Clinical assessment scores worksheet with answers

Practice exercise (made-up values, not clinical guidance). A patient’s blood pressure is 188/106 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 patient’s blood pressure is 154/110 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 when spoken to, makes only incomprehensible sounds such as moaning and shows as the best motor response: extension of the arms and legs (abnormal extension). 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). A practice patient is assessed with the Braden scale: sensory perception: completely limited; moisture: occasionally moist; activity: walks frequently; mobility: no limitation; nutrition: probably inadequate; friction and shear: potential 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: 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. 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). 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: 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