Clinical assessment scores worksheet with answers

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 155/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 patient’s blood pressure is 148/70 mmHg. Find the pulse pressure PP.

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

Practice exercise (made-up values, not clinical guidance). A practice patient after a head injury opens the eyes spontaneously, is oriented to person, place and time and shows as the best motor response: moves a hand to the site of pressure (localises). 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). An adult weighs 141 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

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: yes; gait: impaired; 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