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NCLEX-RN (Registered Nurse) Practice Exam · Question

The nurse receives a hand-off report for four patients. Which patient should the nurse assess first?

A new onset of confusion and slurred speech suggests a potential neurological emergency, requiring immediate assessment to prevent further deterioration.

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Question: The nurse receives a hand-off report for four patients. Which patient should the nurse assess first?

Answer options:

  • A patient with stable angina reporting chest discomfort after ambulation
  • A patient scheduled for discharge needing education about medications ✅ A patient with a new onset of confusion and slurred speech
  • A patient requiring routine vital signs and dressing change

Correct answer: A patient with a new onset of confusion and slurred speech

Explanation: A new onset of confusion and slurred speech suggests a potential neurological emergency, requiring immediate assessment to prevent further deterioration.

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