SalusPrep

Practical Nurse NCLEX®

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Prioritization

ABC Prioritization

Tension Pneumothorax Signs · L1

How this exercise works

Read the clinical scenario and choose the first nursing action. Use ABC order — airway and breathing emergencies before circulation issues, then less urgent needs.

Fundamental concept

Selecting the first nursing action by addressing airway, breathing, and circulation threats before lesser urgent needs.

Read: ABC Prioritization for NCLEX-PN →

Scenario

A client with a chest tube disconnected during transfer now has tracheal deviation, absent breath sounds on the right, distended neck veins, and SpO₂ 85%.

A client with a chest tube disconnected during transfer now has tracheal deviation, absent breath sounds on the right, distended neck veins, and SpO₂ 85%.

What is the priority action?