Professional nursing practice (clinical transition) · practice question

A new graduate nurse working with a preceptor is being evaluated for medication pass safety. Assessment data include simulation data show worsening respiratory distress after the first intervention. Which nursing action should the nurse take first?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026clinical-rotations-skills-simulation-cap

Delegate the initial assessment and clinical judgment to unlicensed assistive personnel.Document the client as stable without reassessment.Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.Implement the final step of the care plan before assessing the client.

Answer and explanation

Correct answer

C. 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.

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A new graduate nurse working with a preceptor is being evaluated for medication pass safety. Assessment data include simulation data show worsening respiratory distress after the first intervention. Which nursing action should the nurse take first?

Correct answer

Why

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