& 100% Verified Answers |Already Graded A+
1st step = ✔Correct Answer-perform hand hygiene and introduce yourself
2nd step = ✔Correct Answer-VERIFY PATIENT = please state your full name and DOB
3 subjective questions (HEENT) ✔Correct Answer-1. Have you ever had an injury to your head,
ears, eyes, nose, or throat?
2. Do you wear any visual aids such as glasses or contacts?
3. Have you ever had any surgeries pertaining to your head, ears, eyes, nose, or throat?
Level of Conciousness (LOC) ✔Correct Answer-Alert
Orientated ✔Correct Answer-Ask patient:
"What year is it?"
"Do you know where we are right now?"
"Who is the current president?"
If answered correctly, Patient is orientated X4
Head/scalp/hair (surface characteristics, hair distribution, texture, quantity, and color) ✔Correct
Answer-"Head is normocephalic, scalp is slightly oily, hair is evenly distributed for gender, soft,
regular thickness, and blonde"
Facial features (symmetry) ✔Correct Answer-"Eyes, nose, and mouth are symmetrical and
bilateral."
Visual acuity (PERFORM VISION TEST FOR FAR AND NEAR) ✔Correct Answer-SNELLEN EYE CHART
(far)
HAVE PATIENT READ BADGE 14 INCHES AWAY FROM EYES (near)
PERRLA ✔Correct Answer-SHINE LIGHT INTO BOTH PUPILS
CONFRONTATION TEST
6 CARDINAL REFLEXES
Hearing from conversation ✔Correct Answer-normal
External ear (alignment and position) ✔Correct Answer-"Ears are bilaterally equal, no swelling, or
thickness and skin is consistent with facial coloring, no lumps or lesions."
Nose (symmetry, discharge, and patency) ✔Correct Answer-"Nose is symmetrical, midline,
proportional to facial features, patent nostrils"
Lips, teeth, gums, tongue ✔Correct Answer-"Mouth is pink color, moist, no cracking or lesions."
"Buccal mucosa pink, moist, and without exudate"
"Teeth are white and intact"
"Gums are pink without redness or swelling"
"Tongue is even, pink, and moist"
"Tonsils (1+, 2+, 3+, 4+)"