NSE 103 SCENARIOS TEST
QUESTIONS AND ANSWERS ALL
CORRECT
Auscultate the carotid arteries and name locations of auscultation sites. Provide findings
- Answer-- HH + intro
- Permission to touch
- stand upright
- clean stethoscope
- instruct cx to deep breath in, out, and hold
- listen at angle of jaw, midcervical, and base of neck
- listen to other side of neck
- "no bruits heard"
Palpate the carotid arteries and provide 4 findings - Answer-- HH + intro
- Permission to touch
- stand upright
- 1 side at a time
- "carotid pulse has smooth contour, rapid upstroke, slow down stroke, 2+ force that is
equal bilaterally"
Inspect the jugular pulsation, note location, and provide 2 findings - Answer-- HH + intro
- Permission to touch
- Head of bed at 30-45 degrees, neutral position, no pillows
- head turned slightly to left, shine light tangentially across neck
- "external jugular vein over sternomastoid muscles and internal jugular vein in sternal
notch has an undulant wave, double diffuse wave. Varies with respiration. No distention
present"
Auscultate and name all four valves with the diaphragm and provide 2 findings -
Answer-- HH + intro
- Permission to touch
- lay flat on back, I'm going to lift up your shirt
- clean stethoscope
- palpate down 2nd intercostal space, right sternal border where aortic valve is. Left
sternal border is where pulmonic valve is located. Palpate to 5th intercostal space left
sternal border, tricuspid valve. Midclavicular line, mitral valve
- Clear s1 and s2, no split sounds, no murmur, can hear s1 louder at apex, s2 louder at
base
, Inspect legs (provide 4 findings) and palpate legs for temperature. Provide findings -
Answer-- HH + intro
- Permission to touch
- lay flat supine, expose legs
- drape
- "consistent and even colour, no discolouration, even hair distribution, flat venous
pattern, no swelling on legs, equal bilaterally in size, no lesions, no ulcers"
- palpate legs all the way down to toes
- "temperature warm to touch, temperature equal bilaterally, slightly cool towards toes of
feet"
Palpate dorsalis pedal pulses and provide 2 findings - Answer-- HH + intro
- Permission to touch
- big toe extensor, 3 pads of finger
- cx can dorsiflex foot to accentuate pulse
- do other foot
- "Dorsalis pedal pulses are palpable, 2+ force/1+ force which is normal, an equal
bilaterally
Inspect and palpate elbows. Provide 2 findings for inspection and 2 findings for
palpation. - Answer-- HH + intro
- Permission to touch
- "Anterior and posterior sides of elbows are symmetrical in size, no swelling, masses,
or deformities, no redness noted on inspection"
- palpate elbow with dorsa of hands "elbows are warm to touch and equal bilaterally"
- palpate elbows
- "No masses, swelling, atrophy, no palpable fluid, muscle spasm, no reported pain"
Assess for ROM of shoulders. Provide 3 findings. - Answer-- HH + intro
- Permission to touch
- LMK if you have pain or discomfort
- Flexion: hands straight up over head
- Extension: hands behind back straight
- Internal rotation: hands behind back
- External rotation: hands behind head
- Abduction: hands side and up
- Adduction: one arm at a time, move arm across body
- "no pain, no crepitation, full ROM"
Conduct muscle testing of shoulders. Provide findings. - Answer-- HH + intro
- Permission to touch
- "I will move your arm in a series of motions. I will apply force and you must resist it"
- flexion "move your arms straight forward against my force"
- extension "move arms down"
- abduction "move arms outward to side"
- adduction "cx arms down, tries to bring midline, bilateral"
QUESTIONS AND ANSWERS ALL
CORRECT
Auscultate the carotid arteries and name locations of auscultation sites. Provide findings
- Answer-- HH + intro
- Permission to touch
- stand upright
- clean stethoscope
- instruct cx to deep breath in, out, and hold
- listen at angle of jaw, midcervical, and base of neck
- listen to other side of neck
- "no bruits heard"
Palpate the carotid arteries and provide 4 findings - Answer-- HH + intro
- Permission to touch
- stand upright
- 1 side at a time
- "carotid pulse has smooth contour, rapid upstroke, slow down stroke, 2+ force that is
equal bilaterally"
Inspect the jugular pulsation, note location, and provide 2 findings - Answer-- HH + intro
- Permission to touch
- Head of bed at 30-45 degrees, neutral position, no pillows
- head turned slightly to left, shine light tangentially across neck
- "external jugular vein over sternomastoid muscles and internal jugular vein in sternal
notch has an undulant wave, double diffuse wave. Varies with respiration. No distention
present"
Auscultate and name all four valves with the diaphragm and provide 2 findings -
Answer-- HH + intro
- Permission to touch
- lay flat on back, I'm going to lift up your shirt
- clean stethoscope
- palpate down 2nd intercostal space, right sternal border where aortic valve is. Left
sternal border is where pulmonic valve is located. Palpate to 5th intercostal space left
sternal border, tricuspid valve. Midclavicular line, mitral valve
- Clear s1 and s2, no split sounds, no murmur, can hear s1 louder at apex, s2 louder at
base
, Inspect legs (provide 4 findings) and palpate legs for temperature. Provide findings -
Answer-- HH + intro
- Permission to touch
- lay flat supine, expose legs
- drape
- "consistent and even colour, no discolouration, even hair distribution, flat venous
pattern, no swelling on legs, equal bilaterally in size, no lesions, no ulcers"
- palpate legs all the way down to toes
- "temperature warm to touch, temperature equal bilaterally, slightly cool towards toes of
feet"
Palpate dorsalis pedal pulses and provide 2 findings - Answer-- HH + intro
- Permission to touch
- big toe extensor, 3 pads of finger
- cx can dorsiflex foot to accentuate pulse
- do other foot
- "Dorsalis pedal pulses are palpable, 2+ force/1+ force which is normal, an equal
bilaterally
Inspect and palpate elbows. Provide 2 findings for inspection and 2 findings for
palpation. - Answer-- HH + intro
- Permission to touch
- "Anterior and posterior sides of elbows are symmetrical in size, no swelling, masses,
or deformities, no redness noted on inspection"
- palpate elbow with dorsa of hands "elbows are warm to touch and equal bilaterally"
- palpate elbows
- "No masses, swelling, atrophy, no palpable fluid, muscle spasm, no reported pain"
Assess for ROM of shoulders. Provide 3 findings. - Answer-- HH + intro
- Permission to touch
- LMK if you have pain or discomfort
- Flexion: hands straight up over head
- Extension: hands behind back straight
- Internal rotation: hands behind back
- External rotation: hands behind head
- Abduction: hands side and up
- Adduction: one arm at a time, move arm across body
- "no pain, no crepitation, full ROM"
Conduct muscle testing of shoulders. Provide findings. - Answer-- HH + intro
- Permission to touch
- "I will move your arm in a series of motions. I will apply force and you must resist it"
- flexion "move your arms straight forward against my force"
- extension "move arms down"
- abduction "move arms outward to side"
- adduction "cx arms down, tries to bring midline, bilateral"
