Leadership and management · practice question

The nurse manager during a busy day shift is being evaluated for nursing care related to delegation to assistive personnel. Assessment data include new chest pain rated 8/10 with diaphoresis. Which assessment approach should the nurse use first?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026leadership-management

Use only the chart from admission without current data.Defer assessment until all medications are administered.Screen for instability, then perform a focused assessment related to the presenting concern.Begin invasive procedures before any focused assessment.

Answer and explanation

Correct answer

C. Screen for instability, then perform a focused assessment related to the presenting concern.

Why

Assessment begins with stability screening and focused data collection before invasive or delayed actions.

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The nurse manager during a busy day shift is being evaluated for nursing care related to delegation to assistive personnel. Assessment data include new chest pain rated 8/10 with diaphoresis. Which assessment approach should the nurse use first?

Correct answer

Why

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