NMC OSCE Patient Assessment & NEWS2

Question 1

What does NEWS2 stand for?

Accepted Answer

National Early Warning Score 2

Answer

Nursing Emergency Warning System 2

Answer

National Emergency Warning Score 2

Answer

Nurse Early Warning Signs 2

Question 2

Which six physiological parameters are included in the NEWS2 scoring system?

Accepted Answer

Temperature, pulse, BP, respiratory rate, SpO2, consciousness level

Answer

Temperature, pulse, BP, respiratory rate, SpO2, urine output

Answer

Temperature, pulse, BP, respiratory rate, blood glucose, consciousness level

Answer

Temperature, pulse, BP, respiratory rate, SpO2, pain score

Question 3

A patient scores a total NEWS2 of 7. What is the recommended response?

Accepted Answer

Urgent review by clinician with ward-based competencies — consider transfer to higher care

Answer

Routine monitoring — reassess in 4–6 hours

Answer

Inform nurse in charge and increase monitoring frequency

Answer

Immediate emergency response team activation

Question 4

In NEWS2, what ACVPU score is assigned to a patient who is confused but responds to voice?

Accepted Answer

C

Answer

A

Answer

V

Answer

U

Question 5

A patient has a known diagnosis of COPD with a target SpO2 of 88–92%. How should their SpO2 be scored in NEWS2?

Accepted Answer

Using Scale 2 (designed for patients with hypercapnic respiratory failure)

Answer

Using Scale 1 (standard scale for all patients)

Answer

SpO2 is not scored in patients with COPD

Answer

The standard scale but with the lower limit adjusted to 85%

Question 6

What NEWS2 total score triggers an emergency response (i.e., blue light response including resuscitation team)?

Accepted Answer

Score of 7 or more, or a score of 3 in any single parameter

Answer

Score of 5 or more

Answer

Any score of 3 in a single parameter

Answer

Score of 10 or more only