Professional nursing practice (clinical transition) · practice question

A senior nursing student during a supervised medication pass 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. Using the clinical judgment model, what is the nurse's first step?

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

Implement the first intervention on the existing care plan without reviewing new data.Evaluate discharge readiness before addressing acute findings.Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.Document the assessment at the end of the shift and continue the prior plan.

Answer and explanation

Correct answer

C. 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.

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