Health assessment · practice question

A 74-year-old client on a medical-surgical unit is being evaluated for head and neck assessment during hospitalization. Assessment data include the client tries to get out of bed unassisted and becomes unsteady. Which error is most dangerous on the NCLEX and in practice?

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

Reassessing the client after an appropriate intervention.Teaching the client after stability is confirmed.Using SBAR to notify the provider about abnormal findings.Choosing an intervention before identifying assessment cues and immediate safety risk.

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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A 74-year-old client on a medical-surgical unit is being evaluated for head and neck assessment during hospitalization. Assessment data include the client tries to get out of bed unassisted and becomes unsteady. Which error is most dangerous on the NCLEX and in practice?

Correct answer

Why

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