Head-to-Toe Skills Exam – NURS-6512 Module 5: Assignment Genitourinary and Reproductive Systems and Ethical Considerations
Module 5: Genitourinary and Reproductive Systems and Ethical Considerations
Head-to-Toe Skills Exam
The Final Skills Check-off is your opportunity to demonstrate mastery of a comprehensive head-to-toe physical examination using advanced assessment techniques. This live, synchronous evaluation integrates all body systems and builds upon the skills you have practiced throughout the course. In this assessment, you will apply professional communication, organization, and clinical reasoning while maintaining ethical and professional standards during your assessment.
A minimum score of 80% is required for this assessment to pass the course.
Level 1: No AI Permitted
AI tools may
not
be used at any stage
Common for clinical documentation or performance‑based work
Resources
Be sure to review the Learning Resources before completing this assessment.
Required Resources
To prepare:
Review the demonstration videos in the Week 3, Week 5, and Week 8 Learning Resources as a guide for correct sequence, positioning, and verbalizations.
Review the Week 10 Rubric in the Learning Resources to understand grading criteria.
Ensure your patient volunteer (friend, family member, or co-worker) is available for the entire exam period.
Gather all necessary equipment and ensure a professional environment with clear lighting and camera angles.
The Assessment (Live Evaluation)
Conduct a comprehensive full-body physical examination within a 30-minute time limit. Demonstrate accurate techniques, professional communication, and correct sequencing of all body systems.
Recheck Policy
Rechecks are permitted only if all of the following conditions are met:
Score above 60% and below 80% on the first attempt.
No-show with communication at least 48 hours in advance (first attempt).
Completion of an approved remediation plan prior to recheck.
Rechecks must be completed before the end of the current quarter.
Rechecks will not be permitted if any of the following apply:
No-show for the first attempt
without approved medical documentation
.
No appointment scheduled for the first attempt.
Attended the first attempt
without knowledge of the assignment
or required preparation.
Attended
without proper equipment
.
No-show for the second attempt (with or without communication).
Scored below 80% on the second attempt.
Course failure or withdrawal.
Academic Integrity concern
identified during the exam.
You did not self-schedule and your first attempt was an instructor scheduled appointment.
All Academic Integrity issues will be referred to the
Academic Integrity Committee
for review.
Reminder:
No call/no-shows without medical documentation will result in a
zero
.
Important Notes
This is a high-stakes assessment; a minimum score of 80% is required to pass the course.
Students should arrive fully prepared and demonstrate professionalism throughout the live check-off.
Recheck dates are at the discretion of your instructor. You may need to adjust your schedule to accommodate the retest date.
Dates and times are limited and must be completed before the last day of the course.
Incompletes are not granted for rechecks on skills exams.
By Sunday of Week 10
Complete the Head-to-Toe Skills Exam.
Submission Information
Self-schedule your exam between Weeks 3 and 7. Check the Announcements area of the course for details. If you do not self-schedule by Week 7, your instructor will automatically assign a time for your exam.
Rubric
NURS_6512_Module5_Assignment_Rubric
NURS_6512_Module5_Assignment_Rubric
Criteria
Ratings
Pts
This criterion is linked to a Learning Outcome
HEAD AND FACE… Palpates lymph nodes of the head and neck: Preauricular (in front ears), postauricular (behind ears), occipital (back of head), tonsillar (edge of jaw), submandibular (under jaw), submental (chin), anterior cervical (front neck), posterior cervical (back neck), supraclavicular (above clavicle) (verbalize locations) No enlargements and they are equal bilaterally
4
pts
Excellent
Demonstrated thoroughly with correct technique
2
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
4
pts
This criterion is linked to a Learning Outcome
CN 5 (Trigeminal)… Motor – palpate over the masseter muscle as patient clenches jaw- CN 5 intact Sensory – light touch sensation to forehead, cheeks, chin, nose (patient closes eyes and identifies where they are being touched) -CN 5 intact
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
CN 7 (Facial)… Inspect for facial symmetry with smile, frown, raise eyebrows, puff cheeks, pucker lips CN 7 intact
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
EAR… Inspect auditory canal and TM (using otoscope) To both ears (Pull up and back). External auditory canal is clear. No swelling, redness, drainage, or cerumen. Tympanic membrane is pearly gray and there is no effusion.
4
pts
Excellent
Demonstrated thoroughly with correct technique
2
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
4
pts
This criterion is linked to a Learning Outcome
CN 8 (Acoustic) (Hearing)… Whisper Test (whisper 3 words out of patient’s sight, and patient repeats words back) Test one ear at a time. Hearing is intact bilaterally.
