Ethics, legal nursing, delegation, prioritization · practice question
A 39-year-old client in the emergency department is being evaluated for nursing care related to mandatory reporting. Assessment data include UAP reports the client fell in the bathroom. Which nursing action should the nurse take first?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026ethics-legal-delegation-prioritization
Answer and explanation
Correct answer
A. 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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