Pediatric nursing · practice question
An 8-year-old child in the pediatric unit is being evaluated for febrile illness in a toddler. Assessment data include nasal flaring, grunting, retractions, and SpO2 89%. Which nursing action should the nurse take first?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Answer and explanation
Correct answer
B. Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.
Why
First-action questions on the NCLEX require assessment and safety before treatment, documentation alone, or delegation of nursing judgment.
Test yourself on Pediatric nursing
A free test with instant, explained results. No account needed.
More Pediatric nursing questions
- 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.…
- A 6-month-old infant in the pediatric clinic is being evaluated for weight-based pediatric medication. Assessment data…