ATI physical assessment
1. Level of orientation
Is he is alert and responding appropriately as you greet him? If so, then assess his orientation. Can he
tell you his name? If so, he is oriented to person. Does he know where he is? If he does, then he is
oriented to place. Does he know what time or what day it is? If so, he is oriented to time. If he can
answer all of these questions appropriately, he is "oriented times three."
2. Level of responsiveness
If your patient is not alert but appears to be sleeping or even comatose, does he respond to your voice?
If he does not, see if he will respond to touch by pressing or rubbing his arm or shoulder. Some patients
who do not respond to gentle touch will respond to pain. Test for a pain response by pressing a pen
across a nail bed or rubbing a knuckle over the bony part of the patient's sternum. Be sure to practice on
yourself so that you are aware of the level of pain these actions inflict. Note whether or not the patient
responds to voice, touch, or pain.
3. BMI
Multiply patient's weight in pounds by 703 then divide by the patient's height in inches square
4. What BMI is considered overweight?
generally 25
, 5. What BMI is considered obese?
30
6. What BMI is considered underweight?
18.5
7. What do you normally inspect the skin for?
color variation, hair distribution, lesions, nails (clubbing), location
8. What do you inspect and palpate for hair?
Inspect and palpate the hair for quantity, distribution, texture, color, and parasites.
9. What do you inspect and palpate for skin and head to toe?
Temperature, texture, and moisture.
10. How do you palpate temperature?
Use back of hand
11. How do you palpate for skin turgor?
1. Level of orientation
Is he is alert and responding appropriately as you greet him? If so, then assess his orientation. Can he
tell you his name? If so, he is oriented to person. Does he know where he is? If he does, then he is
oriented to place. Does he know what time or what day it is? If so, he is oriented to time. If he can
answer all of these questions appropriately, he is "oriented times three."
2. Level of responsiveness
If your patient is not alert but appears to be sleeping or even comatose, does he respond to your voice?
If he does not, see if he will respond to touch by pressing or rubbing his arm or shoulder. Some patients
who do not respond to gentle touch will respond to pain. Test for a pain response by pressing a pen
across a nail bed or rubbing a knuckle over the bony part of the patient's sternum. Be sure to practice on
yourself so that you are aware of the level of pain these actions inflict. Note whether or not the patient
responds to voice, touch, or pain.
3. BMI
Multiply patient's weight in pounds by 703 then divide by the patient's height in inches square
4. What BMI is considered overweight?
generally 25
, 5. What BMI is considered obese?
30
6. What BMI is considered underweight?
18.5
7. What do you normally inspect the skin for?
color variation, hair distribution, lesions, nails (clubbing), location
8. What do you inspect and palpate for hair?
Inspect and palpate the hair for quantity, distribution, texture, color, and parasites.
9. What do you inspect and palpate for skin and head to toe?
Temperature, texture, and moisture.
10. How do you palpate temperature?
Use back of hand
11. How do you palpate for skin turgor?
