Psychology / lifespan development · practice question

A 3-year-old child in the pediatric clinic is being evaluated for developmental expectations for toddler and preschool development. Assessment data include the child has frequent tantrums and the caregiver asks about limit setting. Which nursing action should the nurse take first?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026psychology-lifespan-development

Implement the final step of the care plan before assessing the client.Give a blanket answer that everything is fine and continue the prior plan.Document the client as stable without reassessment.Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.

Answer and explanation

Correct answer

D. 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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A 3-year-old child in the pediatric clinic is being evaluated for developmental expectations for toddler and preschool development. Assessment data include the child has frequent tantrums and the caregiver asks about limit setting. Which nursing action should the nurse take first?

Correct answer

Why

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