Student please START the recording and verbally state this to the model before starting the assessment: “Do you give verbal permission to participate as a model in this assessment assignment and be recorded for school purposes for Aspen University, class N495?” – model must give a verbal “Yes” on camera to this question before you begin. “This assessment is indented to show my skills with the assessment actions only and is not to be used as direction for your health status or follow up with any irregular findings -do you understand this?” – model must give a verbal “Yes” on camera to this question before you begin. Aspen University HEALTH ASSESSMENT AND PHYSICAL EXAMINATION Student Name: Date: Start Time: End Time: Total Time: (15 min or less) Age of model: (cannot be under 18) *If unable to procure equipment for any of the below, talk through the process. Assessment starts with Expected Professional Behaviors and ends with the NEUROLOGICAL system on the final page. ASSESSMENT RESULTS COMMENTS Vital Signs • Temperature • Pulse • Respirations and SpO2 saturation • Blood pressure- 2-step method • Pain ASSESSMENT COMMENTS Expected Professional Behaviors • Washes hands in front of patient, gathers equipment • Introduces self, role and purpose • Two patient identifiers – first, last name, spell last name, birthdate • General survey and LOC Head, Face, and Neck • Inspect: structures of head, face and neck • Palpate: arteries (carotid & temporal) • Palpate: for symptoms of TMJ • Palpate: for enlargement of thyroid outside of trachea on each side • Assess and palpate: trachea is mid-line • Assess: Facial sensation (CN V – TRIGEMINAL) jaw clench or wisp test • Assess: Facial symmetry at least 4 assessments (CN VII – FACIAL) raising eyebrows/closing eyes tight, smile/frown • Assess: Speech quality (CN XII – Hypoglossal) “light, tight, dynamite” • Palpate: Cervical Lymphatics posterior auricular, occipital, retropharyngeal, submandibular, submental, sublingual, superior superficial cervical, posterior superficial cervical, supraclavicular Skin, Eyes, Ears, Nose, Mouth, and Throat SKIN • Inspect and palpate: skin – color, moisture and temperature • Assess: Skin turgor • Assess: CRT (capillary refill time) • Assess and Palpate: Edema lower body (rank if present) EYES • External inspection- • Assess: EOM’S (CN III – OCULOMOTOR, CN IV-TROCHLEAR, CN VI – ABDUCENS) - 6 Cardinal Fields of Gaze • Assess: Peripheral vision – Confrontation test • Assess: Corneal light reflex – “twinkle” • Assess: PERRLA – Pupils are equal, round, reactive to light (with consensual response) and Accommodations (note convergence) EARS • External structures, color, drainage, tenderness (tragus non-tender/mobile) • Internal structures – Tympanic Memb.

1. Student please START the recording and
verbally state this to the model before starting the assessment:
“Do you give verbal permission to participate as a model in
this
assessment assignment and be recorded for school purposes for
Aspen University, class N495?”
– model must give a verbal “Yes” on camera to this question
before you begin.
“This assessment is indented to show my skills with the
assessment actions only and is not to be used as direction for
your
health status or follow up with any irregular findings -do you
understand this?”
– model must give a verbal “Yes” on camera to this question
before you begin.
Aspen University

2. HEALTH ASSESSMENT AND PHYSICAL EXAMINATION
Student Name: Date:
Start Time: End Time: Total Time: (15 min or less)
Age of model: (cannot be under 18)
*If unable to procure equipment for any of the below, talk
through the process. Assessment starts with Expected
Professional Behaviors and ends with the NEUROLOGICAL
system on the final page.
ASSESSMENT RESULTS COMMENTS
Vital Signs
• Temperature
• Pulse
• Respirations and SpO2 saturation
• Blood pressure- 2-step method
• Pain
ASSESSMENT COMMENTS
Expected Professional Behaviors

