HESI PEDIATRIC TEST BANK 2025/2026 EXIT EXAM - 252 QUESTIONS + VERIFIED
ANSWERS WITH WELL DETAILED RATIONALES/GRADE A+ ASSURED!!!
Question 1
A 15-month-old is admitted to the pediatric unit with a history of a recent upper respiratory
infection. Which symptoms are consistent with the diagnosis of laryngotracheobronchitis
(croup)?
A) High fever and drooling
B) Barking, seal-like cough and inspiratory stridor
C) Expiratory wheezing and productive cough
D) Intermittent apnea and bradycardia
E) Fine crackles in the lung bases and chest pain
Correct Answer: B) Barking, seal-like cough and inspiratory stridor
Rationale: Laryngotracheobronchitis, the most common form of croup, is characterized by
inflammation of the larynx and trachea. This leads to the classic "barking" cough,
hoarseness, and inspiratory stridor due to narrowed airways, which often worsen at night.
Question 2
A four-year-old is brought to the urgent care center with a sudden onset of severe sore throat,
drooling, and difficulty swallowing. The child is febrile (102.2°F), anxious, and sitting in a tripod
position. Which diagnosis does the nurse anticipate?
A) Acute Asthma Attack
B) Laryngotracheomalacia
C) Acute Laryngotracheobronchitis (Croup)
D) Acute Epiglottitis
E) Bronchiolitis
Correct Answer: D) Acute Epiglottitis
Rationale: Acute epiglottitis is a medical emergency. The "four Ds"—Drooling, Dysphagia,
Dysphonia, and Distressed inspiratory efforts (stridor)—along with the tripod position
(leaning forward with chin out) are classic indicators of this obstructive inflammatory
process.
Question 3
Which of the following should the nurse expect to be included in the immediate treatment of a
pediatric client experiencing acute asthma symptoms?
A) Bronchodilators, Corticosteroids, and Oxygen
B) Montelukast and prophylactic antibiotics
C) Chest physiotherapy and high-calorie diet
D) Immediate intubation and sedation
E) Cool mist tent and ribavirin
Correct Answer: A) Bronchodilators, Corticosteroids, and Oxygen
Rationale: Acute asthma management focuses on reversing airway obstruction and
reducing inflammation. Short-acting beta-agonists (bronchodilators) provide quick relief,
corticosteroids reduce inflammation, and oxygen is used to treat hypoxia.
ANSWERS WITH WELL DETAILED RATIONALES/GRADE A+ ASSURED!!!
Question 1
A 15-month-old is admitted to the pediatric unit with a history of a recent upper respiratory
infection. Which symptoms are consistent with the diagnosis of laryngotracheobronchitis
(croup)?
A) High fever and drooling
B) Barking, seal-like cough and inspiratory stridor
C) Expiratory wheezing and productive cough
D) Intermittent apnea and bradycardia
E) Fine crackles in the lung bases and chest pain
Correct Answer: B) Barking, seal-like cough and inspiratory stridor
Rationale: Laryngotracheobronchitis, the most common form of croup, is characterized by
inflammation of the larynx and trachea. This leads to the classic "barking" cough,
hoarseness, and inspiratory stridor due to narrowed airways, which often worsen at night.
Question 2
A four-year-old is brought to the urgent care center with a sudden onset of severe sore throat,
drooling, and difficulty swallowing. The child is febrile (102.2°F), anxious, and sitting in a tripod
position. Which diagnosis does the nurse anticipate?
A) Acute Asthma Attack
B) Laryngotracheomalacia
C) Acute Laryngotracheobronchitis (Croup)
D) Acute Epiglottitis
E) Bronchiolitis
Correct Answer: D) Acute Epiglottitis
Rationale: Acute epiglottitis is a medical emergency. The "four Ds"—Drooling, Dysphagia,
Dysphonia, and Distressed inspiratory efforts (stridor)—along with the tripod position
(leaning forward with chin out) are classic indicators of this obstructive inflammatory
process.
Question 3
Which of the following should the nurse expect to be included in the immediate treatment of a
pediatric client experiencing acute asthma symptoms?
A) Bronchodilators, Corticosteroids, and Oxygen
B) Montelukast and prophylactic antibiotics
C) Chest physiotherapy and high-calorie diet
D) Immediate intubation and sedation
E) Cool mist tent and ribavirin
Correct Answer: A) Bronchodilators, Corticosteroids, and Oxygen
Rationale: Acute asthma management focuses on reversing airway obstruction and
reducing inflammation. Short-acting beta-agonists (bronchodilators) provide quick relief,
corticosteroids reduce inflammation, and oxygen is used to treat hypoxia.
