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PEDIATRICS HESI EXAM QUESTIONS WITH COMPLETE VERIFIED SOLUTIONS

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PEDIATRICS HESI EXAM QUESTIONS WITH COMPLETE VERIFIED SOLUTIONS Terms in this set (252) 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. 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 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 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 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 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." 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 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 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. 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 1 The nursing student asks the nurse about genetic implications related to cystic fibrosis (CF). How should the nurse respond? 1. "It is inherited as an autosomal dominant trait." 2. "It is a genetic defect found primarily in non-Caucasian people." 3. "If it is present in a child, both parents are carriers of the defective gene." 4. "There is a 50% chance the siblings of an affected child will also be affected." 3 what is the gold standard test in cystic fibrosis sweat test A measurement of the maximum flow of air that can be forcefully exhaled in 1 second, a key measurement of pulmonary function Peak expiratory flow rate provides an objective method of evaluating the presence and degree of lung dz, as well as the response of therapy Pulmonary Function Test (PFT) cessation of breathing for more than 20 sec or for a shorter period of time when associated w/ hypoxemia or bradycardia apnea

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3/23/25, 8:18 Pediatrics HESI Flashcards |
AM

PEDIATRICS HESI EXAM QUESTIONS WITH COMPLETE VERIFIED
SOLUTIONS

Terms in this set (252)


A 15-month-old is admitted to the pediatric 1,2,3
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.

A four-year-old is presented to the urgent 4
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
Which should the nurse expect to be 1, 2, 3
included in the treatment of the client
experiencing acute asthma symptoms?
Select all that apply.
1. Bronchodilators
2. Cortic
osteroids
3.Oxygen
4.Montelukast (Singular)
5.Immediate Intubation




1/17

,3/23/25, 8:18 Pediatrics HESI Flashcards |
AM
The nurse understands that in a child with 1, 3, 4, 5
cystic fibrosis (CF) which vitamin
absorption is impaired? Select all that
apply.
1.A
2.B
3.C
4.D
5.E

Which indicates the earliest sign of 1
hemorrhage in a child who has just had a
tonsillectomy?
1. Frequent swallowing
2. Labored
respirations
3.Tachypnea stridor
4.Dark brown emesis
A child with chronic otitis media has 2
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."
The nurse should instruct the parent whose 1, 2, 3
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

Which are signs and symptoms of 1, 2, 5
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




2/17

, 3/23/25, 8:18 Pediatrics HESI Flashcards |
AM
You are teaching a family with a child 1, 2, 4
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.


Which child does the nurse anticipate to be 1
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

The nursing student asks the nurse about 3
genetic implications related to cystic
fibrosis (CF). How should the nurse
respond?
1. "It is inherited as an autosomal
dominant trait."
2. "It is a genetic defect found
primarily in non-Caucasian people."
3. "If it is present in a child, both
parents are carriers of the defective
gene."
4. "There is a 50% chance the
siblings of an affected child will also be
affected."
what is the gold standard test in cystic sweat test
fibrosis

A measurement of the maximum flow of Peak expiratory flow rate
air that can be forcefully exhaled in 1
second, a key measurement of pulmonary
function
provides an objective method of evaluating Pulmonary Function Test (PFT)
the presence and degree of lung dz, as
well as the response of therapy


cessation of breathing for more than 20 apnea
sec or for a shorter period of time
when
associated w/ hypoxemia or bradycardia
a medical emergency that can result in status asthmaticus
respiratory failure and death if untreated



3/17

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