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.
,NSE 203 FINAL REVIEW | 150 QUESTIONS AND ANSWERS | 2026 UPDATE | RATED 100%
CORRECT.
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
, NSE 203 FINAL REVIEW | 150 QUESTIONS AND ANSWERS | 2026 UPDATE | RATED 100%
CORRECT.
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
- temp
what to do if NEWS score is greater or equal to 3 - (answer)discuss w/ duty nurse/senior colleague, &
complete a *sepsis screen for signs of infection*
what to do if NEWS score is greater or equal to 6 - (answer)immediate discussion w/ ACT advanced
practitioner or ACT dr
NEW score 0-4, clinical risk & response - (answer)low risk, ward-based response
NEW score of 3, clinical risk & response - (answer)low-medium, urgent ward-based response
NEW score of 5-6, clinical risk & response - (answer)medium, key threshold for urgent response
NEW score of 7+, clinical risk & response - (answer)high risk, urgent or *emergency response*
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.
,NSE 203 FINAL REVIEW | 150 QUESTIONS AND ANSWERS | 2026 UPDATE | RATED 100%
CORRECT.
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
, NSE 203 FINAL REVIEW | 150 QUESTIONS AND ANSWERS | 2026 UPDATE | RATED 100%
CORRECT.
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
- temp
what to do if NEWS score is greater or equal to 3 - (answer)discuss w/ duty nurse/senior colleague, &
complete a *sepsis screen for signs of infection*
what to do if NEWS score is greater or equal to 6 - (answer)immediate discussion w/ ACT advanced
practitioner or ACT dr
NEW score 0-4, clinical risk & response - (answer)low risk, ward-based response
NEW score of 3, clinical risk & response - (answer)low-medium, urgent ward-based response
NEW score of 5-6, clinical risk & response - (answer)medium, key threshold for urgent response
NEW score of 7+, clinical risk & response - (answer)high risk, urgent or *emergency response*
