HESI PEDIATRIC TEST BANK
2025/2026 EXIT EXAM – 250
QUESTIONS AND VERIFIED
ANSWERS
A 15-month-old is admitted to the pediatric unit with a history of a
recent upper respiratory infection. Which symptom is consistent with the
diagnosis of laryngotracheobronchitis (croup)? Select all that apply.
1.Reported inspiratory stridor which is worse at night.
2.Suprasternal retractions are present upon examination.
3.The toddler has a barking, seal-like, harsh cough.
4.Lung sounds have inspiratory wheezing.
5.Lung sounds with crackles in the bases bilaterally. - ANSWER- 1,2,3
A four-year-old is presented to the urgent care center with a history of a
sudden onset of a severe sore throat. He began drooling and has
difficulty swallowing. The temperature is 102.2F (39.0C). Lung sounds
are clear and there is no cough. The child is very anxious and flushed
and is leaning forward in a tripod position. Based on these symptoms,
the nurse anticipates a diagnosis of:
,1.Acute Asthma Attack
2.Laryngotracheomalacia
3.Acute laryngotracheobronchitis (Croup)
4.Acute Epiglottitis - ANSWER- 4
Which should the nurse expect to be included in the treatment of the
client experiencing acute asthma symptoms? Select all that apply.
1.Bronchodilators
2.Corticosteroids
3.Oxygen
4.Montelukast (Singular)
5.Immediate Intubation - ANSWER- 1, 2, 3
The nurse understands that in a child with cystic fibrosis (CF) which
vitamin absorption is impaired? Select all that apply.
1.A
2.B
3.C
4.D
5.E - ANSWER- 1, 3, 4, 5
Which indicates the earliest sign of hemorrhage in a child who has just
had a tonsillectomy?
1.Frequent swallowing
,2.Labored respirations
3.Tachypnea stridor
4.Dark brown emesis - ANSWER- 1
A child with chronic otitis media has bilateral myringotomy tubes
placed. Which statement would indicate that the parent understands
education about myringotomy tubes?
1."The tubes have to be surgically removed in 9 months or so."
2."The tubes were placed to equalize pressure."
3."These tubes won't affect my child being able to go swimming in the
summer."
4."My child will still need to be on Amoxicillin prophylactically for six
months." - ANSWER- 2
The nurse should instruct the parent whose child is diagnosed with
respiratory syncytial virus (RSV) to notify the healthcare provider for
which issue? Select all that apply.
1.The child is not eating
2.There is a decrease in wet diapers
3.There is increased work of breathing
4.The child develops yellow drainage from the nose
5.Only when the child wheezes - ANSWER- 1, 2, 3
Which are signs and symptoms of respiratory distress in a two-month-
old? Select all that apply.
, 1.Nasal flaring
2.Intercostal retractions
3.Coughing
4.Bronchovesicular lung sounds
5.Grunting - ANSWER- 1, 2, 5
You are teaching a family with a child who has cystic fibrosis (CF)
about chest physiotherapy treatment (CPT). Which of the following
teaching points are correct to include? SATA
1.It should be performed three to four times a day.
2.It may cause bronchospasm.
3.It is all right to percuss over the spine or internal organs.
4.When manually percussing you should use a cupped hand.
5.CPT can be done at any time including after eating. - ANSWER- 1, 2,
4
Which child does the nurse anticipate to be most at risk for being
hospitalized for respiratory syncytial virus (RSV)?
1.A three-month-old who was born at 30 weeks gestation
2.A 18-month-old with a tracheostomy
3.A four-year-old with a ventricular septal defect (VSD)
4.A five-year-old who was term but has never received any
immunizations - ANSWER- 1
2025/2026 EXIT EXAM – 250
QUESTIONS AND VERIFIED
ANSWERS
A 15-month-old is admitted to the pediatric unit with a history of a
recent upper respiratory infection. Which symptom is consistent with the
diagnosis of laryngotracheobronchitis (croup)? Select all that apply.
1.Reported inspiratory stridor which is worse at night.
2.Suprasternal retractions are present upon examination.
3.The toddler has a barking, seal-like, harsh cough.
4.Lung sounds have inspiratory wheezing.
5.Lung sounds with crackles in the bases bilaterally. - ANSWER- 1,2,3
A four-year-old is presented to the urgent care center with a history of a
sudden onset of a severe sore throat. He began drooling and has
difficulty swallowing. The temperature is 102.2F (39.0C). Lung sounds
are clear and there is no cough. The child is very anxious and flushed
and is leaning forward in a tripod position. Based on these symptoms,
the nurse anticipates a diagnosis of:
,1.Acute Asthma Attack
2.Laryngotracheomalacia
3.Acute laryngotracheobronchitis (Croup)
4.Acute Epiglottitis - ANSWER- 4
Which should the nurse expect to be included in the treatment of the
client experiencing acute asthma symptoms? Select all that apply.
1.Bronchodilators
2.Corticosteroids
3.Oxygen
4.Montelukast (Singular)
5.Immediate Intubation - ANSWER- 1, 2, 3
The nurse understands that in a child with cystic fibrosis (CF) which
vitamin absorption is impaired? Select all that apply.
1.A
2.B
3.C
4.D
5.E - ANSWER- 1, 3, 4, 5
Which indicates the earliest sign of hemorrhage in a child who has just
had a tonsillectomy?
1.Frequent swallowing
,2.Labored respirations
3.Tachypnea stridor
4.Dark brown emesis - ANSWER- 1
A child with chronic otitis media has bilateral myringotomy tubes
placed. Which statement would indicate that the parent understands
education about myringotomy tubes?
1."The tubes have to be surgically removed in 9 months or so."
2."The tubes were placed to equalize pressure."
3."These tubes won't affect my child being able to go swimming in the
summer."
4."My child will still need to be on Amoxicillin prophylactically for six
months." - ANSWER- 2
The nurse should instruct the parent whose child is diagnosed with
respiratory syncytial virus (RSV) to notify the healthcare provider for
which issue? Select all that apply.
1.The child is not eating
2.There is a decrease in wet diapers
3.There is increased work of breathing
4.The child develops yellow drainage from the nose
5.Only when the child wheezes - ANSWER- 1, 2, 3
Which are signs and symptoms of respiratory distress in a two-month-
old? Select all that apply.
, 1.Nasal flaring
2.Intercostal retractions
3.Coughing
4.Bronchovesicular lung sounds
5.Grunting - ANSWER- 1, 2, 5
You are teaching a family with a child who has cystic fibrosis (CF)
about chest physiotherapy treatment (CPT). Which of the following
teaching points are correct to include? SATA
1.It should be performed three to four times a day.
2.It may cause bronchospasm.
3.It is all right to percuss over the spine or internal organs.
4.When manually percussing you should use a cupped hand.
5.CPT can be done at any time including after eating. - ANSWER- 1, 2,
4
Which child does the nurse anticipate to be most at risk for being
hospitalized for respiratory syncytial virus (RSV)?
1.A three-month-old who was born at 30 weeks gestation
2.A 18-month-old with a tracheostomy
3.A four-year-old with a ventricular septal defect (VSD)
4.A five-year-old who was term but has never received any
immunizations - ANSWER- 1
