Exam Questions and Correct
Answers | New Update
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
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, - 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