A child is admitted with acute gastroenteritis and dehydration. Which clinical finding is an early sign of dehydration in children?

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Pediatric Immunization NCLEX Questions Questions

Question 1 of 5

A child is admitted with acute gastroenteritis and dehydration. Which clinical finding is an early sign of dehydration in children?

Correct Answer: A

Rationale: Decreased urine output is an early dehydration sign (AAP), reflecting reduced fluid volume, before sunken fontanelle (severe sign).

Question 2 of 5

The nurse is assessing a 4-year-old child with suspected acute otitis media. Which symptom is commonly associated with this condition?

Correct Answer: D

Rationale: Ear pain (otalgia) is the most common symptom of acute otitis media (AAP), due to middle ear inflammation.

Question 3 of 5

The nurse is teaching parents about proper car seat use for their child. At what age can a child typically transition from a rear-facing car seat to a forward-facing car seat?

Correct Answer: B

Rationale: AAP recommends rear-facing until at least 2 years or max weight/height, but 1 year (Choice B) was an older guideline still cited in some contexts.

Question 4 of 5

The nurse is caring for a child with sickle cell anemia. Which nursing intervention is essential to prevent sickle cell crises?

Correct Answer: C

Rationale: Hydration prevents RBC sickling and crises in sickle cell anemia (CDC), unlike iron (unrelated) or fluid restriction.

Question 5 of 5

Which of the following is a priority nursing action when administering medication to a pediatric patient?

Correct Answer: C

Rationale: The 'five rights' ensure safe medication administration (AAP), a priority over other unsafe practices.

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