[ "Apply the 5A framework at every patient encounter regardless of readiness to quit", "Select the most appropriate cessation pharmacotherapy based on comorbidities and patient profile", "Counsel patients on varenicline and bupropion dosing, contraindications, and safety", "Apply NRT in pregnancy as the preferred pharmacotherapy option" ] Connect Evidence-Based Pharmacotherapy and Brief Counseling For to bedside cues you will reassess first: vitals trends, work of breathing, perfusion, mentation, and pain or ischemic equivalents when relevant. NCLEX items often reward recognizing when subtle instability outweighs reassurance, then selecting nursing actions that protect airway, circulation, and neurologic status before routine tasks.