Difficulty: Medium
Average Score: 80%
Simulated
A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli, the client does not open their eyes, displays decerebrate posturing, and makes incomprehensible sounds. The nurse should assign the client which of the following Glasgow Coma Scale scores?
Correct answer
D
Rationale
Glasgow Coma Scale: No eye opening (1), decerebrate posturing (abnormal extension, 2), incomprehensible sounds (2) = 1+2+2 = 5, reflecting severe neurological impairment.