Clinical assessment scores worksheet with answers

Practice exercise (made-up values, not clinical guidance). An adult weighs 58 kg and is 166 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). At 5 minutes after birth, a practice newborn has pink skin all over, a heart rate of 130/min, a cry, cough or sneeze when stimulated, active movement and good breathing with a strong cry. What is the APGAR score?

Practice exercise (made-up values, not clinical guidance). A practice patient after a head injury does not open the eyes at all, makes no sounds and shows as the best motor response: abnormal flexion of the arms (decorticate posture). Work out the GCS and classify the head injury by it. Click your answer.

1. 1mild
2. 2moderate
3. 3severe

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). Work out the GCS and classify the head injury by it. Click your answer.

1. 1mild
2. 2moderate
3. 3severe

Practice exercise (made-up values, not clinical guidance). The team aims for a mean arterial pressure of at least 65 mmHg. A patient’s systolic pressure is 111 mmHg. Using MAP = (SBP + 2·DBP)/3, what is the lowest diastolic pressure DBP that still gives a MAP of 65 mmHg?

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: none, bed rest or nurse assists; IV therapy or saline lock: no; gait: weak; mental status: knows own limits. Using the cut-offs 0–24 low, 25–44 moderate and 45 or more high, click the fall-risk level.

1. 1low risk
2. 2moderate risk
3. 3high risk