Radiation
Lots of dust kicked up into the air
Sun is blocked from dust
Nuclear Winter because of cold because of blocked sun
Chance of more bombs being dropped
Life dies because of the cold
All of this is very, very, BAD
Judging by the power of modern day technology I would say that with one drop of a nuke anywhere in the world hundreds of nukes would be dropped in response.
Life would be over, next question?
radiation
explosion
fireballs
mushroom clouds
zombies
mutants