SUFFOLK COUNTY COMMUNITY COLLEGE

School of Nursing

NUR123 Performance Evaluation Rubric

ABDOMEN
Student:___________________

Evaluator: _____________________

Date:_______________

Briefly review health history and learning needs with partner.

Examination of the Abdomen
1. Inspects the abdomen for:
a. contour
b. movement
c. lesions/ scars
d. skin
e. condition of umbilicus
2. Auscultates for: (performed prior to palpation/percussion)
a. bowels sounds all quadrants
b. bruits/venous hum (periumbilcial area & RUQ)
3. Percuss to identify:
a. organ locations
b. masses
c. measures liver borders
d. renal tenderness (percusses costovertebral angles)

Done
Correctly

Done
Incorrectly

Not
Done

Students perform the physical Assessment

and accurately describe findings verbally
Prep. The pt.: With the room warmed, and the pts
bladder emptied, help the pt. into a supine
position, exposing entire abdomen and draping the
genitalia.
Student will verbally tell instructor what they are
inspecting for and describe findings.

Begin in the RLQ at the ileocecal valve area

Use the diaphragm because of high pitched bowel
sound
Bruits/venous hum: Listen with the bell

Splenic Dullness: not wider than 7cm

Normal liver span: 6 to 12 cm
CVA tenderness: use indirect fist percussion

SUB-TOTAL

MPAK/rev.July 2012

SUFFOLK COUNTY COMMUNITY COLLEGE

School of Nursing

NUR123 Performance Evaluation Rubric

ABDOMEN
Examination of the Abdomen

Done
Correctly

Done
Incorrectly

Not
Done

4. Palpates: (from nontender to known tender)

Students perform the physical Assessment

and accurately describe findings verbally
Before palpating the abdomen, promote muscle
relaxation by bending the pts knees.

Light Palpation: 1 cm
a. tenderness
b. muscle resistance or rigidity
c. masses
Deep Palpation: 5 to 8 cm
a. masses
b. organs
Bimanual Palpation:
a. liver
b. spleen

SUB-TOTAL
TOTAL

NUR123 Performance Evaluation Rubric

MPAK/rev.July 2012

SUFFOLK COUNTY COMMUNITY COLLEGE

School of Nursing

THORAX & LUNGS

Student:___________________

Evaluator: _____________________

Date:_______________

Briefly review health history and learning needs with partner.

Examination of Thorax & Lungs

Done
Correctly

1. Inspects the Thorax for:

a. facial expression, position, LOC
b. skin
c. musculature
d. symmetry
e. movement
f. configuration of thorax & spine :(AP to Lateral
diameter 1:2)
g. respiratory rate and pattern
2. Palpates for :
a. trachea
b. thorax
1. crepitus
2. tenderness & masses
3. degree of symmetry of chest expansion
4. tactile fremitus

Done
Incorrectly

Not
Done

Students perform the physical Assessment

and accurately describe findings verbally
Student will verbally tell you what they are
inspecting for.

Before palpation student will describe where

apices and bases are located both anteriorly,
posteriorly, and laterally

Tactile Fremitus diminishes = as descend to bases

SUB-TOTAL
NUR123 Performance Evaluation Rubric

MPAK/rev.July 2012

SUFFOLK COUNTY COMMUNITY COLLEGE

School of Nursing

THORAX & LUNGS

Examination of Thorax & Lungs
3. Percusses:
a. downward from the apices comparing degree of
resonance bilaterally: Perform only posterior for test
b. measures diaphragmatic excursion: Perform only one
side for test
4. Auscultates:
a. posterior and lateral surfaces of thorax
b. differentiate breath sounds (name and describe 3 types
of sounds bronchial, bronchovesicular and vesicular) and
location of each
c. differentiates adventitious sounds
d. perform (1) egophony, bronchophony, or whispered
pectoriloquy

Done
Correctly

Done
Incorrectly

Not
Done

Students perform the physical Assessment

and accurately describe findings verbally
Student will locate the following by palpation in
order of location: 1. Suprasternal notch 2. Angle
of Louis (Manubriosternal Angle or Sternal angle)
3. 2nd Rib 4. 2nd ICS 5. C7
6. Scapular Line
7. T10
Student should tell instructor both sides are same
size.
Will verbally locate and describe the (3) types of
breath sounds. Tell you would listen for
adventitious sounds and tell you what they are:
crackles, wheezes
If hear bronchial or bronchovesicular in periphery
can perform egophany, bronchophony, whispered
pectoriloqy

SUB-TOTAL
TOTAL

MPAK/rev.July 2012

SUFFOLK COUNTY COMMUNITY COLLEGE

School of Nursing

NUR123 Performance Evaluation Rubric

CARDIOVASCULAR SYSTEM
Student:___________________

Evaluator: _____________________

Date:_______________

Briefly review health history and learning needs with partner.

