Safety and Emergency Care · NCLEX Exam

A nurse finds a patient lying on the floor beside his bed, apparently having fallen. Which action has the highest priority?

  1. Help the patient back into bed right away to make them more comfortable
  2. Assess for injury, pain, level of consciousness, vital signs
  3. Offer to call the patient’s family to come to the room for support
  4. Document the fall event in the chart before leaving the room
Show answer and explanation

Correct answer: Assess for injury, pain, level of consciousness, vital signs

After a fall, first assess for injury, neurological status, vital signs (safety/emergency priority) before further actions or documentation.

Difficulty: Medium Question 3 of 20

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