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NCLEX-RN (Registered Nurse) Practice Exam · Question

A nurse enters a client's room and finds them unresponsive. What is the nurse's priority action?

When a client is found unresponsive, the priority is to activate the emergency response system (e.g., call a code) to ensure immediate assistance and resuscitat

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Question: A nurse enters a client's room and finds them unresponsive. What is the nurse's priority action?

Answer options:

  • Document the finding in the client's chart.
  • Notify the client's family. ✅ Activate the emergency response system.
  • Assess the client's vital signs.

Correct answer: Activate the emergency response system.

Explanation: When a client is found unresponsive, the priority is to activate the emergency response system (e.g., call a code) to ensure immediate assistance and resuscitation efforts can begin.

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