Clinical judgment / Next Gen NCLEX case studies · practice question

The nurse reviewing updated assessment data is being evaluated for nursing care related to trend recognition. Assessment data include the exhibit shows rising oxygen needs, new crackles, and decreasing urine output. Which action should the nurse take first?

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

Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.Offer a warm blanket and reschedule assessment until after lunch.Document the finding and recheck at the end of the shift without further assessment.Complete all remaining scheduled tasks before reassessing the client.

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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The nurse reviewing updated assessment data is being evaluated for nursing care related to trend recognition. Assessment data include the exhibit shows rising oxygen needs, new crackles, and decreasing urine output. Which action should the nurse take first?

Correct answer

Why

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