Practice exercise (made-up values, not clinical guidance). A practice patient after a head injury opens the eyes when spoken to, is oriented to person, place and time and shows as the best motor response: obeys commands. Find the Glasgow Coma Scale total GCS = E + V + M.
Clinical assessment scores worksheet with answers
Practice exercise (made-up values, not clinical guidance). An adult weighs 41 kg and is 160 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 patient is assessed with the Morse fall scale: history of falling in the last 3 months: yes; secondary diagnosis: no; ambulatory aid: none, bed rest or nurse assists; IV therapy or saline lock: yes; gait: impaired; mental status: overestimates or forgets limits. Find the Morse total MFS.
Practice exercise (made-up values, not clinical guidance). Use the NEWS2 chart (SpO₂ scale 1) for these observations: respiration rate 8/min, SpO₂ 99% on supplemental oxygen, blood pressure 150/90 mmHg, pulse 48/min, alert, temperature 39.2 °C. What is the NEWS2 total score?
Practice exercise (made-up values, not clinical guidance). A practice patient is assessed with the Braden scale: sensory perception: slightly limited; moisture: rarely moist; activity: walks frequently; mobility: slightly limited; nutrition: adequate; 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.
- 1not at risk
- 2mild risk
- 3moderate risk
- 4high risk
- 5very high risk
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: bedfast; mobility: completely immobile; nutrition: adequate; friction and shear: 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.
- 1not at risk
- 2mild risk
- 3moderate risk
- 4high risk
- 5very high risk
Answer key
- 1. GCS = 14
- 2. BMI = 16 kg/m²
- 3. MFS = 80
- 4. NEWS2 = 8
- 5. not at risk
- 6. very high risk
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