Pediatric nursing · practice question

A 2-year-old toddler in the emergency department is being evaluated for family presence during hospitalization. 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 choiceHardnclex-rn-bsnnclex-validatednclex-2026pediatric-nursing

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

Answer and explanation

Correct answer

C. 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 family presence during hospitalization. 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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