Nursing fundamentals · practice question

An 82-year-old client on a medical-surgical unit is being evaluated for nursing care related to documentation fundamentals. Assessment data include pain 9/10 and guards the abdomen after surgery. Which nursing action should the nurse take first?

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

Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.Document the client as stable without reassessment.Give a blanket answer that everything is fine and continue the prior plan.Implement the final step of the care plan before assessing the client.

Answer and explanation

Correct answer

A. Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.

Why

First-action questions on the NCLEX require assessment and safety before treatment, documentation alone, or delegation of nursing judgment.

Test yourself on Nursing fundamentals

A free test with instant, explained results. No account needed.

Start free test

All Nursing fundamentals questions →

An 82-year-old client on a medical-surgical unit is being evaluated for nursing care related to documentation fundamentals. Assessment data include pain 9/10 and guards the abdomen after surgery. Which nursing action should the nurse take first?

Correct answer

Why

More Nursing fundamentals questions