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Ethics, legal nursing, delegation, prioritization · practice question

A 58-year-old client on a telemetry unit is being evaluated for nursing care related to mandatory reporting. Assessment data include UAP reports the client fell in the bathroom. Which error is most dangerous on the NCLEX and in practice?

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Answer and explanation

Correct answer

D. Choosing an intervention before identifying assessment cues and immediate safety risk.

Why

The most dangerous NCLEX trap is treating before assessing, which can miss life-threatening deterioration.

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