NCLEX PN Practice Questions Practice Question

The nurse finds a person unresponsive on the floor. What is the initial nursing action?

Correct Answer: B

Rationale: Assessing respirations and pulse is the first step when encountering an unresponsive individual. This evaluation determines the person's condition and whether immediate life-saving measures are necessary.

Starting chest compressions (A) is premature without confirming the absence of pulse or breathing. Placing the person on a hard surface (C) may be appropriate later but does not address immediate assessment needs. Initiating mouth-to-mouth breathing (D) is inappropriate without confirming the absence of breathing, as it could delay critical interventions. Prioritizing assessment ensures the most effective response to the situation.

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