Level: Clinical
Difficulty: Medium
Subtopic: Middle adult development
NCLEX: A 48-year-old client at an annual wellness visit is being evaluated for developmental expectations for middle adu…
Psychology / lifespan development Health Promotion and Maintenance
Case Study
A 48-year-old client at an annual wellness visit is being evaluated for developmental expectations for middle adult development. Assessment data include blood pressure screening is 168/96 mm Hg at two visits. Which error is most dangerous on the NCLEX and in practice?
Question
A. Choosing an intervention before identifying assessment cues and immediate safety risk.
B. Teaching the client after stability is confirmed.
C. Reassessing the client after an appropriate intervention.
D. Using SBAR to notify the provider about abnormal findings.
B. Teaching the client after stability is confirmed.
C. Reassessing the client after an appropriate intervention.
D. Using SBAR to notify the provider about abnormal findings.
Rationale
Correct answer: A. Choosing an intervention before identifying assessment cues and immediate safety risk.
Rationale: The most dangerous NCLEX trap is treating before assessing, which can miss life-threatening deterioration.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: The most dangerous NCLEX trap is treating before assessing, which can miss life-threatening deterioration.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.