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 provider order for a medication the client is allergic to on the chart. Which action should the nurse take first?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026ethics-legal-delegation-prioritization
Answer and explanation
Correct answer
C. Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.
Why
NCLEX priority questions require stabilizing the client first using ABCs and focused assessment before comfort measures, documentation only, or delayed escalation.
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