Psychology / lifespan development · practice question
A 48-year-old client at an annual wellness visit is being evaluated for developmental expectations for middle adult development. Assessment data include blood pressure screening is 168/96 mm Hg at two visits. Which action should the nurse take first?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026psychology-lifespan-development
Answer and explanation
Correct answer
C. 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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