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The transcript then proceeds through a structured physical assessment by body region: head and face, eyes, ears, mouth, nose, neck, and continues into arms and fingernails, emphasizing specific observations for normal vs. abnormal findings.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/head-to-toe-assessment-transcript/572921/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/head-to-toe-assessment-transcript/572921.png","ImageObject",442,249,{"name":42,"@type":43},"Rizky","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-17","2026-10-13",true,{"@type":52,"interactionType":53,"userInteractionCount":26},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68],{"name":59,"@type":60,"acceptedAnswer":61},"What privacy and communication steps should be completed before starting the assessment?","Question",{"text":62,"@type":63},"Knock, open the door, and provide privacy by closing the door or curtain. Introduce yourself as a student nurse helping the assigned nurse and ask if it is alright to proceed.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"How should the nurse verify the patient’s identity?",{"text":67,"@type":63},"Use at least two patient identifiers, such as having the patient verbalize their name and birth date and checking the wrist band/name bracelet.",{"name":69,"@type":60,"acceptedAnswer":70},"What does the assessment include for the eyes?",{"text":71,"@type":63},"Check for contacts or glasses and assess vision, gently pull down eyelids to inspect conjunctiva (moist vs. dry), and use a penlight for pupil constriction and consensual constriction plus accommodation to support PERRLA findings.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},572921,1792238208,{"code":4,"msg":81,"data":82},"success",[83,88,93,98,103,108,112,117,122],{"id":84,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},11,"Presentations",90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":81,"data":127},{"doc_id":78,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":26,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":135,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":30},962085564807,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Your ULTIMATE Head To Toe Assessment Transcript Don't you feel like a huge weight just lifted off your shoulders? This cheat sheet will walk you through the nursing assessment step-by-step. \\#score  \nSo sit back and relax, my friend, because you don't need to stress about the nursing head-to-toe assessment anymore!  \nPrint this transcript out and take it with you to clinical, skill lab, or anywhere else you need to remember the head-to-toe assessment.  \nTake a deep breath, and remember: you've GOT this!  \nYOUR HEAD TO TOE ASSESSMENT TRANSCRIPT  \nTHE GENERAL SURVEY  \n**Knock on the door , open the door , and provide privacy (either close the door or close the curtain) **  \nHello , Mrs./ Mr.   , my name is   and I' m a student nurse. I' ll be helping out your nurse to take care of you today. Is that alright?  \nGreat. I' m just going to wash my hands over here and then I' ll just take a listen to your heart , lungs , and tummy and see how you' re doing today. (Wash your hands)  \n**While you' re washing your hands , ask: ** Can you hear me al right?  \nAm I talking too quietly? (This is your first test for hearing , and to make sure they can actually hear you)  \nI have just a few routine questions I need to ask before we get started. They' ll help me take the best care of you that I can.  \nCan you tell me what day of the week it is? ( Establishes that they are alert and oriented (A&O) to time)  \nGreat , can you tell me where you are? ( Establishes that they are alert and oriented (A&O) to place)  \nNursingSOS  \nYour ULTIMATE Head To Toe Assessment Transcript Wonderful. So what brought you here? ( Establishes that they are alert and oriented (A&O) to the situation)  \n**By now you will be finished washing your hands. Put on gloves. Walk over to their bed and take a look at their name bracelet. **  \nAnd can you tell me your name and date of birth please? I know you've already done this a million times already , but I will check every time I come in just to make sure I' m giving you what YOU need and not someone else's. ( Establishes that they are alert and oriented (A&O) to person)  \nCRITICAL POINT:  \nYou must use at least 2 patient identifiers to verify their identity: having them verbalize their name and birth date , as well as looking at their wrist band is the easiest.  \nAre you in any pain at all right now? If yes: Where does it hurt?  \nOn a scale from 1 to 10 , with 1 being hardly any pain and 10 being the worst pain you've ever felt , how would you rate it?  \nCan you describe the pain for me? Is it shooting , burning , aching , radiating , pins and needles?  \nDo you use anything to get around , like a walker , wheelchair , or cane?  \nAre you able to do things like cook , bathe , brush your hair , and brush your teeth? Ordo you usually have someone help you with that?  \nTHE PHYSICAL ASSESSMENT  \nAlright , thanks for answering all of my questions. I know it was a lot.  \nSo now I' m just going to look you over a bit , see how you' re doing , and listen to your heart , lungs , and tummy. I will keep you covered as much as I can , and please let me know if you have any new pain at all during this process.  \nHead:  \nI' ll start at your head up here.  \nNursingSOS  \nYour ULTIMATE Head To Toe Assessment Transcript **Feel their head for symmetry , shape , lumps , bumps , and bruises. Inspect their hair , and note the color , amount and distribution. Take a look at their face to look for  \nsymmetry and any missing facial features. **  \nEyes:  \nNow I' m going to take a peek into your eyes. Do you wear contacts or glasses? Is your vision clear?  \nI' m just going to pull down your eyelids a bit here.  \n**Gently pull down their eyelids and look at their conjunctiva. Note the color and if it is moist or dry. **  \nNow I' m going to make sure your pupils are doing what they should be doing. So I have a little light here and I' m going to shine it twice into each eye. (This checks for pupil constriction and consensual constriction)  \nNow , can you","cbCaijxbsfL3cmna","https://ap.wps.com/l/cbCaijxbsfL3cmna","pdf",72947,8,"English","# The General Survey\n## Introduction and Privacy\n## Routine Questions (A&O)\n## Patient Identification and Pain Screening\n# The Physical Assessment\n## Head and Face\n## Eyes\n## Ears\n## Mouth\n## Nose\n## Neck\n## Arms and Fingernails","[{\"question\":\"What privacy and communication steps should be completed before starting the assessment?\",\"answer\":\"Knock, open the door, and provide privacy by closing the door or curtain. Introduce yourself as a student nurse helping the assigned nurse and ask if it is alright to proceed.\"},{\"question\":\"How should the nurse verify the patient’s identity?\",\"answer\":\"Use at least two patient identifiers, such as having the patient verbalize their name and birth date and checking the wrist band/name bracelet.\"},{\"question\":\"What does the assessment include for the eyes?\",\"answer\":\"Check for contacts or glasses and assess vision, gently pull down eyelids to inspect conjunctiva (moist vs. dry), and use a penlight for pupil constriction and consensual constriction plus accommodation to support PERRLA findings.\"}]","Head-To-Toe Assessment Transcript | PDF",1791930097]