Question 1

Diabetes insipidus is a disorder of the

Accepted Answer

A)  Anterior pituitary 
B)  Posterior pituitary 
C)  Adrenal cortex 
D)  Adrenal medulla 
A)  Anterior pituitary 
B)  Posterior pituitary 
C)  Adrenal cortex 
D)  Adrenal medulla B

Question 2

Which nursing intervention is appropriate for a child with type 1 diabetes who is experiencing deficient fluid volume related to abnormal fluid losses through diuresis and emesis? Select all that apply.

Accepted Answer

A)  Initiate IV access. 
B)  Begin IV fluid replacement with normal saline. 
C)  Begin IV fluid replacement with D51/2NS. 
D)  Weigh on arrival to the unit and then every other day. 
E)  Maintain strict intake and output monitoring. 
A)  Initiate IV access. 
B)  Begin IV fluid replacement with normal saline. 
C)  Begin IV fluid replacement with D51/2NS. 
D)  Weigh on arrival to the unit and then every other day. 
E)  Maintain strict intake and output monitoring. A,B,E

Question 3

What should the nurse include in the teaching plan for parents of a child with diabetes insipidus who is receiving DDAVP?

Accepted Answer

A)  Increase the dosage of DDAVP as the urine specific gravity (SG) increases. 
B)  Give DDAVP only if urine output decreases. 
C)  The child should have free access to water and toilet facilities at school. 
D)  Cleanse skin before administering the transdermal patch. 
A)  Increase the dosage of DDAVP as the urine specific gravity (SG) increases. 
B)  Give DDAVP only if urine output decreases. 
C)  The child should have free access to water and toilet facilities at school. 
D)  Cleanse skin before administering the transdermal patch. C

Question 4

What is the best nursing action when a child with type 1 diabetes mellitus is sweating,trembling,and pale?

Accepted Answer

A)  Offer the child a glass of water. 
B)  Give the child 5 units of regular insulin subcutaneously. 
C)  Give the child a glass of orange juice. 
D)  Give the child glucagon subcutaneously. 
A)  Offer the child a glass of water. 
B)  Give the child 5 units of regular insulin subcutaneously. 
C)  Give the child a glass of orange juice. 
D)  Give the child glucagon subcutaneously.

Question 5

Which sign,when exhibited by a hospitalized child,should the nurse recognize as a characteristic of diabetes insipidus?

Accepted Answer

A)  Weight gain 
B)  Increased urine specific gravity 
C)  Increased urination 
D)  Serum sodium level of 130 mEq/L 
A)  Weight gain 
B)  Increased urine specific gravity 
C)  Increased urination 
D)  Serum sodium level of 130 mEq/L

Question 6

A parent asks the nurse why self-monitoring of blood glucose is being recommended for her child with diabetes.The nurse should base the explanation on the knowledge that

Accepted Answer

A)  It is a less expensive method of testing. 
B)  It is not as accurate as laboratory testing. 
C)  Children are better able to manage the diabetes. 
D)  The parents are better able to manage the disease. 
A)  It is a less expensive method of testing. 
B)  It is not as accurate as laboratory testing. 
C)  Children are better able to manage the diabetes. 
D)  The parents are better able to manage the disease.

Question 7

A child is diagnosed with hypothyroidism.The nurse should expect to assess which symptoms associated with hypothyroidism? Select all that apply.

Accepted Answer

A)  Weight loss 
B)  Fatigue 
C)  Diarrhea 
D)  Dry, thick skin 
E)  Cold intolerance 
A)  Weight loss 
B)  Fatigue 
C)  Diarrhea 
D)  Dry, thick skin 
E)  Cold intolerance

Question 8

Type 1 diabetes mellitus is suspected in an adolescent.Which clinical manifestation may be present?

Accepted Answer

A)  Moist skin 
B)  Weight gain 
C)  Fluid overload 
D)  Blurred vision 
A)  Moist skin 
B)  Weight gain 
C)  Fluid overload 
D)  Blurred vision

Question 9

What is the most appropriate intervention for the parents of a 6-year-old child with precocious puberty?

Accepted Answer

A)  Advise the parents to consider birth control for their daughter. 
B)  Explain the importance of having the child foster relationships with same-age peers. 
C)  Assure the child's parents that there is no increased risk for sexual abuse because of her appearance. 
D)  Counsel parents that there is no treatment currently available for this disorder. 
A)  Advise the parents to consider birth control for their daughter. 
B)  Explain the importance of having the child foster relationships with same-age peers. 
C)  Assure the child's parents that there is no increased risk for sexual abuse because of her appearance. 
D)  Counsel parents that there is no treatment currently available for this disorder.

