Pediatric nursing · practice question
A 2-year-old toddler in the emergency department is being evaluated for routine childhood immunizations. Assessment data include nasal flaring, grunting, retractions, and SpO2 89%. Which assessment approach should the nurse use first?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Answer and explanation
Correct answer
A. 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.
Test yourself on Pediatric nursing
A free test with instant, explained results. No account needed.
More Pediatric nursing questions
- An 8-year-old child in the pediatric unit is being evaluated for febrile illness in a toddler. Assessment data include…
- The RN is caring for a stable client who needs routine assistance related to bronchiolitis with respiratory distress.…
- A 2-year-old toddler in the emergency department is being evaluated for routine childhood immunizations. Assessment…
- A 2-year-old toddler in the emergency department is being evaluated for postoperative pain in a school-age child.…
- A 2-year-old toddler in the emergency department is being evaluated for febrile illness in a toddler. Assessment data…
- The RN is caring for a stable client who needs routine assistance related to postoperative pain in a school-age child.…