Medical-Surgical II (MSII) Neuro 1 Practice Test

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A client has a Glasgow Coma Scale with eye opening 3, verbal 5, motor 5. Which conclusion is most appropriate based on eye opening score?

Eyes open to speech Eyes open spontaneously Eyes open to pain No eye opening

Correct Answer:

Eyes open to speech

Explanation:

Eye opening score of 3 on the Glasgow Coma Scale means the patient opens eyes in response to verbal stimuli. The scale assigns: 4 for spontaneous eye opening, 3 for eye opening to speech, 2 for eye opening to pain, and 1 for no eye opening. Therefore, the most appropriate conclusion is that the patient opens eyes to speech. This indicates some arousal and responsiveness to verbal input, which fits with a total GCS of E3 V5 M5 (total 13), suggesting moderate impairment rather than no consciousness.

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