NCLEX-RN (Registered Nurse) Practice Exam · Question
A nurse is caring for four clients. Which client should the nurse assess first?
The client post-hip replacement complaining of new onset shortness of breath is the priority. New onset shortness of breath can indicate a serious and life-thre
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Question: A nurse is caring for four clients. Which client should the nurse assess first?
Answer options:
- A 45-year-old client with stable angina reporting chest pain rated 2/10 after walking to the bathroom.
- A 60-year-old client with diabetes whose blood glucose is 12 mmol/L before breakfast. ✅ A 70-year-old client post-hip replacement complaining of new onset shortness of breath.
- A 30-year-old client scheduled for discharge awaiting transport.
Correct answer: A 70-year-old client post-hip replacement complaining of new onset shortness of breath.
Explanation: The client post-hip replacement complaining of new onset shortness of breath is the priority. New onset shortness of breath can indicate a serious and life-threatening condition such as pulmonary embolism, which requires immediate assessment and intervention. This is an ABC (Airway, Breathing, Circulation) priority.
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