HESI PEDIATRICS EXIT EXAM 3 2026 PEDIATRIC
NURSING PRACTICE SET ANSWERS FULL
SOLUTION
◉ 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
NURSING PRACTICE SET ANSWERS FULL
SOLUTION
◉ 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
