PEDS HESI final - Respiratory and Cardiac
Updated Exam 2026 WITH Recent Newest
Verified And Well Analyzed Exam Questions
(Actual Exam 2026-2027) Correct Detailed &
Verified ANSWERS (100% Accurate Solutions)
ALREADY GRADED A+||NEWEST VERSION Of
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Normal pulse and respiratory rates - ANSWERS-Newborn: 100-160 HR, 30-60 RR
Toddler: 80-130 HR, 20-30 RR
Preschooler: 80-120 HR, 20-25 RR
School Age: 70-110 HR, 18-22 RR
Adolescent: 60-90 HR, 16-20 RR
Cardinal signs of respiratory distress in children - ANSWERS-Restlessness, increased
RR, increased HR, diaphoresis (excessive sweating)
Other signs of respiratory distress in children - ANSWERS-Flaring nostrils, retractions,
grunting, adventitious breath sounds (or absent breath sounds), use of accessory
muscles, head bobbing, alterations in ABG's, cyanosis and pallor
What happens in asthma pathophysiologically - ANSWERS-Airways become edmatous,
airways become congested with mucus, the smooth muscles of the bronchi and
bronchioles constrict, air trapping occurs in the alveoli
Asthma nursing assessment - ANSWERS-- Hx of asthma in the family, Hx of allergies,
home environment containing pets or other allergens, tight cough
- Breath sounds: coarse expiratory wheezing, rales, crackles
- Chest diameter enlarges (late sign and symptom)
, Bronchiolitis patho - ANSWERS-- Viral infection of the bronchioles that is characterized
by thick secretions
- Usually caused by a respiratory syncytial virus (RSV) and is found to be readily
transmitted by close contact with hospital personnel, families, and other children
- Bronchiolitis occurs primarily in young infants
Bronchiolitis nursing assessment - ANSWERS-- History of upper respiratory symptoms
- Irritable, distressed infant
- Paroxysmal coughing, poor eating, nasal congestion, nasal flaring, prolonged
expiratory phase of respiration, wheezing, rales can be auscultated, shallow rapid
respirations
Bronchiolitis nursing plans and interventions - ANSWERS-- Isolate child (contact
isolation)
- Assign nurses to clients with RSV who have no responsibility for any other children, to
prevent transmission of the virus
- Monitor respiratory status, observe for hypoxia, clear airway of secretions, provide
care in mist tent, administer oxygen, maintain hydration
What is priority of care for a patient with bronchiolitis or with any of these respiratory
issues? - ANSWERS-Maintaining a patent airway (always remember, especially in
respiratory, the ABC, airway, breathing, circulation)
Otitis media patho - ANSWERS-- Inflammatory disorder of the middle ear
- May be suppurative or serous
- Due to the anatomic structure of the ear in a young child, they are more prone to ear
infections.
- Risk for conductive hearing loss if untreated or incompletely treated
Updated Exam 2026 WITH Recent Newest
Verified And Well Analyzed Exam Questions
(Actual Exam 2026-2027) Correct Detailed &
Verified ANSWERS (100% Accurate Solutions)
ALREADY GRADED A+||NEWEST VERSION Of
The Exam Guarantee Pass!!
Normal pulse and respiratory rates - ANSWERS-Newborn: 100-160 HR, 30-60 RR
Toddler: 80-130 HR, 20-30 RR
Preschooler: 80-120 HR, 20-25 RR
School Age: 70-110 HR, 18-22 RR
Adolescent: 60-90 HR, 16-20 RR
Cardinal signs of respiratory distress in children - ANSWERS-Restlessness, increased
RR, increased HR, diaphoresis (excessive sweating)
Other signs of respiratory distress in children - ANSWERS-Flaring nostrils, retractions,
grunting, adventitious breath sounds (or absent breath sounds), use of accessory
muscles, head bobbing, alterations in ABG's, cyanosis and pallor
What happens in asthma pathophysiologically - ANSWERS-Airways become edmatous,
airways become congested with mucus, the smooth muscles of the bronchi and
bronchioles constrict, air trapping occurs in the alveoli
Asthma nursing assessment - ANSWERS-- Hx of asthma in the family, Hx of allergies,
home environment containing pets or other allergens, tight cough
- Breath sounds: coarse expiratory wheezing, rales, crackles
- Chest diameter enlarges (late sign and symptom)
, Bronchiolitis patho - ANSWERS-- Viral infection of the bronchioles that is characterized
by thick secretions
- Usually caused by a respiratory syncytial virus (RSV) and is found to be readily
transmitted by close contact with hospital personnel, families, and other children
- Bronchiolitis occurs primarily in young infants
Bronchiolitis nursing assessment - ANSWERS-- History of upper respiratory symptoms
- Irritable, distressed infant
- Paroxysmal coughing, poor eating, nasal congestion, nasal flaring, prolonged
expiratory phase of respiration, wheezing, rales can be auscultated, shallow rapid
respirations
Bronchiolitis nursing plans and interventions - ANSWERS-- Isolate child (contact
isolation)
- Assign nurses to clients with RSV who have no responsibility for any other children, to
prevent transmission of the virus
- Monitor respiratory status, observe for hypoxia, clear airway of secretions, provide
care in mist tent, administer oxygen, maintain hydration
What is priority of care for a patient with bronchiolitis or with any of these respiratory
issues? - ANSWERS-Maintaining a patent airway (always remember, especially in
respiratory, the ABC, airway, breathing, circulation)
Otitis media patho - ANSWERS-- Inflammatory disorder of the middle ear
- May be suppurative or serous
- Due to the anatomic structure of the ear in a young child, they are more prone to ear
infections.
- Risk for conductive hearing loss if untreated or incompletely treated
