NMC CBT Physiological Observations and Escalation 2

Question 1

A patient's BP is 88/52 mmHg. How many NEWS2 points does the systolic BP contribute?

Accepted Answer

3 points

Answer

0 points

Answer

1 point

Answer

2 points

Question 2

A COPD patient has target SpO2 88-92%. Using NEWS2 Scale 2, what SpO2 range scores 0?

Accepted Answer

88-92%

Answer

93-94%

Answer

95-96%

Answer

97-100%

Question 3

What is the maximum GCS score, and what does a score of 8 or below indicate?

Accepted Answer

Maximum 15; 8 or below = severe brain injury and potential airway compromise

Answer

Maximum 10; 5 or below = coma

Answer

Maximum 12; 8 or below = moderate injury

Answer

Maximum 20; 10 or below = brain death

Question 4

A patient's capillary refill time is 5 seconds. What does this suggest?

Accepted Answer

Impaired peripheral perfusion — may indicate shock or cardiovascular compromise

Answer

Normal perfusion

Answer

Mild dehydration — encourage fluids

Answer

Test was performed incorrectly

Question 5

Where should the V4 electrode be placed for a 12-lead ECG?

Accepted Answer

5th intercostal space, midclavicular line

Answer

Right sternal edge, 4th intercostal space

Answer

Left sternal edge, 4th intercostal space

Answer

5th intercostal space, anterior axillary line

Question 6

Using qSOFA, a patient has RR 25, BP 95/60, HR 110, temp 38.5, and is newly confused. How many criteria are met?

Accepted Answer

3

Answer

1

Answer

2

Answer

Does not meet criteria