Then we would execute a preemptive first strike against the Soviet Union and China.
It is called "massive retaliation".
It was known as Mutually Assured Destruction. A fancy way of saying suicide.
Also, JASON report (secret scientific study) pretty much dissuaded LBJ from using nuclear weapons. Oddly enough, several scientists banded together to study such use after hearing LBJ saying "...we should toss in a few nukes once and awhile." Or words to that effect.