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 parents report decreased wet diapers and lethargy over 24 hours. Which assessment approach should the nurse use first?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Answer and explanation
Correct answer
B. 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
- After nursing care for pediatric injury prevention, the nurse evaluates the client response. Which action best…
- An 8-year-old child in the pediatric unit is being evaluated for dehydration from vomiting and diarrhea. Assessment…
- A 2-year-old toddler in the emergency department is being evaluated for newly diagnosed congenital heart disease.…
- After nursing care for dehydration from vomiting and diarrhea, the nurse evaluates the client response. Which action…
- A 6-month-old infant in the pediatric clinic is being evaluated for family presence during hospitalization. Assessment…
- A 6-month-old infant in the pediatric clinic is being evaluated for dehydration from vomiting and diarrhea. The nurse…