Professional nursing practice (clinical transition) · practice question

The student nurse during simulation debriefing is being evaluated for transition-to-practice skills and pre-clinical preparation. 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 choiceEasynclex-rn-bsnnclex-validatednclex-2026clinical-rotations-skills-simulation-cap

Implement the first intervention on the existing care plan without reviewing new data.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.Evaluate discharge readiness before addressing acute findings.

Answer and explanation

Correct answer

B. 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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