Nursing fundamentals · practice question
A 70-year-old client in a rehabilitation facility is being evaluated for nursing care related to pain basics. Assessment data include respiratory rate 8/min, shallow breathing, and SpO2 86% on room air. Using the clinical judgment model, what is the nurse's first step?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026nursing-fundamentals
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.
Test yourself on Nursing fundamentals
A free test with instant, explained results. No account needed.
More Nursing fundamentals questions
- A 70-year-old client in a rehabilitation facility is being evaluated for nursing care related to skin integrity.…
- A 76-year-old client in a long-term care facility is being evaluated for new admission assessment. Assessment data…
- An 82-year-old client on a medical-surgical unit is being evaluated for new admission assessment. Assessment data…
- A 55-year-old client after abdominal surgery is being evaluated for postoperative monitoring. Assessment data include…
- An 82-year-old client on a medical-surgical unit is being evaluated for nursing care related to skin integrity.…
- An 82-year-old client on a medical-surgical unit is being evaluated for nursing care related to pain basics.…