NCLEX-RN Multiple Choice Question

A nurse is caring for four clients. Which client should the nurse assess first?

A) A client with chronic obstructive pulmonary disease (COPD) who is scheduled for a chest x-ray

Incorrect Answer.

B) A client with diabetes mellitus reporting tingling in the feet

Incorrect Answer.

C) A client with asthma who is using accessory muscles to breathe

Correct Answer: C) A client with asthma who is using accessory muscles to breathe


The client in option C is showing signs of respiratory distress, indicated by the use of accessory muscles to breathe. This is an acute and potentially life-threatening situation that requires immediate intervention. In NCLEX prioritization, the ABC framework (Airway, Breathing, Circulation) is used to determine who must be seen first. Breathing issues always take precedence over chronic, stable, or non-urgent concerns.

The COPD patient in option A is stable and undergoing a routine procedure. Option B describes peripheral neuropathy, a chronic issue that is important but not urgent. The dressing change in option D is a scheduled task that does not pose an immediate risk. Therefore, addressing the client's compromised breathing is the top priority.

D) A client scheduled for a dressing change after breakfast

Incorrect Answer.