Challenge Your Exam Readiness With Our Free NCLEX-PN Practice Questions

On the NCLEX-PN, prioritization follows airway, breathing, and circulation (ABCs), along with recognition of actual versus potential problems and safety risks. Option C is the highest priority because a tracheostomy patient with copious secretions and oxygen saturation of 88% has an immediate airway/breathing compromise. The PN should promptly intervene within scope (e.g., position in semi-Fowler’s or high-Fowler’s, prepare to suction per policy, provide humidified oxygen as prescribed) and notify the RN/provider as needed. Option A represents pain, which is important but not immediately life-threatening compared with hypoxemia. Option B (suspected TB) involves infection-control precautions (airborne/N95, negative pressure) but the patient’s current need—requesting water—is not emergent. Option D concerns discharge supplies/teaching, which can be safely addressed after stabilization of urgent clients. This question aligns with Client Needs: Safe and Effective Care Environment—Management of Care and Safety/Infection Control—requiring the PN to triage care and act to prevent deterioration. Early intervention to maintain airway patency and improve oxygenation reduces the risk of respiratory arrest and is consistent with safe, timely care delivery within the PN role under direction of the RN/provider.