Pediatric nursing · practice question
A 2-year-old toddler in the emergency department is being evaluated for pediatric injury prevention. Assessment data include pulling at ears and crying with tugging on the right ear. Which assessment approach should the nurse use first?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Answer and explanation
Correct answer
D. Screen for instability, then perform a focused assessment related to the presenting concern.
Why
Assessment begins with stability screening and focused data collection before invasive or delayed actions.
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