Clinical assessment scores worksheet with answers

Practice exercise (made-up values, not clinical guidance). A practice patient after a head injury opens the eyes when spoken to, talks in sentences but is confused and shows as the best motor response: moves a hand to the site of pressure (localises). Find the Glasgow Coma Scale total GCS = E + V + M.

Practice exercise (made-up values, not clinical guidance). An adult weighs 73 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). A practice chart records GCS 4, with E2 and V1. 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 Braden scale: sensory perception: no impairment; moisture: occasionally moist; activity: walks occasionally; mobility: very limited; nutrition: very poor; 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: no; ambulatory aid: holds on to furniture; IV therapy or saline lock: no; gait: normal, bed rest or wheelchair; mental status: overestimates or forgets 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

Practice exercise (made-up values, not clinical guidance). An adult weighs 77 kg and is 168 cm tall. Calculate the BMI and click the WHO weight category.

1. 1underweight
2. 2healthy weight
3. 3overweight
4. 4obesity class I
5. 5obesity class II
6. 6obesity class III