Community / public health nursing · practice question

The home health nurse during an initial home visit is being evaluated for community health nursing and communicable disease reporting. Assessment data include a neighborhood screening event identifies multiple clients with blood pressure above 180/100 mm Hg. Which nursing action should the nurse take first?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026community-public-health

Tell the client symptoms are expected and avoid notifying the health care team.Implement the final step of the care plan before assessing the client.Document the client as stable without reassessment.Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.

Answer and explanation

Correct answer

D. Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.

Why

First-action questions on the NCLEX require assessment and safety before treatment, documentation alone, or delegation of nursing judgment.

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