Question 1

The laboratory result indicating good metabolic control for a child with type 1 diabetes mellitus is:

Accepted Answer

A)  glycosylated hemoglobin value of 8%. 
B)  fasting blood glucose level less than 140 mg/dL. 
C)  glucose tolerance test result of 190 mg/dL. 
D)  no glucose or ketones present in the urine. 
A)  glycosylated hemoglobin value of 8%. 
B)  fasting blood glucose level less than 140 mg/dL. 
C)  glucose tolerance test result of 190 mg/dL. 
D)  no glucose or ketones present in the urine.

Question 2

The nurse determines a parent is administering levothyroxine (Synthroid)correctly when she states:

Accepted Answer

A)  "I stopped giving the medication because my daughter was losing her hair." 
B)  "I am using a different brand now because it costs less money. " 
C)  "I don't give the medication on the weekends. " 
D)  "I give the medication at 8:00 AM every day. " 
A)  "I stopped giving the medication because my daughter was losing her hair." 
B)  "I am using a different brand now because it costs less money. " 
C)  "I don't give the medication on the weekends. " 
D)  "I give the medication at 8:00 AM every day. "

Question 3

The nurse discussed treatment of hypoglycemia with an adolescent.The nurse determined the adolescent understood the instructions when she verbalized that if her blood glucose is low or if she begins to feel hungry and weak,she will:

Accepted Answer

A)  eat six LifeSavers. 
B)  give herself Lispro insulin. 
C)  have a slice of cheese. 
D)  drink a diet soda. 
A)  eat six LifeSavers. 
B)  give herself Lispro insulin. 
C)  have a slice of cheese. 
D)  drink a diet soda.

Question 4

The nurse warns that keeping diabetes in control in an adolescent is made difficult by what? Select all that apply.

Accepted Answer

A)  Hormonal changes 
B)  Developmental conflicts 
C)  Preference for fast food 
D)  Growth spurts 
E)  Denial of disease
F) None of the above 
A)  Hormonal changes 
B)  Developmental conflicts 
C)  Preference for fast food 
D)  Growth spurts 
E)  Denial of disease
F) None of the above

Question 5

Following a closed head injury,the unconscious 10-year-old child begins to excrete copious amounts of pale urine with an attendant drop in blood pressure (BP).Based on these symptoms,the nurse suspects the development of:

Accepted Answer

A)  diabetes insipidus. 
B)  diabetes mellitus. 
C)  hypothyroidism. 
D)  hyperthyroidism. 
A)  diabetes insipidus. 
B)  diabetes mellitus. 
C)  hypothyroidism. 
D)  hyperthyroidism.

Question 6

The nurse explains that the diagnosis of diabetes is made when the fasting blood glucose level is _______ mg/dL on two separate occasions,and the history is positive for indication of the disease.

Accepted Answer

126
An elevated blood glucose

Question 7

The parents of a child newly diagnosed with diabetes mellitus tell the nurse,"Our son's body is resistant to insulin." The nurse recognizes this description as consistent with:

Accepted Answer

A)  type 1, insulin-dependent diabetes mellitus. 
B)  type 2, non-insulin-dependent diabetes mellitus. 
C)  maturity-onset diabetes of youth. 
D)  drug-induced diabetes. 
A)  type 1, insulin-dependent diabetes mellitus. 
B)  type 2, non-insulin-dependent diabetes mellitus. 
C)  maturity-onset diabetes of youth. 
D)  drug-induced diabetes.

Question 8

A child receives a combination of regular and NPH insulin at 8:00 AM At 8:45 AM,when the breakfast trays have not yet arrived from the kitchen,the nurse should:

Accepted Answer

A)  notify the charge nurse. 
B)  give the patient a snack of graham crackers and milk. 
C)  ambulate the patient in the hall for a short time. 
D)  give the patient more insulin according to the sliding scale. 
A)  notify the charge nurse. 
B)  give the patient a snack of graham crackers and milk. 
C)  ambulate the patient in the hall for a short time. 
D)  give the patient more insulin according to the sliding scale.

Question 9

The nurse planning to teach a family about Tay-Sachs disease understands the pattern of inheritance for inborn errors of metabolism is usually:

Accepted Answer

A)  autosomal recessive. 
B)  autosomal dominant. 
C)  X-linked recessive. 
D)  multifactorial. 
A)  autosomal recessive. 
B)  autosomal dominant. 
C)  X-linked recessive. 
D)  multifactorial.

Question 10

The nurse explains that the function of an insulin pump is to:

Accepted Answer

A)  release insulin as blood glucose rises. 
B)  provide continuous infusion of insulin. 
C)  decrease need for painful glucose monitoring. 
D)  deliver a prescribed amount of insulin twice a day. 
A)  release insulin as blood glucose rises. 
B)  provide continuous infusion of insulin. 
C)  decrease need for painful glucose monitoring. 
D)  deliver a prescribed amount of insulin twice a day.

Exam 31: The Child with a Metabolic Condition

The laboratory result indicating good metabolic control for a child with type 1 diabetes mellitus is:

The nurse determines a parent is administering levothyroxine (Synthroid)correctly when she states:

The nurse discussed treatment of hypoglycemia with an adolescent.The nurse determined the adolescent understood the instructions when she verbalized that if her blood glucose is low or if she begins to feel hungry and weak,she will:

The nurse warns that keeping diabetes in control in an adolescent is made difficult by what? Select all that apply.

Following a closed head injury,the unconscious 10-year-old child begins to excrete copious amounts of pale urine with an attendant drop in blood pressure (BP).Based on these symptoms,the nurse suspects the development of:

The nurse explains that the diagnosis of diabetes is made when the fasting blood glucose level is _______ mg/dL on two separate occasions,and the history is positive for indication of the disease.

The parents of a child newly diagnosed with diabetes mellitus tell the nurse,"Our son's body is resistant to insulin." The nurse recognizes this description as consistent with:

A child receives a combination of regular and NPH insulin at 8:00 AM At 8:45 AM,when the breakfast trays have not yet arrived from the kitchen,the nurse should:

The nurse planning to teach a family about Tay-Sachs disease understands the pattern of inheritance for inborn errors of metabolism is usually:

The nurse explains that the function of an insulin pump is 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

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