Clinical assessment scores worksheet with answers

Practice exercise (made-up values, not clinical guidance). A practice patient after a head injury opens the eyes only to pressure (a painful stimulus), makes only incomprehensible sounds such as moaning and shows as the best motor response: abnormal flexion of the arms (decorticate posture). Find the Glasgow Coma Scale total GCS = E + V + M.

Practice exercise (made-up values, not clinical guidance). An adult weighs 75 kg and is 175 cm tall. Find the body mass index BMI = weight (kg)/height (m)². Round to one decimal place.

Practice exercise (made-up values, not clinical guidance). A practice chart records GCS 5, with E2 and V2. What motor score M was recorded, and which response does it describe? Give the number.

Practice exercise (made-up values, not clinical guidance). A practice patient is assessed with the Morse fall scale: history of falling in the last 3 months: no; secondary diagnosis: no; ambulatory aid: holds on to furniture; IV therapy or saline lock: no; gait: impaired; mental status: knows own limits. Find the Morse total MFS.

Practice exercise (made-up values, not clinical guidance). A practice patient is assessed with the Braden scale: sensory perception: completely limited; moisture: very moist; activity: chairfast; mobility: completely immobile; nutrition: very poor; friction and shear: potential problem. Use the bands 19–23 not at risk, 15–18 mild, 13–14 moderate, 10–12 high and 9 or below very high. Click the risk level.

1. 1not at risk
2. 2mild risk
3. 3moderate risk
4. 4high risk
5. 5very high risk

Practice exercise (made-up values, not clinical guidance). Use the NEWS2 chart (SpO₂ scale 1) for these observations: respiration rate 24/min, SpO₂ 95% on room air, blood pressure 78/46 mmHg, pulse 58/min, alert, temperature 37.5 °C. Which clinical risk group does the patient fall into? Click it.

1. 1low
2. 2low–medium
3. 3medium
4. 4high