Question 10

Which laboratory finding confirms that a child with type 1 diabetes is experiencing diabetic ketoacidosis?

Accepted Answer

A)  No urinary ketones 
B)  Low arterial pH 
C)  Elevated serum carbon dioxide 
D)  Elevated serum phosphorus 
A)  No urinary ketones 
B)  Low arterial pH 
C)  Elevated serum carbon dioxide 
D)  Elevated serum phosphorus

Question 11

A neonate born with ambiguous genitalia is diagnosed with congenital adrenogenital hyperplasia.Therapeutic management includes administration of

Accepted Answer

A)  Vitamin D 
B)  Cortisone 
C)  Stool softeners 
D)  Calcium carbonate 
A)  Vitamin D 
B)  Cortisone 
C)  Stool softeners 
D)  Calcium carbonate

Question 12

What is the priority nursing goal for a 14-year-old with Graves' disease?

Accepted Answer

A)  Relieving constipation 
B)  Allowing the adolescent to make decisions about whether or not to take medication 
C)  Verbalizing the importance of adherence to the medication regimen 
D)  Developing alternative educational goals 
A)  Relieving constipation 
B)  Allowing the adolescent to make decisions about whether or not to take medication 
C)  Verbalizing the importance of adherence to the medication regimen 
D)  Developing alternative educational goals

Question 13

Which is the nurse's best response to the parents of a 10-year-old child newly diagnosed with type 1 diabetes mellitus who are concerned about the child's continued participation in soccer?

Accepted Answer

A)  "Consider the swim team as an alternative to soccer." 
B)  "Encourage intellectual activity rather than participation in sports." 
C)  "It is okay to play sports such as soccer unless the weather is too hot." 
D)  "Give the child an extra 15 to 30 g of carbohydrate snack before soccer practice." 
A)  "Consider the swim team as an alternative to soccer." 
B)  "Encourage intellectual activity rather than participation in sports." 
C)  "It is okay to play sports such as soccer unless the weather is too hot." 
D)  "Give the child an extra 15 to 30 g of carbohydrate snack before soccer practice."

Question 14

What is the best time for the nurse to assess the peak effectiveness of subcutaneously administered Regular insulin?

Accepted Answer

A)  Two hours after administration 
B)  Four hours after administration 
C)  Immediately after administration 
D)  Thirty minutes after administration 
A)  Two hours after administration 
B)  Four hours after administration 
C)  Immediately after administration 
D)  Thirty minutes after administration

Question 15

What information provided by the nurse would be helpful to a 15-year-old adolescent taking methimazole three times a day?

Accepted Answer

A)  Pill dispensers and alarms on her watch can remind her to take the medication as ordered. 
B)  She can take the medication when she is nervous and feels she needs it. 
C)  She can take two pills before school and one pill at dinner, which will be easier for her to remember. 
D)  Her mother can be responsible for reminding her when it is time to take her medication. 
A)  Pill dispensers and alarms on her watch can remind her to take the medication as ordered. 
B)  She can take the medication when she is nervous and feels she needs it. 
C)  She can take two pills before school and one pill at dinner, which will be easier for her to remember. 
D)  Her mother can be responsible for reminding her when it is time to take her medication.

Question 16

A goiter is an enlargement or hypertrophy of which gland?

Accepted Answer

A)  Thyroid 
B)  Adrenal 
C)  Anterior pituitary 
D)  Posterior pituitary 
A)  Thyroid 
B)  Adrenal 
C)  Anterior pituitary 
D)  Posterior pituitary

Question 17

What should a nurse advise the parents of a child with type 1 diabetes mellitus who is not eating as a result of a minor illness?

Accepted Answer

A)  Give the child half his regular morning dose of insulin. 
B)  Substitute simple carbohydrates or calorie-containing liquids for solid foods. 
C)  Give the child plenty of unsweetened, clear liquids to prevent dehydration. 
D)  Take the child directly to the emergency department. 
A)  Give the child half his regular morning dose of insulin. 
B)  Substitute simple carbohydrates or calorie-containing liquids for solid foods. 
C)  Give the child plenty of unsweetened, clear liquids to prevent dehydration. 
D)  Take the child directly to the emergency department.

