Hesi Asthma Case Study With Answers (2026)

Hesi Asthma Case Study Asthma Question 1 of 26 Which of the school nurse’s observations are consistent with the diagnosis of bronchitis? A dry cough that becomes productive. Rationale: Bronchitis is characterized by a dry hacking cough that becomes productive over 2-3 days Reference: Hockenberry, M., & Wilson, D. (2015). Wong's nursing care of infants and children (10th ed., p. 1188). Elsevier, St. Louis: MO. A dry, hacking cough that becomes productive in 2 to 3 days is characteristic of bronchitis. The cough associated with asthma is nonproductive. The absence of fever or sore throat. Bronchitis is typically caused by a virus and is accompanied by a low grade fever and a sore throat. Fever is not associated with asthma. Exercise intolerance. Bronchitis resolves in 5 to 10 days and chronic exercise intolerance is not a feature. It is a feature of poorly-controlled asthma. Response to β2-agonists. As a viral illness, bronchitis responds to symptomatic treatment: antipyretics, analgesics, and humidity. In young children, response to β2-agonists is often used as a diagnostic tool for asthma. Question 2 of 26 The child's caregiver asks the school nurse to explain the pulmonary function test. Which of the following information is accurate? Pulmonary function tests are only accurate in children ages 8 and older who can blow a big breath out. Although a large exhalation is required to perform the test, children as young as age 5 are able to perform pulmonary function tests. Interpretation is adjusted based on gender, age, and height. While helpful, pulmonary functions tests are an expensive alternative to careful history and physical assessment. Pulmonary functions tests are the most objective measure for the diagnosis of asthma. Pulmonary function tests are used to detect airflow limitation even when no symptoms are clinically evident. Rationale: Pulmonary function tests provide an objective method of evaluating the presence and degree of lung disease and response to therapy.