Reduced Activity in Pediatrics — 2yo Child | Pediatric Emergency | SMLE Q#718
SMLE Question #718
Pediatrics
Pediatric Emergency
Objective: OBJ-OPH-REFERRAL-001
Last updated: February 2026
A 2-year-old boy has 1 day of fever and repeated vomiting with reduced activity. He has refused oral intake for 8 hours and vomits after attempts at oral rehydration. He appears tired but arousable with dry lips and tongue. You are deciding whether he needs intravenous fluids rather than continued oral therapy at home. Which finding most strongly indicates the need to administer IV fluids?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.