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
EYE… CN 2 (Optic) Assess peripheral/central vision Peripheral vision- stand at same eye level and bring hands from beside patient until they see them. Let me know when you see my hands. Do directly beside, above, and below. Peripheral vision is normal.
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
CN 2 (Optic)… Check pupillary response to light [PERRL] Using ophthalmoscope with light have patient stare at my nose and come from side with light source. Pupils are about 2- 3mm and they respond to light.
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
CN 3 (Oculomotor), 4 (Trochlear), 6 (Abducens) Extraoccular Movement Test for conjugate gaze with EOM. Using an H pattern have patient follow with only eyes. All EOM’s are intact equally.
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
Assess blood vessels in the eye – Fundoscope exam (using ophthalmoscope) To both eyes. Disc margins are round and sharp No AV nicking No exudate or hemorrhages
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
NOSE… Assess nasal turbinates and septum (using light source) Lift tip of nose All turbinates are pink and moist. Septum is midline. Angling anteriorly, I see the septum is straight with no deviation.
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
Palpates frontal and maxillary sinuses No tenderness noted. Head-to-Toe Skills Exam – NURS-6512 Module 5: Assignment Genitourinary and Reproductive Systems and Ethical Considerations
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
THROAT AND MOUTH… Inspect lips, teeth, gums, buccal mucosa, palate, tongue, the floor of the mouth (under the tongue), posterior pharynx, and tonsils (grade tonsils, if present) Lips-pink and moist. Open mouth. Teeth-no signs of decay or cracks. Gums- no redness or swelling and moist and pink. Buccal Mucosa-moist and pink bilaterally Upper Soft and Hard Palates-pink and moist Tongue-smooth and pink Lift tongue Floor of mouth is pink with no nodules or drainage and is moist. Posterior pharynx- no drainage and is moist and pink. Grade Tonsils if present
4
pts
Excellent
Demonstrated thoroughly with correct technique
2
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
4
pts
This criterion is linked to a Learning Outcome
CN 9 (glossopharyngeal) and 10 (Vagus)… Say “Ahh” and soft palate and uvula rise symmetrically with phonation (CN 10) * Gag reflex not tested for this exam (CN 9). Must only state name and number Uvula rises symmetrically with phonation, so CN 10 is intact.
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
CN 12 (Hypoglossal) Stick out tongue and move it left to right. Intact
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
NECK… Palpates trachea – midline It is midline.
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
Palpates thyroid gland Find cricoid process and suprasternal notch. Place hand on side of neck and ask pt to swallow while retracting a bit. I’m feeling for nodules and size. I feel no nodules.
4
pts
Excellent
Demonstrated thoroughly with correct technique
2
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
4
pts
This criterion is linked to a Learning Outcome
Auscultate over the carotid arteries for bruits using the bell of stethoscope Have pt hold breath. No bruits noted
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
CN 11 (Spinal Accessory)… Shrug shoulders against resistance Equal and intact
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
HEART… Auscultate in all 5 areas with the diaphragm and bell with the patient sitting (if stethoscope does not have a bell, then verbalize you would also auscultate with the bell) Verbalize Areas: Aortic (2nd intercostal space on R sternal border) Pulmonic (2nd intercostal space on L sternal border) Erb’s Point (3rd intercostal space on L sternal border) Tricuspid (4th intercostal space on L sternal border) Mitral (5th intercostal space in midclavicular line)
4
pts
Excellent
Demonstrated thoroughly with correct technique
2
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
4
pts
This criterion is linked to a Learning Outcome
ANTERIOR CHEST… Auscultate lung sounds in anterior lung fields Beginning in intercostal spaces. Breath sounds are clear throughout
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
POSTERIOR CHEST (BACK)… Auscultate posterior lung fields: Start above scapula alternating side-to-side in intercostal spaces. Go down into bases of lungs. Assess lateral lung fields (get right middle lobe) 6 areas All clear bilaterally
4
pts
Excellent
Demonstrated thoroughly with correct technique
2
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
4
pts
This criterion is linked to a Learning Outcome
UPPER EXTREMITIES… *All ROM & DTR examination only needs to be performed unilaterally for purposes of the evaluation. Strength testing should be performed bilaterally…. Assess hand grips (bilateral) – 5/5 strength Squeeze tight. Strength 5/5 bilaterally.
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
Assess passive unilateral ROM of the elbows (flexion (Bend), extension (straight))
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
Assess strength of biceps, triceps (bilateral) – flex/extend elbow against resistance – 5/5 strength Flex up elbows and pull and then push. Strength is 5/5.
