Health assessment · practice question

A 66-year-old client in an outpatient clinic is being evaluated for nursing care related to general survey. Assessment data include the client tries to get out of bed unassisted and becomes unsteady. Which finding requires the nurse to intervene immediately?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026health-assessment

A stable, long-standing finding that matches the expected care plan.The new finding that tries to get out of bed unassisted and becomes unsteady.Routine data unchanged from the prior assessment.A comfort request with unchanged vital signs and no new symptoms.

Answer and explanation

Correct answer

B. The new finding that tries to get out of bed unassisted and becomes unsteady.

Why

Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.

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A 66-year-old client in an outpatient clinic is being evaluated for nursing care related to general survey. Assessment data include the client tries to get out of bed unassisted and becomes unsteady. Which finding requires the nurse to intervene immediately?

Correct answer

Why

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