HESI NURSING CARE OF CHILDREN PROCTORED EXAM
1. The nurse teaches a patient who has asthma
about peak flow meter use. Which action by the
patient indicates that teaching was successful?
a. The patient inhales rapidly through the peak flow
meter mouthpiece.
b. The patient takes montelukast (Singulair) for peak
flows in the red zone.
c. The patient calls the health care provider when the
peak flow is in the green zone.
d. The patient uses an albuterol (Ventolin
HFA) inhaler for peak flows in the yellow
zone.
ANS: D
Readings in the yellow zone indicate a decrease in peak
flow. The patient should use short-acting b2- adrenergic
(SABA) medications. Readings in the green zone indicate
good asthma control. The patient should exhale quickly
and forcefully through the peak flow meter mouthpiece to
obtain the readings. Readings in the red zone do not
1
, indicate good peak flow, and the patient should take a
fast-acting bronchodilator and call the health care
provider for further instructions. Singulair is not indicated
for acute attacks but rather is used for maintenance
therapy.
2. A young adult patient who denies any history of
smoking is seen in the clinic with a new diagnosis of
chronic obstructive pulmonary disease (COPD). The
nurse should plan to teach the patient about
a. a1-antitrypsin testing. c. use of the nicotine patch.
b. leukotriene modifiers.
d. continuous pulse
oximetry. ANS: A
When COPD occurs in young patients, especially
without a smoking history, a genetic deficiency in a1-
antitrypsin should be suspected. Because the patient
does not smoke, a nicotine patch would not be ordered.
There is no indication that the patient requires
continuous pulse oximetry. Leukotriene modifiers
would be used in patients with asthma, not with COPD.
3. The nurse is caring for a patient with chronic
obstructive pulmonary disease (COPD). Which
information obtained from the patient would prompt the
nurse to consult with the health care provider before
administering the prescribed theophylline?
a. The patient reports a recent 15-lb weight gain.
b. The patient denies shortness of breath at present.
2
1. The nurse teaches a patient who has asthma
about peak flow meter use. Which action by the
patient indicates that teaching was successful?
a. The patient inhales rapidly through the peak flow
meter mouthpiece.
b. The patient takes montelukast (Singulair) for peak
flows in the red zone.
c. The patient calls the health care provider when the
peak flow is in the green zone.
d. The patient uses an albuterol (Ventolin
HFA) inhaler for peak flows in the yellow
zone.
ANS: D
Readings in the yellow zone indicate a decrease in peak
flow. The patient should use short-acting b2- adrenergic
(SABA) medications. Readings in the green zone indicate
good asthma control. The patient should exhale quickly
and forcefully through the peak flow meter mouthpiece to
obtain the readings. Readings in the red zone do not
1
, indicate good peak flow, and the patient should take a
fast-acting bronchodilator and call the health care
provider for further instructions. Singulair is not indicated
for acute attacks but rather is used for maintenance
therapy.
2. A young adult patient who denies any history of
smoking is seen in the clinic with a new diagnosis of
chronic obstructive pulmonary disease (COPD). The
nurse should plan to teach the patient about
a. a1-antitrypsin testing. c. use of the nicotine patch.
b. leukotriene modifiers.
d. continuous pulse
oximetry. ANS: A
When COPD occurs in young patients, especially
without a smoking history, a genetic deficiency in a1-
antitrypsin should be suspected. Because the patient
does not smoke, a nicotine patch would not be ordered.
There is no indication that the patient requires
continuous pulse oximetry. Leukotriene modifiers
would be used in patients with asthma, not with COPD.
3. The nurse is caring for a patient with chronic
obstructive pulmonary disease (COPD). Which
information obtained from the patient would prompt the
nurse to consult with the health care provider before
administering the prescribed theophylline?
a. The patient reports a recent 15-lb weight gain.
b. The patient denies shortness of breath at present.
2
