Leadership and management · practice question

The RN on a telemetry unit is being evaluated for nursing care related to time management. Assessment data include new chest pain rated 8/10 with diaphoresis. Using the clinical judgment model, what is the nurse's first step?

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

Evaluate discharge readiness before addressing acute findings.Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.Implement the first intervention on the existing care plan without reviewing new data.Document the assessment at the end of the shift and continue the prior plan.

Answer and explanation

Correct answer

B. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.

Why

NCSBN clinical judgment begins with recognizing and analyzing cues before taking action or evaluating outcomes.

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The RN on a telemetry unit is being evaluated for nursing care related to time management. Assessment data include new chest pain rated 8/10 with diaphoresis. Using the clinical judgment model, what is the nurse's first step?

Correct answer

Why

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