A 16-year-old female student with a history of asthma controlled with both an oral antihistamine and an albuterol (Proventil) metered-dose inhaler (MDI) comes to the school nurse. The student complains that she cannot sleep at night, feels shaky, and her heart feels like it is 'beating a mile a minute.' Which information is most important for the nurse to obtain?- Skildor

Question 1 of 5

A 16-year-old female student with a history of asthma controlled with both an oral antihistamine and an albuterol (Proventil) metered-dose inhaler (MDI) comes to the school nurse. The student complains that she cannot sleep at night, feels shaky, and her heart feels like it is 'beating a mile a minute.' Which information is most important for the nurse to obtain?

A. When she last took the antihistamine. B. When her last asthma attack occurred. C. Duration of most asthma attacks. D. How often the MDI is used daily.

Correct Answer: D

Rationale: The most important information for the nurse to obtain is how often the MDI is used daily. This is crucial to assess if the symptoms of insomnia, shakiness, and rapid heart rate are related to overuse of the inhaler, leading to potential side effects such as systemic effects of beta-2 agonists.

Question 2 of 5

A 6 year old who has asthma is demonstrating a prolonged expiratory phase and wheezing and has a 35% of personal best peak expiratory flow rate (PEFR). Based on these findings, what actions should the nurse take first?

A. Administer a prescribed bronchodilator. B. Encourage the child to cough and deep breath. C. Report findings to the health care provider. D. Determine what triggers precipitated this attack.

Correct Answer: A

Rationale: Administering a bronchodilator will help open the airways and improve breathing.

Question 3 of 5

When observing a distraught mother scolding her 3-year-old son for wetting his pants in the hallway of a pediatric unit, what initial action should the nurse take?

A. Suggest that the mother consult a pediatric nephrologist. B. Provide disposable training pants while calming the mother. C. Refer the mother to a community parent education program. D. Inform the mother that toilet training is slower for boys.

Correct Answer: B

Rationale: In this situation, the nurse's initial action should be to provide disposable training pants to manage the immediate issue of wetting while also calming the mother. This approach addresses the current distressing situation and offers a practical solution to alleviate the mother's concerns.

Question 4 of 5

A 2-year-old boy begins to cry when the mother starts to leave. What is the nurse's best response in this situation?

A. Let me read this book to you. B. Two years old usually stop crying the minute the parent leaves. C. Now be a big boy. Mommy will be back soon. D. Let's wave bye-bye to mommy.

Correct Answer: D

Rationale: Waving bye-bye to mommy helps the child understand that the separation is temporary.

Question 5 of 5

A 16-year-old female student with a history of asthma controlled with both an oral antihistamine and an albuterol (Proventil) metered-dose inhaler (MDI) comes to the school nurse. The student complains that she cannot sleep at night, feels shaky, and her heart feels like it is 'beating a mile a minute.' Which information is most important for the nurse to obtain?

A. When she last took the antihistamine. B. When her last asthma attack occurred. C. Duration of most asthma attacks. D. How often the MDI is used daily.

Correct Answer: D

Rationale: The most important information for the nurse to obtain is how often the MDI is used daily. This is crucial to assess if the symptoms of insomnia, shakiness, and rapid heart rate are related to overuse of the inhaler, leading to potential side effects such as systemic effects of beta-2 agonists.

HESI Practice Test Pediatrics

Skildor

HESI RN

HESI RN

HESI Practice Test Pediatrics Questions

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