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Exam (elaborations)

HEAD TO TOE PBA TEST QUESTIONS ALL ANSWERED GRADED A+ 2025.

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Introduction - Answer Hi my name is Alanah and I'll be your student nurse from Grand Canyon University. I would like to complete head to toe assessment. Is that OK with you? Thank you Identify client - Answer For your safety can you confirm your first and last name? What is your birthday? And do you have any allergies? Privacy - Answer Pull curtain for privacy Alert - Answer The patient is alert and responsive to questions Oriented - Answer Thank you. Can you identify where we are? What is today's date? Client is alert and oriented x3 to person place and time Skin inspection - Answer Skin is warm dry and intact color is consistent throughout there are no lesions scars or tattoos noted on the exposed skin Skin turgor - Answer Skin turgor is appropriate bilaterally. No tenting noted Upper body edema - Answer No upper body edema noted bilaterally Palpate radial pulse - Answer Pulses are strong equal and palpable bilaterally approximately 2+ Assess CRT - Answer Capillary refill is less than two seconds bilaterally Inspect structure of head, face, neck, and hair - Answer Head is normocephalic shape, face is symmetrical, neck is proportionate to the head and face, and hair distribution is normal Palpate carotid and temporal arteries - Answer Temporal and carotid arteries are palpable bilaterally Maxillary and frontal sinuses - Answer No tenderness in maxillary or frontal sinuses bilaterally

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Uploaded on
September 30, 2025
Number of pages
4
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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HEAD TO TOE PBA TEST QUESTIONS
ALL ANSWERED GRADED A+ 2025.
Introduction - Answer Hi my name is Alanah and I'll be your student nurse from Grand Canyon
University. I would like to complete head to toe assessment. Is that OK with you? Thank you



Identify client - Answer For your safety can you confirm your first and last name? What is your
birthday? And do you have any allergies?



Privacy - Answer Pull curtain for privacy



Alert - Answer The patient is alert and responsive to questions



Oriented - Answer Thank you. Can you identify where we are? What is today's date? Client is
alert and oriented x3 to person place and time



Skin inspection - Answer Skin is warm dry and intact color is consistent throughout there are
no lesions scars or tattoos noted on the exposed skin



Skin turgor - Answer Skin turgor is appropriate bilaterally. No tenting noted



Upper body edema - Answer No upper body edema noted bilaterally



Palpate radial pulse - Answer Pulses are strong equal and palpable bilaterally approximately 2+



Assess CRT - Answer Capillary refill is less than two seconds bilaterally



Inspect structure of head, face, neck, and hair - Answer Head is normocephalic shape, face is
symmetrical, neck is proportionate to the head and face, and hair distribution is normal



Palpate carotid and temporal arteries - Answer Temporal and carotid arteries are palpable
bilaterally

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