Question 1

The nurse instructs the 11-year-old diabetic child to use the side of the finger for blood testing because the side of the finger:

Accepted Answer

A)  has fewer capillaries. 
B)  is easier to puncture. 
C)  is less likely to become infected. 
D)  has fewer nerve endings. 
A)  has fewer capillaries. 
B)  is easier to puncture. 
C)  is less likely to become infected. 
D)  has fewer nerve endings. D

Question 2

The nurse explains that because of an inadequate secretion of insulin:

Accepted Answer

A)  protein synthesis is increased. 
B)  increased fat breakdown leads to ketonemia. 
C)  serum glucose levels are markedly decreased. 
D)  more rapid conversion and storage of carbohydrates to glucose occurs. 
A)  protein synthesis is increased. 
B)  increased fat breakdown leads to ketonemia. 
C)  serum glucose levels are markedly decreased. 
D)  more rapid conversion and storage of carbohydrates to glucose occurs. B

Question 3

The nurse assessing a glycosylated hemoglobin (HbA1c)test is aware that this test can evaluate average glucose levels over a period of _____ to _____ months.

Accepted Answer

3;4 Glucose attaches to the red cells over the life span of the cell and can be read as percentages.An HbA_1c reading of 6% to 9% is normal;a reading of 12% or higher is indicative of DM.

Question 4

The nurse caring for a child with a new diagnosis of type 1 diabetes mellitus plans the care based on the understanding that:

Accepted Answer

A)  there is an absolute deficiency of insulin. 
B)  insufficient quantities of insulin are produced by the pancreas. 
C)  oral hypoglycemic agents can control it. 
D)  insulin deficiency is caused by another disease affecting the pancreas. 
A)  there is an absolute deficiency of insulin. 
B)  insufficient quantities of insulin are produced by the pancreas. 
C)  oral hypoglycemic agents can control it. 
D)  insulin deficiency is caused by another disease affecting the pancreas.

Question 5

The nurse teaching parents of a child with diabetes insipidus about water intoxication would tell the parents to be alert for:

Accepted Answer

A)  polyuria. 
B)  cough. 
C)  weight loss. 
D)  lethargy. 
A)  polyuria. 
B)  cough. 
C)  weight loss. 
D)  lethargy.

Question 6

A child with diabetes is brought to the emergency department.He is flushed and drowsy,and his skin is dry.His father states that the child has been feeling progressively worse since the morning.This child is most likely experiencing:

Accepted Answer

A)  Somogyi phenomenon. 
B)  dawn syndrome. 
C)  ketoacidosis. 
D)  water intoxication. 
A)  Somogyi phenomenon. 
B)  dawn syndrome. 
C)  ketoacidosis. 
D)  water intoxication.

Question 7

What would be the most appropriate nursing response to a woman who says,"My sister had a child with Tay-Sachs disease,and I want to know if I could have a child with this condition."

Accepted Answer

A)  "The disease is rare. It is unlikely that you would have a child with Tay-Sachs disease. " 
B)  "A screening test can be done to determine if you are a carrier of the gene. " 
C)  "The gene for Tay-Sachs disease is transmitted by the father. " 
D)  "The cause of Tay-Sachs disease is thought to be an autoimmune response to a virus. " 
A)  "The disease is rare. It is unlikely that you would have a child with Tay-Sachs disease. " 
B)  "A screening test can be done to determine if you are a carrier of the gene. " 
C)  "The gene for Tay-Sachs disease is transmitted by the father. " 
D)  "The cause of Tay-Sachs disease is thought to be an autoimmune response to a virus. "

Question 8

A mother reports that her 4-month-old infant is lethargic,sleeps 18 hours a day,and snores.The nurse recognizes that these signs are characteristic of:

Accepted Answer

A)  hypothyroidism. 
B)  hyperthyroidism. 
C)  type 1 diabetes mellitus. 
D)  Tay-Sachs disease. 
A)  hypothyroidism. 
B)  hyperthyroidism. 
C)  type 1 diabetes mellitus. 
D)  Tay-Sachs disease.

Question 9

Which food sources are high in soluble fiber? Select all that apply.

