Clinical judgment / Next Gen NCLEX case studies · practice question

The nurse reviewing updated assessment data is being evaluated for nursing care related to matrix and bow-tie item reasoning. Assessment data include the client improves after the initial intervention but develops a new safety concern. The nurse is evaluating discharge teaching. Which client statement shows correct understanding?

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

"I will stop my medications when I feel better.""I will call the nurse if I have new or worse symptoms before my follow-up appointment.""The nurse does not need to know about changes unless the provider asks.""I do not need to report mild symptoms unless they become unbearable."

Answer and explanation

Correct answer

B. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."

Why

Effective teaching includes when to seek help for worsening symptoms. Stopping medications or delaying reports are unsafe.

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