Clinical assessment scores worksheet with answers

Practice exercise (made-up values, not clinical guidance). A practice patient after a head injury opens the eyes only to pressure (a painful stimulus), talks in sentences but is confused 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 patient’s blood pressure is 167/83 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 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: normal, bed rest or wheelchair; mental status: overestimates or forgets limits. Find the Morse total MFS.

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: chairfast; mobility: completely immobile; nutrition: very poor; friction and shear: problem. Find the Braden total B.

Practice exercise (made-up values, not clinical guidance). A practice patient is assessed with the Braden scale: sensory perception: very limited; moisture: occasionally moist; activity: walks occasionally; mobility: completely immobile; nutrition: very poor; 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.

1. 1not at risk
2. 2mild risk
3. 3moderate risk
4. 4high risk
5. 5very high risk

Practice exercise (made-up values, not clinical guidance). An adult weighs 76 kg and is 178 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