Difficulty: Medium
Average Score: 89%
Simulated
A client is brought into the emergency department after sustaining a possible closed head injury. Which assessment will the nurse perform first?
Correct answer
C
Rationale
The first action of the nurse is to ensure that the client has an adequate airway and respiratory status. In rapid sequence, the client's circulatory status is evaluated (option 2), followed by evaluation of the status of the cardiovascular and neurological systems.