Question 18

Which sign is the nurse most likely to assess in a child with hypoglycemia?

Accepted Answer

A)  Urine positive for ketones and serum glucose greater than 300 mg/dL 
B)  Normal sensorium and serum glucose greater than 160 mg/dL 
C)  Irritability and serum glucose less than 60 mg/dL 
D)  Increased urination and serum glucose less than 120 mg/dL 
A)  Urine positive for ketones and serum glucose greater than 300 mg/dL 
B)  Normal sensorium and serum glucose greater than 160 mg/dL 
C)  Irritability and serum glucose less than 60 mg/dL 
D)  Increased urination and serum glucose less than 120 mg/dL

Question 19

What is the primary concern for a 7-year-old child with type 1 diabetes mellitus who asks his mother not to tell anyone at school that he has diabetes?

Accepted Answer

A)  The child's safety 
B)  The privacy of the child 
C)  Development of a sense of industry 
D)  Peer group acceptance 
A)  The child's safety 
B)  The privacy of the child 
C)  Development of a sense of industry 
D)  Peer group acceptance

Question 20

Exophthalmos (protruding eyeballs)may occur in children with which condition?

Accepted Answer

A)  Hypothyroidism 
B)  Hyperthyroidism 
C)  Hypoparathyroidism 
D)  Hyperparathyroidism 
A)  Hypothyroidism 
B)  Hyperthyroidism 
C)  Hypoparathyroidism 
D)  Hyperparathyroidism

Exam 51: The Child With an Endocrine or Metabolic Alteration

Diabetes insipidus is a disorder of the

Which nursing intervention is appropriate for a child with type 1 diabetes who is experiencing deficient fluid volume related to abnormal fluid losses through diuresis and emesis? Select all that apply.

What should the nurse include in the teaching plan for parents of a child with diabetes insipidus who is receiving DDAVP?

What is the best nursing action when a child with type 1 diabetes mellitus is sweating,trembling,and pale?

Which sign,when exhibited by a hospitalized child,should the nurse recognize as a characteristic of diabetes insipidus?

A parent asks the nurse why self-monitoring of blood glucose is being recommended for her child with diabetes.The nurse should base the explanation on the knowledge that

A child is diagnosed with hypothyroidism.The nurse should expect to assess which symptoms associated with hypothyroidism? Select all that apply.

Type 1 diabetes mellitus is suspected in an adolescent.Which clinical manifestation may be present?

What is the most appropriate intervention for the parents of a 6-year-old child with precocious puberty?

Which laboratory finding confirms that a child with type 1 diabetes is experiencing diabetic ketoacidosis?

A neonate born with ambiguous genitalia is diagnosed with congenital adrenogenital hyperplasia.Therapeutic management includes administration of

What is the priority nursing goal for a 14-year-old with Graves' disease?

Which is the nurse's best response to the parents of a 10-year-old child newly diagnosed with type 1 diabetes mellitus who are concerned about the child's continued participation in soccer?

What is the best time for the nurse to assess the peak effectiveness of subcutaneously administered Regular insulin?

What information provided by the nurse would be helpful to a 15-year-old adolescent taking methimazole three times a day?

A goiter is an enlargement or hypertrophy of which gland?

What should a nurse advise the parents of a child with type 1 diabetes mellitus who is not eating as a result of a minor illness?

Which sign is the nurse most likely to assess in a child with hypoglycemia?

What is the primary concern for a 7-year-old child with type 1 diabetes mellitus who asks his mother not to tell anyone at school that he has diabetes?

Exophthalmos (protruding eyeballs)may occur in children with which condition?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating With Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion during Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family With Special Needs

Pregnancy-Related Complications

Concurrent Disorders During Pregnancy

The Woman With an Intrapartum Complication

The Woman With a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s Health Care

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child With a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child With a Fluid and Electrolyte Alteration

The Child With an Infectious Disease

The Child With an Immunologic Alteration

The Child With a Gastrointestinal Alteration

The Child With a Genitourinary Alteration

The Child With a Respiratory Alteration

The Child With a Cardiovascular Alteration

The Child With a Hematologic Alteration

The Child With Cancer

The Child With an Alteration in Tissue Integrity

The Child With a Musculoskeletal Alteration

The Child With a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With a Developmental Disability

The Child With a Sensory Alteration

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