Quick answerThe correct categorization reflects the priority of life safety and safe extinguisher use. The client on oxygen is at higher risk, so immediate removal is critical. Closing the door and activating the alarm are immediate life-safety responses. Using the extinguisher with PASS is safe only if evacuation is not delayed and the fire is small.
Why this is correctIn a fire, the nurse's first priority is to protect the client. The RACE acronym (Rescue, Alarm, Contain, Extinguish/Evacuate) guides actions. Oxygen increases fire risk, so removal is urgent. PASS is used only when safe to do so.
Clinical pictureA client receiving oxygen is at increased risk for rapid fire spread. The nurse must remove the client from the room, activate the alarm, and close the door to contain the fire. If the fire is small and an exit is available, the nurse may use an extinguisher with the PASS technique, but only if it does not delay evacuation.
Memory hookRemember RACE for fire response: Rescue, Alarm, Contain, Extinguish/Evacuate. For extinguisher use, remember PASS: Pull, Aim, Squeeze, Sweep.
NCLEX decision ruleLife safety is always the first priority. Never use an elevator during a fire. Never re-enter a smoke-filled room. Use an extinguisher only if the fire is small, an exit is available, and its use will not delay evacuation.
Why the alternatives are wrongActions like using an elevator, re-entering a smoke-filled room, or fighting a growing fire are unsafe and not part of immediate life-safety response or safe extinguisher operation. Closing the door without first removing the client would be incorrect because the client's safety is paramount.
Sources
1NCSBN 2026 NCLEX-RN Test Plan
2U.S. Fire Administration: extinguisher PASS method
3NCSBN 2026 NCLEX-RN Test Plan