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Practice Question

A nurse in the pediatric unit finds a client to have fallen on the floor. Which of the following actions should the nurse take first?

Answer Choices:

Correct Answer:

Assess the client for injuries.

Rationale:

🧠Assessment comes first in any fall situation per the nursing process (ADPIE).

🚨Ensuring the client is not injured or compromised takes priority before any movement or documentation.

📞Calling for help or reviewing records are important later but do not come before a direct physical evaluation.

🦴Immediate injury detection can guide further actions like imaging or repositioning.

📌Core Message

Always assess the client first after a fall to determine injuries and priorities.

Want to practice more questions like this?

This question is from NCLEX RN-Readiness Assessment Test-1 which contains 104 questions.

More Questions from This Exam
A nurse is talking with a client about bowel elimination. Which of the following statements by the client would be essential to follow up?

Answer Choices:

A. "l use laxatives when I have constipation."
B. "l have a bowel movement every 3 to 4 days."
C. "l had an enema to remove a fecal impaction once."
D. "l sit on the toilet from 10:00 to 10:15 almost every morning."
A nurse is educating a client on topiramate for migraine prevention. Which statement by the nurse is appropriate?

Answer Choices:

A. "Avoid this medication if you have an allergy to a sulfa drug."
B. "Always take this medication in the morning with a full glass of water."
C. “Do not take this medication if you are planning to become pregnant."
D. "Check your blood pressure before taking this medication."
A nurse in the medical-surgical unit is caring for a 59-year-old client.

Answer Choices:

A. Appetite
B. Vital signs
C. Weakness
D. Chest pain
E. Weight loss
F. History of smoking
G. Long-standing cough
A nurse in the medical-surgical unit is caring for a 59-year-old client.

Answer Choices:

A. Hyperkalemia
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From Exam
NCLEX RN-Readiness Assessment Test-1

104 Questions

View Full Exam
Question Details
  • Category: NCLEX RN
  • Subcategory: NCLEX RN- Readiness Assessment Tests
  • Domain: NCLEX RN- (Readiness Assessment Test)
  • Answer Choices: 4
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