Pediatric nursing · practice question
An 8-year-old child in the pediatric unit is being evaluated for postoperative pain in a school-age child. Assessment data include temperature 103.1°F (39.5°C) with a new petechial rash. Which nursing action should the nurse take first?
Multiple choiceHardnclex-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.
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