Anatomy & Physiology I/II · practice question
A 68-year-old client on a medical-surgical unit is being evaluated for nursing care related to immune and inflammatory response. Assessment data include a family member reports the client seems confused since this morning. Using the clinical judgment model, what is the nurse's first step?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026anatomy-physiology
Answer and explanation
Correct answer
D. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.
Why
NCSBN clinical judgment begins with recognizing and analyzing cues before taking action or evaluating outcomes.
Test yourself on Anatomy & Physiology I/II
A free test with instant, explained results. No account needed.
More Anatomy & Physiology I/II questions
- A 45-year-old client in the emergency department is being evaluated for nursing care related to endocrine regulation.…
- A 59-year-old client in the intensive care unit is being evaluated for nursing care related to gastrointestinal…
- A 68-year-old client on a medical-surgical unit is being evaluated for nursing care related to cardiac conduction and…
- A 59-year-old client in the intensive care unit is being evaluated for nursing care related to gastrointestinal…
- A 68-year-old client on a medical-surgical unit is being evaluated for nursing care related to endocrine regulation.…
- A 62-year-old client on a postoperative unit is being evaluated for nursing care related to cardiac conduction and…