QUESTIONS AND ANSWERS
NEWS2 Score 1-4 - CORRECT ANSWER✅✅Low risk (monitored every 4-6hrs)
NEWS2 Score 3 in any single parameter - CORRECT ANSWER✅✅Low-medium risk (monitored at least
once per hour)
NEWS2 Score 5-6 - CORRECT ANSWER✅✅Medium risk (monitored once per hour)
NEWS2 Score >7 - CORRECT ANSWER✅✅High risk (continuous monitoring and emergency
response/possible transfer to ICU)
PEWS Score - CORRECT ANSWER✅✅*High score is 9*
Behavior/Neuro:
(0) Play & sleep appropriately, alert at baseline
(1) Somnolent when not disturbed, sleepy, irritable but consolable
(2) Reduced response to voice, difficult to arouse, anxious/ trouble and difficult to console
(3) Reduced response to pain, lethargic/ confused, prolonged or frequent seizures (require
intervention); pupils asymmetric or sluggish
Cardiovascular:
(0) Pink, cap refill 1-2 sec
(1) Pale, cap refill 3 sec, intermittent ectopy
(2) Gray, cap refill 4 sec, tachycardia 20 above norm, bradycardia while asleep
(3) Gray or mottled, cap refill > 5 sec, tachycardia 30 above norm, bradycardia while awake, new onset/
↑ frequency of ectopy
Respiratory:
(0) WNL, no retractions, O2 per home regimen
, (1) RR > 10 above norm, mild ↑ WOB (flare, retract, trach. tug), - Up to 1 LPM > baseline or <4 LPM HNC
or 1-2 LPM wall NC
- Desats with spont. recovery
(2) RR > 20 above norm, mod. ↑ WOB (flare, retract, grunt)
- Up to 2 LPM > baseline or > 4-7 LPM O2 or 3-4 LPM wall NC
- Destas requiring reposition or ↑ O2 or Sxn > Q1H
- Resp tx Q2H
(3) RR > 25 above norm, severe ↑ WOB (head bob, paradoxical breathing)
- > 2 LPM above baseline or >7 LPM O2
- Desats require positive pressure or suction > Q30 min
- Apnea requiring interventions other than repositioning
PEWS score 0-2 - CORRECT ANSWER✅✅monitoring Q4H
PEWS score 3-4 - CORRECT ANSWER✅✅repeat PEWS in 1 hour, vitals Q2H, Dr. response within 60min
PEWS score 5 - CORRECT ANSWER✅✅repeat PEWS in 30min, vitals Q2H, Dr. response within 10min
PEWS score 6+ - CORRECT ANSWER✅✅repeat PEWS in 20mins, vitals Q1H, immediate Dr. reponse
SWOT analysis - CORRECT ANSWER✅✅strengths, weaknesses, opportunities, threats
Roger's Theory of nursing core conditions for effective communication - CORRECT
ANSWER✅✅congruence, empathy, respect