Moderate

In the UK, an adult patient has a systolic blood pressure of 90 mmHg, but all other observations are within the normal range. What is the most appropriate response?

Correct answer: B. Arrange an urgent clinical assessment

  • A. Continue routine observations only
  • B. Arrange an urgent clinical assessment
  • C. Repeat the blood pressure at the next round
  • D. Record the result without further action

Explanation

A single NEWS2 parameter scoring 3 requires an urgent clinical response, even when the total score is low. The nurse should escalate the finding and arrange prompt assessment rather than relying on the total score.

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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.

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