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HESI Pediatrics Exit Exam test bank Newest 2025 featuring 500 comprehensive questions with correct and detailed answers. Covers pediatric growth and development, disease processes, medication administration, nursing care plans, and clinical decision-making for pediatric patients.
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 1 / 4
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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 2 / 4
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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." - ANSWER-3
what is the gold standard test in cystic fibrosis - ANSWER- sweat test
A measurement of the maximum flow of air that can be forcefully exhaled in 1 second, a key measurement of pulmonary function - ANSWER-Peak expiratory flow rate
provides an objective method of evaluating the presence and degree of lung dz, as well as the response of therapy - ANSWER-Pulmonary Function Test (PFT)
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cessation of breathing for more than 20 sec or for a shorter period of time when associated w/ hypoxemia or bradycardia - ANSWER-apnea
a medical emergency that can result in respiratory failure and death if untreated - ANSWER-status asthmaticus
involves stimulating the production of sweat w/ a special device, collecting sweat and measuring the sweat electrolytes. Used in the diagnosis of cystic fibrosis - ANSWER-sweat chloride test
inability of the respiratory apparatus to maintain adequate oxygenation of the blood w/ or w/out carbon dioxide retention - ANSWER-respiratory failure
a serious obstructive inflammatory process in the upper airway may see absence of a cough but drooling and agitation - ANSWER-acute epiglottitis
in general applies to 2 conditions: increased work of breathing
w/ near normal gas exchange function or the inability to maintain normal blood gas tensions that develops from carbon
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