Anatomy & Physiology I/II · practice question

A 59-year-old client in the intensive care unit is being evaluated for nursing care related to neurologic control and level of consciousness. Assessment data include a family member reports the client seems confused since this morning. Which assessment approach should the nurse use first?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026anatomy-physiology

Use only the chart from admission without current data.Defer assessment until all medications are administered.Begin invasive procedures before any focused assessment.Screen for instability, then perform a focused assessment related to the presenting concern.

Answer and explanation

Correct answer

D. Screen for instability, then perform a focused assessment related to the presenting concern.

Why

Assessment begins with stability screening and focused data collection before invasive or delayed actions.

Test yourself on Anatomy & Physiology I/II

A free test with instant, explained results. No account needed.

Start free test

All Anatomy & Physiology I/II questions →

A 59-year-old client in the intensive care unit is being evaluated for nursing care related to neurologic control and level of consciousness. Assessment data include a family member reports the client seems confused since this morning. Which assessment approach should the nurse use first?

Correct answer

Why

More Anatomy & Physiology I/II questions