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    ATI RN Fundamentals 2026 Proctored Exam

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    Question: 1 of 55Ati Rn Fundamentals 2026 Proctored Exam
    A nurse is preparing to care for clients following change-of-shift report. Which of the following clients should the nurse assess first?
    Explanation
    The nurse must utilize priority setting frameworks like the ABCs (Airway, Breathing, Circulation) to identify unstable patients requiring immediate clinical intervention to prevent hemodynamic collapse or multi-organ failure in acute settings. A. A temperature of 38.9° C in a client with a known wound infection is an expected finding of the inflammatory response. While the nurse should administer antipyretics and monitor for sepsis, this client is currently stable and does not take priority over a client with active circulatory compromise. B. Obtaining a signature on a consent form is an administrative and legal requirement for surgery but does not involve an acute physiological threat. This task can be delegated or handled after the nurse has assessed and stabilized patients with urgent ABC (Airway, Breathing, Circulation) needs. C. Constipation is a common side effect of opioid analgesics due to decreased gastrointestinal motility. While it requires nursing interventions such as increasing fiber, fluids, or administering stool softeners, it is a non-urgent, chronic-natured issue that does not pose an immediate threat to the client's life. D. A blood pressure of 88/48 mm Hg in a postoperative client is highly indicative of hypotension, which may signal hemorrhage, hypovolemia, or shock. This represents a critical compromise in circulation that requires immediate assessment, fluid resuscitation, and provider notification to ensure adequate organ perfusion and survival.
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