Introduction: Nurses today are required to be able to apply the methods of approach to problem solving in providing nursing care to clients. Assessment is the most important stage of the nursing process, which at this stage nurse doing analysis of data obtained from the interviews/anamnesis , other health records and the results of a physical examination . The purpose of this study was to determine the quality of a physical examination by a nurse in inpatient adult medical-surgical department in Bandar Lampung Adventist Hospital. Result: The results of the implementation of a physical examination in a medical-surgical wards by nurses in Bandar Lampung Adventist Hospital overall was 47.29% with the low category. The aspect most often implemented is the aspect of the pre-procedure with a value of 68.2%, which is average. While aspects less to do is intra-procedure (43.3%) were categorized less. Methode: Descriptive by observation that use blank checklist containing 69 statements of the implementation of the physical examination was adopted from the physical examination procedures by Estes (2006 ). The population in this study were nurses in inpatient adult medical-surgical Bandar Lampung Adventist Hospital totaling 46 people selected by purposive sampling . Measurement is done by calculating the percentage. Discussion: Quality physical examination rendered by nurses in an adult medical-surgical wards in Bandar Lampung Adventist Hospital is in the low category with the interpretation that the nurses less doing right physical examination resulting in unidentified problems and lack of nursing care was not optimal.