Clinical assessment scores worksheet with answers

Practice exercise (made-up values, not clinical guidance). A patient’s blood pressure is 117/60 mmHg. Find the mean arterial pressure MAP = (SBP + 2·DBP)/3, to the nearest whole mmHg.

Practice exercise (made-up values, not clinical guidance). A practice patient after a head injury opens the eyes only to pressure (a painful stimulus), says inappropriate, random words and shows as the best motor response: withdraws the limb from pressure (normal flexion). Find the Glasgow Coma Scale total GCS = E + V + M.

Practice exercise (made-up values, not clinical guidance). A practice patient is assessed with the Braden scale: sensory perception: very limited; moisture: constantly moist; activity: walks frequently; mobility: completely immobile; nutrition: excellent; friction and shear: no apparent problem. Find the Braden total B.

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: yes; secondary diagnosis: yes; ambulatory aid: crutches, cane or walker; IV therapy or saline lock: yes; gait: impaired; mental status: knows own limits. Find the Morse total MFS.

Practice exercise (made-up values, not clinical guidance). At 5 minutes after birth, a practice newborn has a pink body with blue hands and feet, a heart rate of 160/min, no response to stimulation, some flexion of the arms and legs and no breathing. Score the APGAR and click how the score is interpreted.

1. 1reassuring
2. 2moderately abnormal
3. 3low

Practice exercise (made-up values, not clinical guidance). Use the NEWS2 chart (SpO₂ scale 1) for these observations: respiration rate 14/min, SpO₂ 93% on supplemental oxygen, blood pressure 96/58 mmHg, pulse 38/min, alert, temperature 36.8 °C. Which clinical risk group does the patient fall into? Click it.

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