NCLEX Practice Question of the Day: Prioritization, Cardiac

A patient arrives at the emergency department complaining of mid-sternal chest pain. Which of the following nursing actions should take priority?

a. A complete history with emphasis on preceding events

b. An electrocardiogram (EKG)

c. Careful assessment of vital signs

d. Chest exam with auscultation

 

Answer in the comments.

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One thought on “NCLEX Practice Question of the Day: Prioritization, Cardiac

  1. jjr0driguez says:

    Answer: C.
    The priority nursing action for a patient arriving at the ED in distress is always assessment of vital signs. This indicates the extent of physical compromise and provides a baseline by which to plan further assessment and treatment. A thorough medical history, including onset of symptoms, will be necessary and it is likely that an EKG will be performed as well, but these are not the first priority. Similarly, chest exam with auscultation may offer useful information after vital signs are assessed.

    Source: Study guide zone, NCLEX-RN practice test set #1.

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