NSE 203 FINAL REVIEW | 150 QUESTIONS AND ANSWERS |
2026 UPDATE | RATED 100% CORRECT.
clinical deterioration not promptly recognized can Answer - increase pt
morbidity & mortality
barrier to recognizing & responding to clinical deterioration stems from ...
Answer - practice variations among HCP
consequences of not recognizing patient deterioration Answer - increased
mortality, resuscitation, implementation of higher lvl of care & prolonged
hospital admission
What is part of an ABCDE assessment? Answer - 1) airway
2) breathing
3) circulation
4) disability
5) environment & exposure
priority things to look for in pt airway? Answer - - any blocked or threatened
airways
- pt LOC
- abnormal respiratory assessment findings (ex; stridor)
,if you suspect neurological trauma when assessing airway you ... Answer - start
w/ triple airway maneuver!!
Triple airway manoeuvre Answer - chin lift, jaw thrust, patient oxygen
what does vital sign instability & visible patient deterioration tend to occur?
Answer - in most pts from 6-24 hrs before cardiac arrest
clinical deterioration Answer - patient compromising *hemodynamic stability,
marked by physiological decompensation* accompanied by subjective or
objective findings.
dynamic state Answer - variations in physiological parameters
decompensation Answer - inability to maintain homeostatic fxn physiologically
or psychologically
what are indicators of clinical deterioration Answer - - sudden and/or unstable
changes in vital signs (RR, BP, HR, O2)
- for expert nurses, their intuition helps them determine if a patient looks right
- skin color changes
- decreased LOC
assessments to recognize deterioration Answer - ABCDE
NEWS2
FAST
, signs during primary survey that are *significantly associated w/ death* ...
Answer - - partial airway obstruction
- poor peripheral circulation
- greater than expected drain fluid loss
- decreased UO
- decreased GCS
- abnormal RR
- new pain
- low O2sat & low BP
- alteration in mentation
NEWS2 aka Answer - national early warning score
purpose of NEWS2 Answer - - improve detection of & response to clinical
deterioration in patients w/ acute illness
- provide *standardized approach* to care of deteriorating patient
- clear communication
- identify a *score* for urgent clinical response
what does the NEWS2 score mean? Answer - *a high NEWS2 score* identifies
a sick patient who is deteriorating & requires *urgent clinical review*
what does NEWS2 score evaluate? Answer - - RR
- O2 Sat
- systolic BP
- HR
- LOC or new confusion
2026 UPDATE | RATED 100% CORRECT.
clinical deterioration not promptly recognized can Answer - increase pt
morbidity & mortality
barrier to recognizing & responding to clinical deterioration stems from ...
Answer - practice variations among HCP
consequences of not recognizing patient deterioration Answer - increased
mortality, resuscitation, implementation of higher lvl of care & prolonged
hospital admission
What is part of an ABCDE assessment? Answer - 1) airway
2) breathing
3) circulation
4) disability
5) environment & exposure
priority things to look for in pt airway? Answer - - any blocked or threatened
airways
- pt LOC
- abnormal respiratory assessment findings (ex; stridor)
,if you suspect neurological trauma when assessing airway you ... Answer - start
w/ triple airway maneuver!!
Triple airway manoeuvre Answer - chin lift, jaw thrust, patient oxygen
what does vital sign instability & visible patient deterioration tend to occur?
Answer - in most pts from 6-24 hrs before cardiac arrest
clinical deterioration Answer - patient compromising *hemodynamic stability,
marked by physiological decompensation* accompanied by subjective or
objective findings.
dynamic state Answer - variations in physiological parameters
decompensation Answer - inability to maintain homeostatic fxn physiologically
or psychologically
what are indicators of clinical deterioration Answer - - sudden and/or unstable
changes in vital signs (RR, BP, HR, O2)
- for expert nurses, their intuition helps them determine if a patient looks right
- skin color changes
- decreased LOC
assessments to recognize deterioration Answer - ABCDE
NEWS2
FAST
, signs during primary survey that are *significantly associated w/ death* ...
Answer - - partial airway obstruction
- poor peripheral circulation
- greater than expected drain fluid loss
- decreased UO
- decreased GCS
- abnormal RR
- new pain
- low O2sat & low BP
- alteration in mentation
NEWS2 aka Answer - national early warning score
purpose of NEWS2 Answer - - improve detection of & response to clinical
deterioration in patients w/ acute illness
- provide *standardized approach* to care of deteriorating patient
- clear communication
- identify a *score* for urgent clinical response
what does the NEWS2 score mean? Answer - *a high NEWS2 score* identifies
a sick patient who is deteriorating & requires *urgent clinical review*
what does NEWS2 score evaluate? Answer - - RR
- O2 Sat
- systolic BP
- HR
- LOC or new confusion
