Clinical assessment scores worksheet with answers

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: obeys commands. Find the Glasgow Coma Scale total GCS = E + V + M.

Practice exercise (made-up values, not clinical guidance). At 5 minutes after birth, a practice newborn has a pink body with blue hands and feet, a heart rate of 90/min, no response to stimulation, limp limbs with no muscle tone and slow, irregular breathing with a weak cry. What is the APGAR score?

Practice exercise (made-up values, not clinical guidance). A practice chart records GCS 5, 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 after a head injury opens the eyes spontaneously, talks in sentences but is confused 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). A practice patient is assessed with the Braden scale: sensory perception: no impairment; moisture: constantly moist; activity: bedfast; mobility: slightly limited; 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). At 5 minutes after birth, a practice newborn has blue or pale skin all over, no heartbeat, no response to stimulation, limp limbs with no muscle tone and no breathing. Score the APGAR and click how the score is interpreted.

1. 1reassuring
2. 2moderately abnormal
3. 3low