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Pediatric nursing · practice question

A 2-year-old toddler in the emergency department is being evaluated for pediatric injury prevention. Assessment data include capillary refill 4 seconds with dry mucous membranes and sunken fontanelle. Which error is most dangerous on the NCLEX and in practice?

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Choose one answer
Answer and explanation

Correct answer

D. Choosing an intervention before identifying assessment cues and immediate safety risk.

Why

The most dangerous NCLEX trap is treating before assessing, which can miss life-threatening deterioration.

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