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WorksheetsHead-to-Toe Assessment
Total questions: 10
Worksheet time: 5mins
A nurse is assessing a patient’s neck with the patient seated. Which of the following is considered an unexpected finding?
Jugular vein distention
Midline Trachea
Lack of bruits in carotid arteries
Thyroid symmetry bilaterally
A nurse is inspecting the patient’s ears with an otoscope. Which of the following findings would be considered normal?
A small plastic bead
Brownish black tympanic membrane
Perforation of the tympanic membrane
Small amount of cerumen
In which arteries are bruits considered normal?
Carotid arteries
Temporal arteries
Aortic artery
None of the above
Neck rotation on each side should be:
120 degrees
70 degrees
10 degrees
45 degrees
Which of the following cranial nerves is assessed by observing the patient making specific facial movements?
Cranial Nerve VII
Cranial nerve XI
Olfactory nerve
Acoustic nerve
For which reflex is the normal response plantar flexion of the foot?
Brachioradialis
Patellar
Triceps
Achilles
What is the purpose of having the patient clench his teeth and smile?
It tests two-point discrimination.
It tests CN VII and lets you observe tooth occlusion.
It tests the abdominal reflexes.
It tests CN III, IV, and VI.
Which of the following is not included in a head-to-toe assessment?
Near vision test
Testing the spinal reflexes
Exercise stress test
Balance tests
Why is it important to have equipment and supplies organized before the exam?
It makes you look smarter to the patient.
It avoids interruptions and delays.
In case you are out of a supply, you can skip that part of the exam.
It lets you focus on the testing instead of the patient’s response.
Which of the following is part of monitoring and care?
Explain that no additional screening will ever be needed.
Stay in the room while the patient is returning to street clothes.
Keep the patient’s glasses until they are back in street clothes.
Ask the patient if she/he has any questions or concerns about the exam.
