Question 1

What statement by a parent leads the nurse to determine a parent is administering levothyroxine (Synthroid)correctly?

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." D

Question 2

Which general dietary measure should the nurse include in a teaching plan for the child with type 1 diabetes mellitus?

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. B

Question 3

When discussing possible causes of diabetes in children,the nurse mentions chromosomal defects.Which chromosomes are associated with diabetes?

Accepted Answer

A)  6 
B)  7 
C)  12 
D)  20 
E)  21 
A)  6 
B)  7 
C)  12 
D)  20 
E)  21 A,B,C,D

Question 4

The nurse is discussing insulin shock with parents of a child recently diagnosed with diabetes mellitus.What will the nurse respond when the parents ask why children are more prone to insulin reactions?

Accepted Answer

A)  "The condition is more unstable in children." 
B)  "Parents are often noncompliant." 
C)  "The activities are irregular." 
D)  "They are still growing." 
E)  "Sleep patterns are not established." 
A)  "The condition is more unstable in children." 
B)  "Parents are often noncompliant." 
C)  "The activities are irregular." 
D)  "They are still growing." 
E)  "Sleep patterns are not established."

Question 5

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 r

Question 6

A nurse is planning to teach a family about Tay-Sachs disease.What will the nurse relay about the pattern of inheritance for inborn errors of metabolism?

Accepted Answer

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

Question 7

The home health nurse is monitoring an 8-month-old child with hypothyroidism taking levothyroxine (Synthroid).Which symptoms does the nurse recognize as signs of overdose?

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 8

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 9

A child with diabetes mellitus is observed to have cold symptoms.What signs and symptoms will alert parents of the possibility of ketoacidosis?

Accepted Answer

A)  Chest congestion 
B)  Ear pain 
C)  Fruity breath 
D)  Hyperactivity 
E)  Nausea 
A)  Chest congestion 
B)  Ear pain 
C)  Fruity breath 
D)  Hyperactivity 
E)  Nausea

Question 10

What does the nurse instruct a 12-year-old to do when teaching how to administer insulin?

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.

Question 11

The nurse discussed treatment of hypoglycemia with an adolescent.Which statement by the adolescent leads the nurse to determine the patient understood the instructions?

Accepted Answer

A)  "When my blood glucose is low or if I begin to feel hungry and weak, I will eat six LifeSavers." 
B)  "When my blood glucose is low or if I begin to feel hungry and weak, I will give myself Lispro insulin." 
C)  "When my blood glucose is low or if I begin to feel hungry and weak, I will have a slice of cheese." 
D)  "When my blood glucose is low or if I begin to feel hungry and weak, I will drink a diet soda." 
A)  "When my blood glucose is low or if I begin to feel hungry and weak, I will eat six LifeSavers." 
B)  "When my blood glucose is low or if I begin to feel hungry and weak, I will give myself Lispro insulin." 
C)  "When my blood glucose is low or if I begin to feel hungry and weak, I will have a slice of cheese." 
D)  "When my blood glucose is low or if I begin to feel hungry and weak, I will drink a diet soda."

Question 12

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.What should the nurse do 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 13

What occurs as a result 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.

Question 14

What condition does the nurse suspect when a child with type 1 diabetes mellitus has hyperglycemia,diaphoresis,and headaches in the morning?

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 15

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.What is this child 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 16

Which comment made by a school-age child indicates that he needs more teaching about diabetes mellitus and exercise?

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 17

The nurse is preparing to administer a long-acting insulin.Which insulin is considered long acting?

Accepted Answer

A)  Lispro 
B)  Aspart 
C)  Glargine 
D)  Regular 
A)  Lispro 
B)  Aspart 
C)  Glargine 
D)  Regular

Question 18

On what understanding does the nurse plan the care of a child with a new diagnosis of type 1 diabetes mellitus?

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 19

What is an important consideration for the school-age child taking DDAVP for diabetes insipidus?

Accepted Answer

A)  Observe for signs of water deprivation. 
B)  Restrict his physical education program. 
C)  Arrange for the child to use the bathroom when needed. 
D)  Limit fluid intake other than during the lunch period. 
A)  Observe for signs of water deprivation. 
B)  Restrict his physical education program. 
C)  Arrange for the child to use the bathroom when needed. 
D)  Limit fluid intake other than during the lunch period.

Question 20

Which statement made by a 7-year-old child with type 1 diabetes mellitus indicates a need for more teaching?

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."

Exam 31: The Child with a Metabolic Condition

What statement by a parent leads the nurse to determine a parent is administering levothyroxine (Synthroid)correctly?

Which general dietary measure should the nurse include in a teaching plan for the child with type 1 diabetes mellitus?

When discussing possible causes of diabetes in children,the nurse mentions chromosomal defects.Which chromosomes are associated with diabetes?

The nurse is discussing insulin shock with parents of a child recently diagnosed with diabetes mellitus.What will the nurse respond when the parents ask why children are more prone to insulin reactions?

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

A nurse is planning to teach a family about Tay-Sachs disease.What will the nurse relay about the pattern of inheritance for inborn errors of metabolism?

The home health nurse is monitoring an 8-month-old child with hypothyroidism taking levothyroxine (Synthroid).Which symptoms does the nurse recognize as signs of overdose?

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

A child with diabetes mellitus is observed to have cold symptoms.What signs and symptoms will alert parents of the possibility of ketoacidosis?

What does the nurse instruct a 12-year-old to do when teaching how to administer insulin?

The nurse discussed treatment of hypoglycemia with an adolescent.Which statement by the adolescent leads the nurse to determine the patient understood the instructions?

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.What should the nurse do first?

What occurs as a result of an inadequate secretion of insulin?

What condition does the nurse suspect when a child with type 1 diabetes mellitus has hyperglycemia,diaphoresis,and headaches in the morning?

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.What is this child most likely experiencing?

Which comment made by a school-age child indicates that he needs more teaching about diabetes mellitus and exercise?

The nurse is preparing to administer a long-acting insulin.Which insulin is considered long acting?

On what understanding does the nurse plan the care of a child with a new diagnosis of type 1 diabetes mellitus?

What is an important consideration for the school-age child taking DDAVP for diabetes insipidus?

Which statement made by a 7-year-old child with type 1 diabetes mellitus indicates a need for more teaching?

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 Lymphatic System

The Child with a Gastrointestinal Condition

The Child with a Genitourinary Condition

The Child with a Skin Condition

Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child Patient

The Child with an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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