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 client has unintentional weight loss and difficulty preparing meals. Which nursing action should the nurse take first?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026psychology-lifespan-development

Implement the final step of the care plan before assessing the client.Document the finding and recheck at the end of the shift without further assessment.Document the client as stable without reassessment.Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.

Answer and explanation

Correct answer

D. Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.

Why

First-action questions on the NCLEX require assessment and safety before treatment, documentation alone, or delegation of nursing judgment.

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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 client has unintentional weight loss and difficulty preparing meals. Which nursing action should the nurse take first?

Correct answer

Why

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