NORTHWESTERN STATE UNIVERSITY

COLLEGE OF NURSING
Health Assessment Across the Lifespan
NURSING 3061 LAB

STUDENT NAME: DATE:

FACULTY:

PRACTICUM #2
SKIN, HAIR, NAILS, THORAX, PERIPHERAL VASCULAR, HEART and NECK
VESSELS
SKILL POSSIBLE POINTS FINDINGS REPORTED
POINTS EARNED COMMENTS

I. Gather and Organize Equipment (1 pt each)

 Disposable tape measure
 Penlight 3
 Stethoscope

II. Skin

Inspect and Palpate (1 pt. each)

 Color
 Pigmentation
 Temperature
 Moisture
 Texture 10
 Thickness
 Edema
 Turgor
 Vascularity/bruising
 Lesions

III. Hair

Inspect and Palpate (1 pt. each)

 Color 3
 Texture
 Distribution

IV. Nails

Inspect and Palpate (1 pt. each)

 Shape/Contour 3
 Consistency
 Color
V. Peripheral Vascular

1. Arms: Inspection (1 pt. each)

 Skin Color
 Nail Color
 Clubbing 5
 Symmetry
 Lesions

2. Arms: Palpation (2 pts. each)

 Temperature
 Capillary refill 10
 Radial Pulse (grade)
 Brachial Pulse (grade)
 Edema

3. Legs: Inspection
 Skin Color (1 pt)
 Hair Distribution (1 pt)
 Venous Pattern (1 pt) 4
 Lesions/ulcerations (1 pt)

4. Legs: Palpation (2 pts. each)

 Temperature
 Homan’s Sign
 Femoral pulse 14
 Popliteal pulse
 D. Pedis pulse
 P. Tibal pulse
 Edema

VI. Thorax

1. Inspection (1 pts. each)

 Thoracic Cage (visualize AP diameter)
 Respiratory rate and pattern
 Skin color and condition 6
 Positioning
 Facial expression
 Level of Consciousness

2. Palpation (1 pts. each)

 Lumps
 Masses 4
 Tenderness
 Trachea
3. Auscultation: (2 pts each)
 Anterior
 Posterior 8
 Lateral
 Adventitious sounds

VII. Heart and Neck Vessels

1. Neck Vessels (2 pts. each)

 Palpate carotid artery 4
 Auscultate carotid artery

2. Precordium: Inspect (1 pts. each)

 Skin Color 2
 Apical Impulse

3. Precordium: Palpate (2 pts. each)

 Apical Impulse 4
 Chest wall heave/thrill

4. Precordium: Auscultation (2 pts. each)

 Aortic
 Pulmonic
 Erb’s Point 10
 Tricuspid
 Bicuspid

Systematic Approach 5

Adheres to Standard Precautions 5

TOTAL GRADE