Health assessment · practice question
A 74-year-old client on a medical-surgical unit is being evaluated for nursing care related to general survey. Assessment data include pain 9/10 and guards the abdomen after surgery. Which nursing action should the nurse take first?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026health-assessment
Answer and explanation
Correct answer
B. Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.
Why
First-action questions on the NCLEX require assessment and safety before treatment, documentation alone, or delegation of nursing judgment.
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