Glasgow Coma Scale
Verbal response is rated from _____ to _____? - CORRECT ANSWER-1-5
Verbal response is scored a 1, if? - CORRECT ANSWER-They are completely mute
even with a painful stimulus.
Verbal response is scored a 2, if? - CORRECT ANSWER-They only speak in sounds or
grunts.
Verbal response is scored a 3, if? - CORRECT ANSWER-They think they are speaking,
but it is not understandable.
Verbal response is scored a 4, if? - CORRECT ANSWER-They speak understandably,
but some words are slurred or sluggish and the patient may seem disorientated.
Verbal response is scored a 5, if? - CORRECT ANSWER-They are able to participate in
conversation and are orientated x3
What is the range for scoring? - CORRECT ANSWER-3-15
What is the purpose of the Glasgow Coma Scale (GCS)? - CORRECT ANSWER-It
allows for quick assessment that can be documented in the patient record or provided to
another healthcare provider to easily assess the patient's level of consciousness (LOC)
Coma is defined as a # less than? - CORRECT ANSWER-8. If the person is blind or
deaf that rating is N/A
What are the 3 components? - CORRECT ANSWER-Verbal response
Eyes opening
Motor response
Eyes opening is rated from ___ to ___? - CORRECT ANSWER-1 to 4
Eye Opening is scored a 4, if? - CORRECT ANSWER-If your patient is spontaneously
moving their eyes
Eye Opening is scored a 3, if? - CORRECT ANSWER-You have to say something to
get the pt to open their eyes
Eye Opening is scored a 2, if? - CORRECT ANSWER-You have to painfully stimulate to
get pt to open eyes
Verbal response is rated from _____ to _____? - CORRECT ANSWER-1-5
Verbal response is scored a 1, if? - CORRECT ANSWER-They are completely mute
even with a painful stimulus.
Verbal response is scored a 2, if? - CORRECT ANSWER-They only speak in sounds or
grunts.
Verbal response is scored a 3, if? - CORRECT ANSWER-They think they are speaking,
but it is not understandable.
Verbal response is scored a 4, if? - CORRECT ANSWER-They speak understandably,
but some words are slurred or sluggish and the patient may seem disorientated.
Verbal response is scored a 5, if? - CORRECT ANSWER-They are able to participate in
conversation and are orientated x3
What is the range for scoring? - CORRECT ANSWER-3-15
What is the purpose of the Glasgow Coma Scale (GCS)? - CORRECT ANSWER-It
allows for quick assessment that can be documented in the patient record or provided to
another healthcare provider to easily assess the patient's level of consciousness (LOC)
Coma is defined as a # less than? - CORRECT ANSWER-8. If the person is blind or
deaf that rating is N/A
What are the 3 components? - CORRECT ANSWER-Verbal response
Eyes opening
Motor response
Eyes opening is rated from ___ to ___? - CORRECT ANSWER-1 to 4
Eye Opening is scored a 4, if? - CORRECT ANSWER-If your patient is spontaneously
moving their eyes
Eye Opening is scored a 3, if? - CORRECT ANSWER-You have to say something to
get the pt to open their eyes
Eye Opening is scored a 2, if? - CORRECT ANSWER-You have to painfully stimulate to
get pt to open eyes
