SalusPrep

Practical Nurse NCLEX®

← Skills

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?