name, designation + “I will be preforming a ___ assessment”
3. Ask PT name + DOB
4. Ask for consent to touch w hands + stethoscope
5. Confidentiality
6. Ask if they have questions about the process + and that you will explain each step
7. Ask if they’re comfortable
Chest (chapter 19)
Abdomen (chapter 22)
Peripheral Vascular System (chapter 21)
-----------------------------------------------------------------------------------------------------------------
ANTERIOR CHEST -> inspection, palpation, percussion, auscultation
1. Bed is upright at 45-90 degrees, pillow behind head
Inspection
- Shape, configuration, posture, neck muscles, interspaces
- CMT (skin colour, moisture, temperature, texture)
- Facial expression
- Quality of respirations
- Colour of lips
- LOC
- Presence of lesions, visible masses, striae on breasts
Palpation
- Tactile fremitus -> palpable vibration when pt says “99 or blue moon” o
, lOMoARcPSD| 62788957
NURS 1543 OSCE Review
- Temperature using dorsa of hand
- Tenderness, lumps, masses, moisture, lesions using fingertips - Pain or tenderness
Percussion (resonance is normal)
- Resonance over lung tissue
- Dullness over liver
- Flatness over ribs/bone
Auscultation (vesicular sounds are normal)
- Instruct pt to “take a deeper breath than normal through your open mouth, each time I
move my stethoscope, and if you feel light-headed or dizzy, please let me know”
o Listen for full breath, 5 locations on each side (snake motion) o Move from based -
> apices
o Identify areas of bronchial, bronchial vesicular and vesicular
sounds
POSTERIOR CHEST -> inspection, palpation, percussion, auscultation Inspection
- shape, configuration, posture/position, neck muscles, skin colour, condition, moisture
Palpation
- Temperature using dorsa of hand
- Tenderness, lumps, masses, moisture, lesions using fingertips
NURS 1543 OSCE Review
lOMoAR cPSD
General Introduction
1. Environmental scan + preform HH
2. Introduce full name, designation + “I will be preforming a ___ assessment”
3. Ask PT name + DOB
4. Ask for consent to touch w hands + stethoscope
5. Confidentiality
6. Ask if they have questions about the process + and that you will explain each step
7. Ask if they’re comfortable
Chest (chapter 19)
Abdomen (chapter 22)
Peripheral Vascular System (chapter 21)
-----------------------------------------------------------------------------------------------------------------
ANTERIOR CHEST -> inspection, palpation, percussion, auscultation
1. Bed is upright at 45-90 degrees, pillow behind head
Inspection
- Shape, configuration, posture, neck muscles, interspaces
- CMT (skin colour, moisture, temperature, texture)
- Facial expression
- Quality of respirations
- Colour of lips
- LOC
- Presence of lesions, visible masses, striae on breasts
Palpation
- Tactile fremitus -> palpable vibration when pt says “99 or blue moon” o
, lOMoARcPSD| 62788957
NURS 1543 OSCE Review
- Temperature using dorsa of hand
- Tenderness, lumps, masses, moisture, lesions using fingertips - Pain or tenderness
Percussion (resonance is normal)
- Resonance over lung tissue
- Dullness over liver
- Flatness over ribs/bone
Auscultation (vesicular sounds are normal)
- Instruct pt to “take a deeper breath than normal through your open mouth, each time I
move my stethoscope, and if you feel light-headed or dizzy, please let me know”
o Listen for full breath, 5 locations on each side (snake motion) o Move from based -
> apices
o Identify areas of bronchial, bronchial vesicular and vesicular
sounds
POSTERIOR CHEST -> inspection, palpation, percussion, auscultation Inspection
- shape, configuration, posture/position, neck muscles, skin colour, condition, moisture
Palpation
- Temperature using dorsa of hand
- Tenderness, lumps, masses, moisture, lesions using fingertips
