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NCLEX-RN (Registered Nurse) Practice Exam · Question

Which client presents the highest priority for the nurse to assess first?

New onset confusion and slurred speech can indicate a stroke or other neurological emergency, requiring immediate assessment and intervention.

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Question: Which client presents the highest priority for the nurse to assess first?

Answer options:

  • A client with chronic obstructive pulmonary disease (COPD) stable on 2L oxygen via nasal cannula.
  • A post-operative client 8 hours after surgery, reporting pain managed at 3/10 after medication. ✅ A client with a new onset of confusion and slurred speech.
  • A client awaiting discharge teaching for new diabetes diagnosis.

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

Explanation: New onset confusion and slurred speech can indicate a stroke or other neurological emergency, requiring immediate assessment and intervention.

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