Anatomy & Physiology I/II · practice question
A 68-year-old client on a medical-surgical unit is being evaluated for nursing care related to neurologic control and level of consciousness. Assessment data include pain increases from 3/10 to 8/10 over 30 minutes. Which action should the nurse take first?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026anatomy-physiology
Answer and explanation
Correct answer
A. Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.
Why
NCLEX priority questions require stabilizing the client first using ABCs and focused assessment before comfort measures, documentation only, or delayed escalation.
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