Pediatric nursing · practice question
An 8-year-old child in the pediatric unit is being evaluated for well-child care. Assessment data include pulling at ears and crying with tugging on the right ear. Which assessment approach should the nurse use first?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Answer and explanation
Correct answer
C. 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.
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