Professional nursing practice (clinical transition) · practice question

A new graduate nurse working with a preceptor is being evaluated for transition-to-practice skills and capstone transition. Assessment data include time-sensitive medications are due while one assigned client reports new chest pain. Which action should the nurse take first?

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

Offer a warm blanket and reschedule assessment until after lunch.Document the finding and recheck at the end of the shift without further assessment.Complete all remaining scheduled tasks before reassessing the client.Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.

Answer and explanation

Correct answer

D. Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.

Why

NCLEX priority questions require stabilizing the client first using ABCs and focused assessment before comfort measures, documentation only, or delayed escalation.

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A new graduate nurse working with a preceptor is being evaluated for transition-to-practice skills and capstone transition. Assessment data include time-sensitive medications are due while one assigned client reports new chest pain. Which action should the nurse take first?

Correct answer

Why

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