Anatomy & Physiology I/II · practice question

A 68-year-old client on a medical-surgical unit is being evaluated for nursing care related to endocrine regulation. Assessment data include the client reports a new symptom that differs from the baseline assessment. Which action should the nurse take first?

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

Complete all remaining scheduled tasks before reassessing the client.Delegate the initial assessment and clinical judgment to unlicensed assistive personnel.Offer a warm blanket and reschedule assessment until after lunch.Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.

Answer and explanation

Correct answer

D. 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.

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 68-year-old client on a medical-surgical unit is being evaluated for nursing care related to endocrine regulation. Assessment data include the client reports a new symptom that differs from the baseline assessment. Which action should the nurse take first?

Correct answer

Why

More Anatomy & Physiology I/II questions