Psychology / lifespan development · practice question
A 78-year-old client in a long-term care facility is being evaluated for nursing care related to older adult changes. Assessment data include the caregiver reports new confusion since yesterday morning. Which action should the nurse take first?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026psychology-lifespan-development
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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