The nurse is assessing a child with suspected dehydration. Which finding indicates severe dehydration?

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Pediatric Immunization NCLEX Questions Ricci Questions

Question 1 of 5

The nurse is assessing a child with suspected dehydration. Which finding indicates severe dehydration?

Correct Answer: A

Rationale: A sunken fontanelle indicates severe dehydration (10%+ loss) in infants (AAP). Pink membranes (Choice B), normal refill (Choice C), and adequate urine (Choice D) suggest hydration.

Question 2 of 5

Which of the following is a common symptom of asthma in children?

Correct Answer: B

Rationale: Wheezing, caused by airway obstruction, is a hallmark of asthma (NHLBI). Other choices are unrelated.

Question 3 of 5

A child with type 1 diabetes is admitted with diabetic ketoacidosis. What is the priority intervention for this child?

Correct Answer: D

Rationale: IV fluids with insulin correct dehydration and hyperglycemia in DKA (ADA), the priority over subcutaneous insulin or sugar intake.

Question 4 of 5

The nurse is caring for a toddler with suspected intussusception. Which clinical manifestation is characteristic of this condition?

Correct Answer: B

Rationale: Abdominal pain and 'currant jelly' stools (bloody mucus) are classic intussusception signs (AAP), due to bowel telescoping.

Question 5 of 5

Which of the following developmental milestones is typically achieved first in infants?

Correct Answer: B

Rationale: Sitting without support (6-8 months) precedes walking (12-18 months), two-word phrases (2 years), and spoon use (18-24 months; AAP).

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