Clinical judgment / Next Gen NCLEX case studies · practice question

An RN prioritizing care after a change in status is being evaluated for nursing care related to take action. Assessment data include the client improves after the initial intervention but develops a new safety concern. Which action should the nurse take first?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026clinical-judgment-next-gen-nclex

Complete nonurgent tasks first because the client appears calm.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.Complete all remaining scheduled tasks before reassessing the client.

Answer and explanation

Correct answer

C. 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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An RN prioritizing care after a change in status is being evaluated for nursing care related to take action. Assessment data include the client improves after the initial intervention but develops a new safety concern. Which action should the nurse take first?

Correct answer

Why

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