NSE 203 CLINICAL DETERIORATION | QUESTIONS AND
ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTIONS.
Clinical deterioration Answer - dynamic state experienced by a pt
compromising of hemodynamic stability, marked by physiological
decompensation accompanied by subjective or objective findings
what can happen if CD is not promptly recognised? Answer - can increase pt
morbidity and mortality
Rapid response teams (RRTs) Answer - team of providers who immediately
assess and treat the pt with the goal of preventing intensive unit transfer,
cardiac arrest or death
who is apart of a RRT? Answer - - ICU doctor
- ICU nurse
- Porter
- Lab specialist
- spiritual person
- Nurse assigned to pt
- documenter
- runner
- respiratory therapist
Typical criteria to call the RRT Answer - - heart rate >140 or <40/min
- RR >28 <8/min
, - systolic BP >180 or <90
- SpO2 >90%
- acute change in mental status
- urine output less than 30cc/2hrs
- staff member has significant concerns
- chest pain unrelieved by nitroglycerin
- threatened airway
- seizure
- uncontrolled pain
consequences for CD Answer - - increased mortality
- resuscitation
- implementation of higher level of care
- prolonged hospital admission
Dynamic state Answer - CD is a dynamic state demonstrated by variation in
physiological parameters.
- negative direction
decompensating Answer - the loss of the ability to maintain homeostatic
function physiologically or psychologically
- negative dynamic state
CD prompt treatment needed Answer - - skin colour changes
- decreased level of consciousness
ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTIONS.
Clinical deterioration Answer - dynamic state experienced by a pt
compromising of hemodynamic stability, marked by physiological
decompensation accompanied by subjective or objective findings
what can happen if CD is not promptly recognised? Answer - can increase pt
morbidity and mortality
Rapid response teams (RRTs) Answer - team of providers who immediately
assess and treat the pt with the goal of preventing intensive unit transfer,
cardiac arrest or death
who is apart of a RRT? Answer - - ICU doctor
- ICU nurse
- Porter
- Lab specialist
- spiritual person
- Nurse assigned to pt
- documenter
- runner
- respiratory therapist
Typical criteria to call the RRT Answer - - heart rate >140 or <40/min
- RR >28 <8/min
, - systolic BP >180 or <90
- SpO2 >90%
- acute change in mental status
- urine output less than 30cc/2hrs
- staff member has significant concerns
- chest pain unrelieved by nitroglycerin
- threatened airway
- seizure
- uncontrolled pain
consequences for CD Answer - - increased mortality
- resuscitation
- implementation of higher level of care
- prolonged hospital admission
Dynamic state Answer - CD is a dynamic state demonstrated by variation in
physiological parameters.
- negative direction
decompensating Answer - the loss of the ability to maintain homeostatic
function physiologically or psychologically
- negative dynamic state
CD prompt treatment needed Answer - - skin colour changes
- decreased level of consciousness
