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Physiological Observations and Escalation Flashcards

6 cards from real NMC CBT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A patient's SpO2 drops to 89% on room air. What is the target range for most acutely ill adults per BTS guidelines?

    Answer: 94-98%

    BTS recommends 94-98% for most acutely ill adults. The 88-92% target is only for patients at risk of hypercapnic respiratory failure.

  2. What is the normal adult body temperature range (tympanic)?

    Answer: 36.1-37.2 degrees C

    Normal tympanic temperature is approximately 36.1-37.2 degrees C. Above 38 = pyrexia; below 35 = hypothermia.

  3. RR 22, SpO2 94% on air, HR 95, BP 110/70, Temp 38.3, Alert. What is the NEWS2 score?

    Answer: 6

    RR 22 = 2; SpO2 94% (Scale 1) = 1; O2 = 0; HR 95 = 1; SBP 110 = 1; Temp 38.3 = 1; Alert = 0. Total = 6.

  4. What is the correct technique for counting respiratory rate?

    Answer: Count for a full 60 seconds without the patient being aware

    Count for a full 60 seconds for accuracy, ideally without the patient knowing (awareness alters breathing).

  5. A patient opens eyes and moans to nail bed pressure but doesn't follow commands. What is the AVPU score?

    Answer: P — Pain

    The patient only responds to painful stimuli (nail bed pressure), indicating 'P' on the AVPU scale.

  6. Which validated tool is appropriate for pain assessment in a patient who cannot verbally communicate?

    Answer: Abbey Pain Scale or FLACC scale

    Behavioural observation tools like Abbey Pain Scale (dementia/non-verbal adults) or FLACC scale should be used.