Accepted Answer

A)  Raw fruits 
B)  Cooked vegetables 
C)  Beans 
D)  Lean meat 
E)  Bran cereal 
A)  Raw fruits 
B)  Cooked vegetables 
C)  Beans 
D)  Lean meat 
E)  Bran cereal

Question 10

Although the child with type 1 diabetes had her prescribed insulin at 7:30 AM,the child is complaining of hunger and thirst and is drowsy at 10:30 AM.The nurse should first:

Accepted Answer

A)  walk the patient in the hall for 10 minutes. 
B)  allow the patient a short nap. 
C)  give her a cup of orange juice. 
D)  test her blood with a glucometer and give insulin according to the sliding scale. 
A)  walk the patient in the hall for 10 minutes. 
B)  allow the patient a short nap. 
C)  give her a cup of orange juice. 
D)  test her blood with a glucometer and give insulin according to the sliding scale.

Question 11

The nurse reminds the adolescent with diabetes that soluble fiber in the diet can reduce what? Select all that apply.

Accepted Answer

A)  Blood glucose 
B)  Serum cholesterol 
C)  Incidence of infections 
D)  Absorption of sugar 
E)  Insulin requirements 
A)  Blood glucose 
B)  Serum cholesterol 
C)  Incidence of infections 
D)  Absorption of sugar 
E)  Insulin requirements

Question 12

The statement made by a 7-year-old child with type 1 diabetes mellitus that indicates a need for more teaching is:

Accepted Answer

A)  "My pancreas is sick and needs insulin until it is well. " 
B)  "I will need to take my insulin every day. " 
C)  "I need to keep a piece of candy in my pocket in case I start to feel shaky. " 
D)  "My mom has to give me insulin shots twice a day. " 
A)  "My pancreas is sick and needs insulin until it is well. " 
B)  "I will need to take my insulin every day. " 
C)  "I need to keep a piece of candy in my pocket in case I start to feel shaky. " 
D)  "My mom has to give me insulin shots twice a day. "

Question 13

The condition the nurse suspects when a child with type 1 diabetes mellitus has hyperglycemia,diaphoresis,and headaches in the morning is:

Accepted Answer

A)  dawn phenomenon. 
B)  Somogyi phenomenon. 
C)  honeymoon effect. 
D)  ketoacidosis. 
A)  dawn phenomenon. 
B)  Somogyi phenomenon. 
C)  honeymoon effect. 
D)  ketoacidosis.

Question 14

The comment made by a school-age child indicating that he needs more teaching about diabetes mellitus and exercise is:

Accepted Answer

A)  "I carry a piece of hard candy with me in case I start to feel shaky. " 
B)  "I make sure I have emergency money when I have soccer practice or a game. " 
C)  "Sometimes I skip my breakfast when I have a game in the morning. " 
D)  "I play in soccer games that are scheduled after dinner. " 
A)  "I carry a piece of hard candy with me in case I start to feel shaky. " 
B)  "I make sure I have emergency money when I have soccer practice or a game. " 
C)  "Sometimes I skip my breakfast when I have a game in the morning. " 
D)  "I play in soccer games that are scheduled after dinner. "

Question 15

The nurse explains that the endocrine system is primarily responsible for controlling which process(es)? Select all that apply.

Accepted Answer

A)  Maturation 
B)  Reproduction 
C)  Stress response 
D)  Sexual identity 
E)  Growth 
A)  Maturation 
B)  Reproduction 
C)  Stress response 
D)  Sexual identity 
E)  Growth

Question 16

The general dietary measure to include in a teaching plan for the child with type 1 diabetes mellitus is to:

Accepted Answer

A)  control intake of carbohydrates and consume fewer calories. 
B)  focus on complex carbohydrates and eat foods high in fiber. 
C)  obtain most calories from proteins and fats. 
D)  eat a diet low in fat and low in complex carbohydrates. 
A)  control intake of carbohydrates and consume fewer calories. 
B)  focus on complex carbohydrates and eat foods high in fiber. 
C)  obtain most calories from proteins and fats. 
D)  eat a diet low in fat and low in complex carbohydrates.

Question 17

The nurse reminds the parents of a diabetic with an insulin pump that the tubing of the pump should be changed aseptically every ______ hours.

Accepted Answer

48
The tubing of the

Question 18

An important consideration for the school-age child taking DDAVP for diabetes insipidus would be:

Accepted Answer

A)  observing for signs of water deprivation. 
B)  restricting his physical education program. 
C)  arranging for the child to use the bathroom when needed. 
D)  limiting fluid intake other than during the lunch period. 
A)  observing for signs of water deprivation. 
B)  restricting his physical education program. 
C)  arranging for the child to use the bathroom when needed. 
D)  limiting fluid intake other than during the lunch period.

