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HESI Pediatrics Exit Exam test bank Exam ||Just Out!!!
The nurse is caring for a 7-year-old client and obtains these vital
signs: temperature 98.2°F, pulse 90, respirations 22, and blood
pressure 93/60. What will the nurse do next?
1.Cover the client with a warm blanket.
2.Document these normal vital signs.
3.Contact the healthcare provider regarding the low blood
pressure.
4.Repeat the vital signs for accuracy. - ANSWER-2
The 4-year-old sibling asks the nurse if she caused her brother
to be sick because she "wanted him to go away." The nurse
should recognize this as what?
1.Normal thinking for this age
2.A sign of potential abuse in the home
3.Concerning signs of emotional distress due to so much sibling
anger
4.Highly developed language and thoughts for this age -
ANSWER-1
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.
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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. - ANSWER-
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 - 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
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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
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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
HESI Pediatrics Exit Exam test bank Exam ||Just Out!!!
The nurse is caring for a 7-year-old client and obtains these vital
signs: temperature 98.2°F, pulse 90, respirations 22, and blood
pressure 93/60. What will the nurse do next?
1.Cover the client with a warm blanket.
2.Document these normal vital signs.
3.Contact the healthcare provider regarding the low blood
pressure.
4.Repeat the vital signs for accuracy. - ANSWER-2
The 4-year-old sibling asks the nurse if she caused her brother
to be sick because she "wanted him to go away." The nurse
should recognize this as what?
1.Normal thinking for this age
2.A sign of potential abuse in the home
3.Concerning signs of emotional distress due to so much sibling
anger
4.Highly developed language and thoughts for this age -
ANSWER-1
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.
,2|Page
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. - ANSWER-
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 - 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
,3|Page
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
, 4|Page
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
