Free NCLEX RN Exam Practice Question

Order

Question image

The nurse receives report on the group of clients listed here. Place the client list in sequential priority order for the nurse to assess. (Most important for the nurse to assess first, second, third, and fourth.)

Correct Answer: C, B, D, A

Rationale: Priority: GCS 5 with aneurysm (C) is life-threatening, followed by traumatic brain injury (B, potential deterioration), motor vehicle accident with GCS 13 (D, stable but needs monitoring), and migraine (A, non-emergent).

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