FAR

EASTERN UNIVERSITY
Institute of Nursing

PERFORMANCE EVALUATION TOOL

HEALTH ASSESSMENT OF CHEST, BREAST, HEART, & ABDOMEN

Name : __________________________________________ Score: ___________________

Sec/Grp: ___________________________ Date: ___________________

DIRECTION: Rate the Learner based on the competencies listed below.

RATING DESCRIPTION
3 Performs expected competencies in a very consistent manner.
2 Performs expected competencies in a moderately consistent manner.
1 Performs expected competencies in a rarely consistent manner.
0 Does not perform expected competencies.

ASSESSMENT PROCEDURES RATING REMARKS

PREPARATION
1. Introduce yourself and verify the client’s identity. Explain to
the client what you are going to do, why it is necessary, and 0 1 2 3
how the client can cooperate.
2. Perform hand hygiene and observe other appropriate
0 1 2 3
infection control procedures.
3. Assemble equipment 0 1 2 3
4. Provide for client privacy. 0 1 2 3
ABDOMEN
5. Observe the coloration of the skin. 0 1 2 3
6. Note the vascularity of the abdominal skin. 0 1 2 3
7. Inspect for scars. 0 1 2 3
8. Assess for lesions and rashes. 0 1 2 3
9. Inspect the umbilicus. 0 1 2 3
10. Inspect abdominal contour and symmetry 0 1 2 3
11. Inspect abdominal movement when the client breathes 0 1 2 3
12. Observe aortic pulsations. 0 1 2 3
13. Observe for peristaltic waves. 0 1 2 3
14. Auscultate for bowel sounds. 0 1 2 3
15. Auscultate for vascular sounds. 0 1 2 3
16. Auscultate for a friction rub over the liver and spleen. 0 1 2 3
17. Percuss for tone. 0 1 2 3
18. Percuss the span or height of the liver by determining its
0 1 2 3
lower and upper borders.
19. Perform blunt percussion on the liver and the kidneys. 0 1 2 3
20. Perform light palpation. 0 1 2 3
21. Deeply palpate all quadrants to delineate abdominal organs
0 1 2 3
and detect subtle masses.
22. Palpate the liver. 0 1 2 3

1
23. Palpate the urinary bladder. 0 1 2 3
24. Assess for rebound tenderness. 0 1 2 3
25. Document findings 0 1 2 3
TOTAL

_________________________________ ____________________________________
Signature of Student Name & Signature of Faculty