Clinical judgment / Next Gen NCLEX case studies · practice question

The nurse reviewing updated assessment data is being evaluated for nursing care related to prioritize hypotheses. Assessment data include new vital signs show blood pressure 88/50 mm Hg, heart rate 124/min, and increasing confusion. Using ABCs and Maslow, which need should the nurse address first?

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

Pain relief before checking airway and breathing.Airway, breathing, and circulation problems before comfort or psychosocial needs.Long-term teaching before treating acute physiologic risk.Visitor concerns before physiologic stability.

Answer and explanation

Correct answer

B. Airway, breathing, and circulation problems before comfort or psychosocial needs.

Why

Physiologic stability and ABCs take priority over comfort, teaching, or psychosocial needs when the client is unstable.

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The nurse reviewing updated assessment data is being evaluated for nursing care related to prioritize hypotheses. Assessment data include new vital signs show blood pressure 88/50 mm Hg, heart rate 124/min, and increasing confusion. Using ABCs and Maslow, which need should the nurse address first?

Correct answer

Why

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