Question 19

The home health nurse is monitoring an 8-month-old child with hypothyroidism taking levothyroxine (Synthroid).The nurse recognizes signs of overdose when the assessment reveals which symptom(s)? Select all that apply.

Accepted Answer

A)  Tachycardia 
B)  Irritability 
C)  Vomiting 
D)  Weight gain 
E)  Diaphoresis 
A)  Tachycardia 
B)  Irritability 
C)  Vomiting 
D)  Weight gain 
E)  Diaphoresis

Question 20

When teaching a 12-year-old how to administer insulin,the nurse instructs the child to:

Accepted Answer

A)  make sure injection sites are 6 inches apart. 
B)  select an injection site that was recently exercised. 
C)  inject the needle at a 90-degree angle. 
D)  give the injection deep into the muscle. 
A)  make sure injection sites are 6 inches apart. 
B)  select an injection site that was recently exercised. 
C)  inject the needle at a 90-degree angle. 
D)  give the injection deep into the muscle.

Exam 31: The Child with a Metabolic Condition

The nurse instructs the 11-year-old diabetic child to use the side of the finger for blood testing because the side of the finger:

The nurse explains that because of an inadequate secretion of insulin:

The nurse assessing a glycosylated hemoglobin (HbA1c)test is aware that this test can evaluate average glucose levels over a period of _____ to _____ months.

The nurse caring for a child with a new diagnosis of type 1 diabetes mellitus plans the care based on the understanding that:

The nurse teaching parents of a child with diabetes insipidus about water intoxication would tell the parents to be alert for:

A child with diabetes is brought to the emergency department.He is flushed and drowsy,and his skin is dry.His father states that the child has been feeling progressively worse since the morning.This child is most likely experiencing:

What would be the most appropriate nursing response to a woman who says,"My sister had a child with Tay-Sachs disease,and I want to know if I could have a child with this condition."

A mother reports that her 4-month-old infant is lethargic,sleeps 18 hours a day,and snores.The nurse recognizes that these signs are characteristic of:

Which food sources are high in soluble fiber? Select all that apply.

Although the child with type 1 diabetes had her prescribed insulin at 7:30 AM,the child is complaining of hunger and thirst and is drowsy at 10:30 AM.The nurse should first:

The nurse reminds the adolescent with diabetes that soluble fiber in the diet can reduce what? Select all that apply.

The statement made by a 7-year-old child with type 1 diabetes mellitus that indicates a need for more teaching is:

The condition the nurse suspects when a child with type 1 diabetes mellitus has hyperglycemia,diaphoresis,and headaches in the morning is:

The comment made by a school-age child indicating that he needs more teaching about diabetes mellitus and exercise is:

The nurse explains that the endocrine system is primarily responsible for controlling which process(es)? Select all that apply.

The general dietary measure to include in a teaching plan for the child with type 1 diabetes mellitus is to:

The nurse reminds the parents of a diabetic with an insulin pump that the tubing of the pump should be changed aseptically every ______ hours.

An important consideration for the school-age child taking DDAVP for diabetes insipidus would be:

The home health nurse is monitoring an 8-month-old child with hypothyroidism taking levothyroxine (Synthroid).The nurse recognizes signs of overdose when the assessment reveals which symptom(s)? Select all that apply.

When teaching a 12-year-old how to administer insulin,the nurse instructs the child to:

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women with Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women with Complications During Labor and Birth

The Family After Birth

Nursing Care of Women with Complications After Birth

The Nurse’s Role in Women’s Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn with a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The Preschool Child

The School-Age Child

The Adolescent

The Child’s Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child with a Sensory or Neurological Condition

The Child with a Musculoskeletal Condition

The Child with a Respiratory Disorder

The Child with a Cardiovascular Disorder

The Child with a Condition of the Blood, Blood-Forming Organs, or

The Child with a Gastrointestinal Condition

The Child with a Genitourinary Condition

The Child with a Skin Condition

The Child with a Communicable Disease

The Child with an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

Filters

The nurse assessing a glycosylated hemoglobin (HbA_1c)test is aware that this test can evaluate average glucose levels over a period of _ to _ months.