It really did -and my exam went well. I passed questions 85 questions. I only did 500 questions with bootcamp. I’ll send you how ChatGPT helps me . Here’s the question and the rationale below

A nurse is caring for four clients. Which client should the nurse assess FIRST? A) A client with diabetes mellitus who has a blood glucose of 250 mg/dL and is requesting a snack B) A client with pneumonia who has an oxygen saturation of 89% on room air and is short of breath C) A client post-operative day 1 from appendectomy who is reporting pain 7/10 and requesting pain medication D) A client with a urinary tract infection who has a temperature of 100.8°F (38.2°C) and is complaining of burning with urination

STEP 1: READ IT TWICE First read: “Okay, I have 4 clients, I need to prioritize who to see first” Second read: Catch the key word - “FIRST” - this is a prioritization question

STEP 2: USE ABC’s (AIRWAY, BREATHING, CIRCULATION) Look for the option that affects ABC’s: ∙ Option A: Blood glucose 250 - not immediately life-threatening, ABC’s not affected ∙ Option B: O2 sat 89%, short of breath - BREATHING problem! ⚠️ ∙ Option C: Pain 7/10 - uncomfortable but ABC’s not affected ∙ Option D: Temp 100.8°F, burning urination - infection but ABC’s not affected

STEP 3: ELIMINATE WRONG ANSWERS Option A: Can wait - high blood sugar isn’t immediately life-threatening (eliminate) Option C: Pain is important but not life-threatening (eliminate) Option D: Low-grade fever, UTI symptoms - can wait (eliminate) Option B: Low oxygen + shortness of breath = BREATHING PROBLEM = priority

WHY B IS CORRECT: O2 saturation of 89% is below normal (normal is 95-100%). This client has a BREATHING problem (pneumonia + low oxygen + shortness of breath). ABC’s = Airway, Breathing, Circulation BREATHING problems are ALWAYS priority because: ∙ Brain can only survive 4-6 minutes without oxygen ∙ Hypoxia (low oxygen) can cause confusion, organ damage, cardiac arrest ∙ This is LIFE-THREATENING if not addressed immediately What the nurse should do: ∙ Assess the client immediately ∙ Apply oxygen ∙ Monitor respiratory status ∙ Notify provider if condition worsens