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 new chest pain rated 8/10 with diaphoresis. Which nursing action is the priority to keep the client safe?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026ethics-legal-delegation-prioritization
Answer and explanation
Correct answer
A. Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.
Why
Client safety requires direct assessment, hazard reduction, and timely escalation rather than assumptions, abandonment, or policy-only actions.
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