What is the first step in the ROM assessment sequence?

• A. Return the extremity to resting position
• B. Explain ROM test to patient and obtain consent
• C. Document the ROM
• D. Position the patient and expose the extremity/drape

Answer: (B)

Explain the ROM test to the patient and obtain consent is the first step because informed consent and patient understanding are essential before any physical examination. Explaining what you will assess and how helps the patient cooperate, report pain or limitations, and ensures safety as you move the joint. After consent is given, you can position and drape the extremity to optimize access and comfort, then perform the ROM assessment and finally document the results. The other steps come after the initial explanation and consent.