NCLEX RN Practice Question # 608
NCLEX Examination.
Practice Question # 608.
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1. Question
A 33-year-old client reports left leg pain, right-sided chest pain, and a sudden onset of shortness of breath. Which action should be taken immediately by the nurse?
CorrectAnswer & Rationale:
ANSWER: 2
Auscultation of lung sounds should be one of the first assessments performed by the nurse to determine the cause of the client’s shortness of breath. Chest x-ray would be helpful in assessing the cause of shortness of breath but would need a physician’s order and would not be the first priority. Percussion of abdomen and measurement of the client’s temperature are helpful tools when completing a full assessment but are not priority in this situation.
IncorrectAnswer & Rationale:
ANSWER: 2
Auscultation of lung sounds should be one of the first assessments performed by the nurse to determine the cause of the client’s shortness of breath. Chest x-ray would be helpful in assessing the cause of shortness of breath but would need a physician’s order and would not be the first priority. Percussion of abdomen and measurement of the client’s temperature are helpful tools when completing a full assessment but are not priority in this situation.
