Difficulty: Medium
Average Score: 90%
Simulated
The nurse is reviewing the assessment findings of a 5-year-old child. The nurse recognizes which vital sign is not within normal limits?
Correct answer
C
Rationale
A pulse of 5 is abnormally low for a 5-year-old (normal 70-120). BP 110/60, RR 24, and temperature 37┬░C are within normal limits.