Pediatric nursing · practice question

A 2-year-old toddler in the emergency department is being evaluated for newly diagnosed congenital heart disease. Assessment data include capillary refill 4 seconds with dry mucous membranes and sunken fontanelle. Which action is appropriate within the RN scope of practice?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026pediatric-nursing

Delegate nursing assessment and evaluation on an unstable client.Independently diagnose the medical disease and prescribe treatment.Prescribe new medications without a provider order.Assess, analyze cues, implement nursing interventions per orders, teach, evaluate outcomes, and question unsafe orders.

Answer and explanation

Correct answer

D. Assess, analyze cues, implement nursing interventions per orders, teach, evaluate outcomes, and question unsafe orders.

Why

RNs assess, coordinate care, teach, and evaluate. Diagnosis and prescribing are provider responsibilities.

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A 2-year-old toddler in the emergency department is being evaluated for newly diagnosed congenital heart disease. Assessment data include capillary refill 4 seconds with dry mucous membranes and sunken fontanelle. Which action is appropriate within the RN scope of practice?

Correct answer

Why

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