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Nursing fundamentals · practice question

A 70-year-old client in a rehabilitation facility is being evaluated for high fall risk on a medical unit. 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?

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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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