Nursing fundamentals · practice question

An 82-year-old client on a medical-surgical unit is being evaluated for high fall risk on a medical unit. Assessment data include respiratory rate 8/min, shallow breathing, and SpO2 86% on room air. Which action is appropriate within the RN scope of practice?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026nursing-fundamentals

Independently diagnose the medical disease and prescribe treatment.Prescribe new medications without a provider order.Assess, analyze cues, implement nursing interventions per orders, teach, evaluate outcomes, and question unsafe orders.Delegate nursing assessment and evaluation on an unstable client.

Answer and explanation

Correct answer

C. Assess, analyze cues, implement nursing interventions per orders, teach, evaluate outcomes, and question unsafe orders.

Why

RNs assess, coordinate care, teach, and evaluate. Diagnosis and prescribing are provider responsibilities.

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An 82-year-old client on a medical-surgical unit is being evaluated for high fall risk on a medical unit. Assessment data include respiratory rate 8/min, shallow breathing, and SpO2 86% on room air. Which action is appropriate within the RN scope of practice?

Correct answer

Why

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