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Pediatric nursing · practice question

An 8-year-old child in the pediatric unit is being evaluated for newly diagnosed congenital heart disease. Assessment data include pulling at ears and crying with tugging on the right ear. Which error is most dangerous on the NCLEX and in practice?

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Choose one answer
Answer and explanation

Correct answer

B. 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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