Adult health / medical-surgical nursing · practice question
A 62-year-old client on a postoperative unit is being evaluated for chronic kidney disease with fluid overload. Assessment data include sudden slurred speech and right-sided weakness began 30 minutes ago. Which nursing action should the nurse take first?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026adult-health-med-surg
Answer and explanation
Correct answer
A. Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.
Why
First-action questions on the NCLEX require assessment and safety before treatment, documentation alone, or delegation of nursing judgment.
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