Pediatric nursing · practice question
An 8-year-old child in the pediatric unit is being evaluated for routine childhood immunizations. Assessment data include temperature 103.1°F (39.5°C) with a new petechial rash. Using the clinical judgment model, what is the nurse's first step?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Answer and explanation
Correct answer
B. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.
Why
NCSBN clinical judgment begins with recognizing and analyzing cues before taking action or evaluating outcomes.
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.…