Glasgow Coma Scale
Eye opening (4) : spontaneous 4, to speech 3, to pain 2, none 1. Verbal response (5) : oriented 5, confused 4, inappropriate words 3, incomprehensible sounds 2, none 1. Motor response (6) : obeys 6, localizes pain 5, withdraws 4, abnormal flexion 3, extension 2, none 1 Total 3 to 15. A score of 8 or less generally indicates the need for airway protection. Use this sheet in spaced repetition, pair it with a matching clinical scenario on NursEduc, and always compare values to the person's baseline before drawing conclusions. essential clinical assessment landmarks a nurse or licensed practical nurse in Quebec should keep in mind for clinical practice and for succeeding on the OIIQ or OIIAQ entry exam. Correct use of standardized scales (Glasgow, PQRST, Braden, etc.) is regularly tested on the OIIQ exam.