3. • Washes hands in front of patient, gathers equipment
• Introduces self, role and purpose
• Two patient identifiers – first, last name, spell last name,
birthdate
• General survey and LOC
Head, Face, and Neck
• Inspect: structures of head, face and neck
• Palpate: arteries (carotid & temporal)
• Palpate: for symptoms of TMJ
• Palpate: for enlargement of thyroid outside of trachea on each
side
• Assess and palpate: trachea is mid-line
• Assess: Facial sensation (CN V – TRIGEMINAL) jaw clench
or wisp test
• Assess: Facial symmetry at least 4 assessments (CN VII –
FACIAL)
raising eyebrows/closing eyes tight, smile/frown
• Assess: Speech quality (CN XII – Hypoglossal) “light, tight,
dynamite”

4. • Palpate: Cervical Lymphatics
posterior auricular, occipital, retropharyngeal, submandibular,
submental, sublingual,
superior superficial cervical, posterior superficial cervical,
supraclavicular
Skin, Eyes, Ears, Nose, Mouth, and Throat
SKIN
• Inspect and palpate: skin – color, moisture and temperature
• Assess: Skin turgor
• Assess: CRT (capillary refill time)
• Assess and Palpate: Edema lower body (rank if present)
EYES
• External inspection-
• Assess: EOM’S (CN III – OCULOMOTOR, CN IV-
TROCHLEAR, CN VI –
ABDUCENS) - 6 Cardinal Fields of Gaze
• Assess: Peripheral vision – Confrontation test
• Assess: Corneal light reflex – “twinkle”
• Assess: PERRLA – Pupils are equal, round, reactive to light
(with consensual
response) and Accommodations (note convergence)

5. EARS
• External structures, color, drainage, tenderness (tragus non-
tender/mobile)
• Internal structures – Tympanic Membrane (note appearance)
NOSE, MOUTH AND THROAT (Use tongue blade and
penlight)
• Palpate: maxillary and frontal sinuses for tenderness
• Inspect: External nasal structures patency, appearance
• Inspect: Internal nasal passages (use light source) septum,
swelling, etc.
• Inspect: Internal oral cavity – color, moisture, tongue, teeth,
lesions (use light
source)
• Assess: Uvula rises with phonation (CN IX –
GLOSSOPHARYNGEAL)
“ahh”
THORAX - Stethoscope on skin when assessing cleans
stethoscope prior to use

6. • Assess: breathing for effort, approximate rate and quality
• Palpate: posterior chest for tenderness, masses (4 levels)
• Palpate: posterior chest for tactile fremitus “99” (4 levels)
• Percuss: posterior chest for potential consolidation (4 levels)
• Percuss: for CVA tenderness
• Auscultate: breath sounds posterior chest (6 levels)
respiratory effort, no crackles, rhonchi, wheezes,
Anterior chest
• Auscultate: Carotids for bruits
• Auscultate: Breath sounds anterior chest (2 levels)
• Auscultate: heart sounds – verbalize 4 areas for auscultation
(Aortic, pulmonic, tricuspid, mitral)
Use diaphragm for S1, S2 sounds, Use bell for S3, S4, murmurs,
etc
ABDOMEN
• Inspect: abdomen for contour, bulges, pulsations,
• Auscultate: abdomen for BS (bowel sounds) clicks, gurgles,
BS x4
• Palpate: Light palpation 4 quadrants (approx. 3 x each
quadrant)

7. EXTREMITIES
• Inspect and palpate: joints – wrists, elbows, shoulders, knees,
ankles
• Assess: ROM and strength (against resistance) - grips, wrists,
elbows, shoulders, neck and
knees, ankles and pushes
• Palpate: pulses – radial, dorsalis pedis and posterior tibial
(rank 0-4)
NEUROLOGICAL
• Observe: barefoot gait, heel to toe walk (standing)
• Assess: Romberg test – proprioception/balance (standing)
• Assess: DTR (deep tendon reflexes) 1 upper and 1 lower
extremity
Upper: Brachioradialis reflex or Triceps reflex
Lower: Patellar reflex or Achilles reflex (sitting)
• Assess: Cerebellar test – Rapid Alternating Movements
(sitting)
Logical flow and sequencing
COMMENTS: