Head to Toe Assessment (In Order)
Exam 2025 Questions and Answers
introduce self - ....ANSWER ...-ID patient with 2 methods (name and date
of birth)
check mental status - ....ANSWER ...-A&O x4 (person, place, time, and
situation)
Ask if they are having pain (hope they say no)
general appearance (neuro) - ....ANSWER ...-note general appearance
(speech: slurred or coherent? dress and behavior: appropriate? any sensory
impairments: glasses, contacts, hearing aids)
palpate head - ....ANSWER ...-verbalize size (round), shape (symmetrical),
no bumps or soft spots found. no bugs.
hair - ....ANSWER ...-verbalize hair color (brown), distribution (evenly
distributed), texture (fine, curly)
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
, eyes - ....ANSWER ...-PEERLA (pupils are even, equal, round, reactive to
light, and and accomodating)
for accomodation, move pen light in and out
nose - ....ANSWER ...-discharge? assess with pen light and verbalize no nasal
discharge.
mouth - ....ANSWER ...-assess with pen light and verbalize "mouth is moist,
pink, and in tact."
lymph nodes - ....ANSWER ...-assess and verbalize for any swelling: pre-
auricle, post-auricle, occipital (do this set first), submandibular, tonsillar,
submental, anterior cervical, post cervical
skin - ....ANSWER ...-verbalize: no rashes, lesions, bruises, or scarring, some
nevi onthe face noted, no pallor or cyanosis). verablize "skin turgor is taught"
radial pulses/hands - ....ANSWER ...-palpate radial pulses bilaterally (+2 and
equal), check nail beds bilaterally for cap refill (verbalize cap refill is less than 2
seconds)
inspect nails (smooth, clear, color, presence of clubbing)
thyroid - ....ANSWER ...-assess the thyroid using the posterior technique
increase the head of bed to 30 degrees - ....ANSWER ...-
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
Exam 2025 Questions and Answers
introduce self - ....ANSWER ...-ID patient with 2 methods (name and date
of birth)
check mental status - ....ANSWER ...-A&O x4 (person, place, time, and
situation)
Ask if they are having pain (hope they say no)
general appearance (neuro) - ....ANSWER ...-note general appearance
(speech: slurred or coherent? dress and behavior: appropriate? any sensory
impairments: glasses, contacts, hearing aids)
palpate head - ....ANSWER ...-verbalize size (round), shape (symmetrical),
no bumps or soft spots found. no bugs.
hair - ....ANSWER ...-verbalize hair color (brown), distribution (evenly
distributed), texture (fine, curly)
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
, eyes - ....ANSWER ...-PEERLA (pupils are even, equal, round, reactive to
light, and and accomodating)
for accomodation, move pen light in and out
nose - ....ANSWER ...-discharge? assess with pen light and verbalize no nasal
discharge.
mouth - ....ANSWER ...-assess with pen light and verbalize "mouth is moist,
pink, and in tact."
lymph nodes - ....ANSWER ...-assess and verbalize for any swelling: pre-
auricle, post-auricle, occipital (do this set first), submandibular, tonsillar,
submental, anterior cervical, post cervical
skin - ....ANSWER ...-verbalize: no rashes, lesions, bruises, or scarring, some
nevi onthe face noted, no pallor or cyanosis). verablize "skin turgor is taught"
radial pulses/hands - ....ANSWER ...-palpate radial pulses bilaterally (+2 and
equal), check nail beds bilaterally for cap refill (verbalize cap refill is less than 2
seconds)
inspect nails (smooth, clear, color, presence of clubbing)
thyroid - ....ANSWER ...-assess the thyroid using the posterior technique
increase the head of bed to 30 degrees - ....ANSWER ...-
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
