Difficulty: Medium
Average Score: 93%
Simulated
The nurse is caring for several clients. Which client would the nurse assess first after receiving the shift report?
Correct answer
C
Rationale
A GCS score of 6 (C) indicates severe neurological impairment, requiring immediate assessment for potential life-threatening conditions. Waking every 2 hours (A) is standard for concussion, left-sided weakness (B) is concerning but less acute, and expressive aphasia (D) is stable.