NUR 3066C Health Assessment and Physical Appraisal

Student:
Grading Criteria for Integrated
CHEST & LUNG Focused Examination
Possible
Points
Earned
Points

Comes prepared with appropriate tools and exhibits professional
attire consistent with performing a physical exam
5 points
Greets client respectfully, identifies, client, washes hands prior to
exam, considers proper body mechanics and client safety and
privacy issues
5 points
Interviews client with appropriate questions relative to system being
examined
10 points
Explains procedure for examination to client in culturally competent
manner and respective of health literacy level
10 points
Performs exam using proper techniques of inspection, palpation,
percussion and auscultation as appropriate
Identifies appropriate landmarks based on system assessed
45 points
Communicates assessment findings to faculty
Orally via assessment video
Written via PowerPoint documentation
15 points
Identifies and performs priority client teaching throughout the
examination
10 points
TOTAL 100 points

Video Assessments: Please review Integrated Focused Assessment Guidelines!

NUR 3066C Health Assessment and Physical Appraisal
Student:
Physical Examination Performance Checklist
Interview Appropriate Questions
20 minutes max

Chapter 13: Chest And Lungs Assessed
Appropriately
by Student?

YES NO Comments
*Interview Questions, pg 339
I. Inspection and palpation of the chest (patient sitting with arms across
chest for lateral and posterior assessment; patient supine with arms slightly
away from chest for anterior assessment)

A. Shape, symmetry, AP diameter, and color of front and back
B. Respiratory rate, rhythm, and effort (pursed lips, retractions, stridor,
cyanosis, flaring of nostrils)

C. Thoracic shape and condition (tenderness, pulsations, bulges,
depressions)

D. Anatomic landmarks: p 337
trachea,
suprasternal notch,
angle of Louis,
costal angle,
C7, T1
Make sure
faculty can see
E. Inspect for Abnormalities: kyphosis, lordosis, scoliosis, pectus carinatum,
pectus excavatum, clubbing of the fingers, venous patterns on the chest,
crepitation

F. Chest wall characteristics (tenderness, masses, lesions)
G. Chest movements (costal or diaphragmatic breathing)
H. Palpate for Thoracic expansion, pg 349
I. Tactile fremitus 99, p 349
II. Percussion, auscultation, and measurement of the chest
A. Measurement of diaphragmatic excursion, pg 352
B. Intensity, pitch, duration, and quality of percussion tones
NUR 3066C Health Assessment and Physical Appraisal
Student:
Chapter 13: Chest And Lungs Assessed
Appropriately
by Student?

YES NO Comments
C. Auscultation of breath sounds: p 354
tracheal/bronchial,
bronchial- vesicular
vesicular
o Adventitious sounds (crackles, rhonchi, wheezes, friction rubs,
cough, pericardial rubs)

D. Respiratory rate at rest and 5 minutes after exercise NA
E. Vocal resonance: p 357
bronchophony
whispered pectoriloquy
egophony