In the UK, a previously alert patient is now difficult to rouse and is disorientated. The other observations are normal. How should this finding affect the NEWS2 assessment?
Correct answer: A. Record new confusion as a score of 3
- A. Record new confusion as a score of 3
- B. Record the patient as alert because the observations are normal
- C. Exclude mental status because it is not a vital sign
- D. Record confusion only if the temperature is also raised
Explanation
New confusion or a reduced level of consciousness scores 3 on NEWS2. This finding requires prompt clinical assessment and must not be overlooked because the other physiological observations are normal.
Report an error
The more specific you are, the faster it gets fixed. A source beats an opinion.
Prefer email? support@testustad.com
About Recognising Deterioration, NEWS2 and SBAR
Recognising deterioration involves trends in respiratory rate, oxygen saturation, blood pressure, pulse, temperature, consciousness and urine output, together with clinical concern. NEWS2 scoring, its oxygen scale and escalation thresholds support structured response, while SBAR communicates the situation, background, assessment and recommendation; NEWS2 supports judgement but does not replace bedside assessment or urgent action.
Practise Recognising Deterioration, NEWS2 and SBAR
50 free Recognising Deterioration, NEWS2 and SBAR MCQs from International Nursing Practice, each with the correct answer and an explanation. Unlimited attempts, no account needed.
Discussion
Stuck on an option, or know a faster way to get there? Ask or explain it here.
No comments yet. Be the first to explain this one.
Exams that ask International Nursing Practice questions like this
International Nursing Practice is on this paper prepared for on TestUstad, and all of them draw the same bank, so this question is worth knowing for it.
More Recognising Deterioration, NEWS2 and SBAR questions
In the UK, a patient with documented hypercapnic respiratory failure has a prescribed oxygen saturation target of 88% to 92%. Which NEWS2 method should the nurse use?
In the UK, a patient has a NEWS2 total of 3 because the respiratory rate is 25/min. All other observations are within the normal range. What should the nurse do?
In the UK, a patient has a respiratory rate of 25/min, oxygen saturation of 94% on air, systolic blood pressure of 105 mmHg, pulse of 115/min, temperature of 38.1°C and is alert. What is the most appropriate action?
In the UK, a nurse is telephoning a medical practitioner about a deteriorating patient. Which sequence best follows SBAR?
In the UK, a patient suddenly becomes breathless, cyanosed and unable to speak in full sentences. What should the nurse do first?
In the UK, a patient's NEWS2 score is 6 after repeated observations. Which action is most appropriate?