Examination of Cardiovascular & Peripheral System

Done
Correctly

Done
Incorrectly

Not
Done

Students perform the physical Assessment

and accurately describe findings verbally

1. Inspects:
a. anterior chest wall for abnormalities
b. skin color, lesions, masses
2. Palpates for
a. Apical impulse (PMI)
b. thrills
c. heaves
d. tenderness & masses

Student will verbally tell instructor what they are

inspecting over the precordium.

3. Auscultates: each of the 5 areas using the bell & diaphragm as

Student will tell instructor that they would

auscultate with bell and diaphragm both sitting
and lying in all (5) auscultatory areas.

appropriate

a. sitting
I. aortic
II. pulmonic
III. Erbs Point
IV. tricuspid
V. mitral
VI. carotid

Student will locate the PMI by palpation in order

of location: 1. Suprasternal notch 2. Angle of
Louis (Manubriosternal Angle or Sternal angle)
3. 2nd ICS 4. Left 5th ICS and MCL

SUB-TOTAL

MPAK/rev.July 2012

SUFFOLK COUNTY COMMUNITY COLLEGE

School of Nursing

NUR123 Performance Evaluation Rubric

CARDIOVASCULAR SYSTEM
Examination of Cardiovascular & Peripheral System

Done
Correctly

Done
Incorrectly

Not
Done

Students perform the physical Assessment

and accurately describe findings verbally

or
b. supine
I. aortic
II. pulmonic
III. Erbs Point
IV. tricuspid
V. mitral
VI. carotid
c. identifies S1 & S2 in each of the precordial areas
d. assesses rate and rhythm

Students will verbally tell instructor that they will

listen for S1 and S2#and#explain#that#S1#occurs#
with#closure#of#the#AV#valves,#namely#mitral#
and#tricuspid#valves#and#S2#occurs#with#closure#
of#the#semi<lunar#valves#(#aortic#and#
pulmonary#valves).#
#
Also#articulate#normal#findings#:
S2 louder at the base
S1 louder at the apex

e. identifies extra sounds

f. identifies murmurs

Student will verbally tell instructor they would

listen for: rate, rhythm, extra heart sounds and
murmurs.

SUB-TOTAL

MPAK/rev.July 2012

Student will pick (1) site (their choice) and with

dual head teaching stethoscope will tap out louder
sound in area they chose

SUFFOLK COUNTY COMMUNITY COLLEGE

School of Nursing

NUR123 Performance Evaluation Rubric

PERIPHERAL VASCULAR & LYMPHATIC SYSTEM
Examination of Peripheral Vascular System
1. Inspects arms & legs:
a. fingernails and toenails
b. skin color
c. hair distribution
d. venous patterns
e. presence of edema or atrophy
2. Palpates for:
a. capillary refill
b. skin temperature of arms and legs
c. tenderness and masses
d. bilateral comparison of each pulse site
1. temporal
2. carotid
3. brachial
4. EPITROCHLEAR Lymph Node
5. radial
6. femoral (verbalize)
7. popliteal
8. posterior tibial
9. dorsalis pedis

Done
correctly

Done
incorrectly

Not
Done

Students perform the physical Assessment

and accurately describe findings verbally
Student will verbally tell instructor what they are
inspecting for on the upper and lower extremities.

Student will locate the pre-tibial edema or pitting

edema.
Student will perform these assessments
Student will name and locate all pulses
Student wil palpate and auscultate for carotid
bruits (3) locations by lightly applying the bell of
the stethoscope just show you locations.
Student wll palpate epitrochlear lymph node.

SUB-TOTAL
TOTAL

MPAK/rev.July 2012

SUFFOLK COUNTY COMMUNITY COLLEGE

School of Nursing

NUR123 Performance Evaluation Rubric

NEUROLOGICAL SYSTEM
Student:___________________

Evaluator: _____________________

Date:_______________

Briefly review health history and learning needs with partner.

Examination of Neurological System

Done
correctly

Done
incorrectly

Not
Done

Students perform the physical Assessment

and accurately describe findings verbally

1. Inspection and Palpation of Cranial Nerves

I (verbalize)
II (review snellen chart results)
III, IV, VI (EOM and PERRLA)
V & VII
VIII (verbalize results)
IX, X
XI
XII
2. Motor Examination
A .Muscle
1. size and strength
2. Involuntary movements
B. Cerebellar function
1. Gait
2. Rhomberg
3. Rapid Alternative Movements
4. Finger-nose test
5. Finger - finger
6. Heel- shin

SUB-TOTAL

MPAK/rev.July 2012

SUFFOLK COUNTY COMMUNITY COLLEGE

School of Nursing

NUR123 Performance Evaluation Rubric

NEUROLOGICAL SYSTEM
Examination of Neurological System

Done
correctly

Done
incorrectly

Not
Done

Students perform the physical Assessment

and accurately describe findings verbally

3. Sensory Examination
A. Spinothalamic tract
1. Pain
2. Temperature
3. Light touch
B. Posterior Column tract
1. Vibration
2. Position (kinesthesia)
3. Tactile discrimination
Stereognosis
Graphesthesia
4. Two point discrimination
4. Reflexes (choose 1)

SUB-TOTAL
TOTAL

MPAK/rev.July 2012