Practice Question
A nurse enters a dienes room and finds the client face down on the floor. Which of the following actions should the nurse take first?
Answer Choices:
Correct Answer:
Determine the client's level of consciousness.
Rationale:
🔷When a nurse finds a client face down on the floor, the first priority is assessing the client’s neurological and overall status, starting with the level of consciousness (LOC).
🔷LOC provides critical information about airway, breathing, circulation, and possible head injury, which are immediate life-safety concerns.
🔷Without determining responsiveness, other interventions (e.g., repositioning, asking history) could delay recognition of a life-threatening emergency.
🔷Once LOC is assessed, the nurse can proceed to check airway patency, vital signs, injuries, and initiate emergency protocols if necessary.
🔷This approach follows the ABC framework (Airway, Breathing, Circulation) and ensures patient safety before secondary assessments.
Want to practice more questions like this?
This question is from PN Fundamentals 2023 Exam Sept which contains 72 questions.
More Questions from This Exam
A nurse in an outpatient surgical center is assisting in the care of a client.
Answer Choices:
A nurse is applying cold therapy to a client's face following oral surgery. The nurse should identify that which of the following is a therapeutic effect of cold therapy?
Answer Choices:
A nurse is assisting with the care of a client on the medical unit.
Answer Choices:
A nurse is collecting data about a client's gastrointestinal system. While auscultating the abdomen, the nurse notes loud growling sounds. When documenting these findings. the nurse should use which of the following terms?
Answer Choices:
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Fundamentals of Nursing
- Answer Choices: 4