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.
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 nurse records a rising respiratory rate and pulse but the patient's NEWS2 score remains below the escalation threshold. What is the best next step?
In the UK, which information is most appropriate for the Recommendation part of an SBAR call about a patient with a NEWS2 score of 7?
In the UK, a patient has a NEWS2 score of 1, but the nurse notices increasing work of breathing and says the patient looks much worse than earlier. What is the best action?
In the UK, an adult patient has an oxygen saturation of 95% while receiving prescribed oxygen through a nasal cannula. The target range is 94% to 98%. How many NEWS2 points are awarded for oxygen saturation and oxygen therapy?
In the UK, a nurse begins an SBAR call about a patient whose condition is worsening. Which opening is most appropriate for the Situation section?
In the UK, an adult inpatient has a NEWS2 score of 0 and no concerning clinical features. According to the standard NEWS2 frequency, how often should observations usually be recorded?