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Pediatric nursing · practice question

An 8-year-old child in the pediatric unit is being evaluated for weight-based pediatric medication. Assessment data include capillary refill 4 seconds with dry mucous membranes and sunken fontanelle. Which error is most dangerous on the NCLEX and in practice?

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Answer and explanation

Correct answer

D. 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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