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
Assess passive unilateral ROM of the shoulders (flexion, extension, internal rotation, external rotation, abduction, adduction) Flexion-Arm straight up, 4 2 0 Extension-Arm bend and back like upper cut Internal rotation- arm bent and hand across chest. External Rotation-Arm bent and out to side Abduction-straight arm out to side Adduction- moving the arm towards the center line of your body
4
pts
Excellent
Demonstrated thoroughly with correct technique
2
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
4
pts
This criterion is linked to a Learning Outcome
Assess cerebellar coordination with rapid alternating movement: Serial finger opposition (thumb to fingers), hand flip-flop (hands on knees and alternate getting faster) Those are both normal and well coordinated.
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
Assess unilateral DTRs. Biceps, patellar, Achilles Biceps-Support pt arm on arm and place my thumb on medial aspect of antecubital fossa. Then I’ll strike my thumb with the pointy end of the hammer. Contracted well. Patellar-Will use the flat end. Good contraction. Achilles-pt relax foot while I dorsiflex foot and tap with flat end. Pt has pronation.
4
pts
Excellent
Demonstrated thoroughly with correct technique
2
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
4
pts
This criterion is linked to a Learning Outcome
ABDOMEN Auscultate for bowel sounds in all 4 quadrants. Present in all 4 quadrants.
4
pts
Excellent
Demonstrated thoroughly with correct technique
2
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
4
pts
This criterion is linked to a Learning Outcome
Auscultate for bruits (verbalize) – aorta, renal arteries, iliac arteries. Must use the bell of stethoscope (if no bell on stethoscope, then state bell would normally be used) Aortic- midline right below xyphoid process. L Renal-Above and lateral to the L of umbilicus. R Renal-Above and lateral to the R of umbilicus. L Iliac-below and L of the umbilicus. R Iliac-below and R of the umbilicus. No bruits noted.
4
pts
Excellent
Demonstrated thoroughly with correct technique
2
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
4
pts
This criterion is linked to a Learning Outcome
Percuss in all 4 quadrants for tympany, dullness, flatness. Normal
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
Palpate in all 4 quadrants for tenderness and masses. No masses or tenderness
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
Palpate liver and spleen (verbalize). Liver-Place L hand underneath pt. Look at midclavicular line on R side. I’m placing palm upward right at edge of costovertebral angle. When pt takes a deep breath, I’ll push down and up and may feel the lower edge of the liver. Spleen-Have pt come toward me laterally with knees bent. Place L hand underneath. Again at costovertebral angle I’ll push down and up as the pt takes a deep breath. I don’t feel the spleen, which is normal.
4
pts
Excellent
Demonstrated thoroughly with correct technique
2
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
4
pts
This criterion is linked to a Learning Outcome
LOWER EXTREMITIES… Assess passive unilateral ROM of hips (flexion, abduction, adduction, internal rotation, external rotation) *extension not tested for this exam Flexion-bend knee up Abduction- straight leg away Adduction- straight leg across Internal Rotation-bent knee in and foot out External Rotation-bent knee out and foot in
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
Assess passive unilateral ROM of the knees (flexion (bend), extension (straight))
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
Assess strength at the knees (bilateral) – flex/extend against resistance – 5/5 strength. Bend knees up and place feet on table. Push up and pull in against resistance. Strength 5/5 and equal bilaterally.
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
Assess passive unilateral ROM of the ankles (dorsiflexion (toes towards body), plantar flexion (toes toward ground), rotation (roll))
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
Assess strength at ankles (bilateral) – dorsi/plantar flex against resistance – 5/5 strength. Push feet down/Plantar flex against my hands and pull feet up/dorsiflex. Strength 5/5 and equal bilaterally.
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
Assess active ROM of the spine (flexion (touch toes), extension (bend back), lateral flexion (lean to sides), and rotation(twist to sides)). Good active ROM
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
This criterion is linked to a Learning Outcome
Assess Romberg. I’m going to have you close your eyes. We’ll do this for 20 seconds and look for swaying. You can open your eyes. None seen which equals Negative Romberg. Head-to-Toe Skills Exam – NURS-6512 Module 5: Assignment Genitourinary and Reproductive Systems and Ethical Considerations
2
pts
Excellent
Demonstrated thoroughly with correct technique
1
pts
Fair
Demonstrated Partially with mostly correct technique
0
pts
Poor
Did not demonstrate or demonstrated with incorrect technique
2
pts
