Question 1

Which food sources are high in soluble fiber?

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 2

Which process(es)does the nurse explain the endocrine system is primarily responsible for controlling?

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 3

After 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,what does the nurse suspect has developed?

Accepted Answer

A)  Diabetes insipidus 
B)  Diabetes mellitus 
C)  Hypothyroidism 
D)  Hyperthyroidism 
A)  Diabetes insipidus 
B)  Diabetes mellitus 
C)  Hypothyroidism 
D)  Hyperthyroidism

Question 4

What makes keeping diabetes in control in an adolescent difficult?

Accepted Answer

A)  Hormonal changes 
B)  Developmental conflicts 
C)  Preference for fast food 
D)  Growth spurts 
E)  Knowledge of disease 
A)  Hormonal changes 
B)  Developmental conflicts 
C)  Preference for fast food 
D)  Growth spurts 
E)  Knowledge of disease

Question 5

What is the function of an insulin pump?

Accepted Answer

A)  Releases insulin as blood glucose rises 
B)  Provides continuous infusion of insulin 
C)  Decreases need for painful glucose monitoring 
D)  Delivers a prescribed amount of insulin twice a day 
A)  Releases insulin as blood glucose rises 
B)  Provides continuous infusion of insulin 
C)  Decreases need for painful glucose monitoring 
D)  Delivers a prescribed amount of insulin twice a day

Question 6

What does the nurse remind the adolescent with diabetes that soluble fiber in the diet can reduce?

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 7

The nurse is teaching the parents of a child with diabetes insipidus about water intoxication. The nurse would tell the parents to be alert for what symptom? For

Accepted Answer

A)  Polyuria 
B)  Cough 
C)  Weight loss 
D)  Lethargy 
A)  Polyuria 
B)  Cough 
C)  Weight loss 
D)  Lethargy

Question 8

Long-acting types of insulin are seldom given to children because of the danger of ___________________ during sleep.

Accepted Answer

hypoglycemia
Long-acting types

Question 9

The parents of a child newly diagnosed with diabetes mellitus tell the nurse,"Our son's body is resistant to insulin." With what does the nurse recognize this description is consistent?

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 10

A child receives a combination of regular and NPH insulin at 8:00 AM.At 8:45 AM the breakfast trays have not yet arrived from the kitchen.What is the best action by the nurse?

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 11

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 12

Which laboratory result indicates good metabolic control for a child with type 1 diabetes mellitus?

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 13

Why does the nurse instruct an 11-year-old diabetic child to use the side of the finger for blood testing?

Accepted Answer

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

Question 14

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

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 15

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."

Exam 31: The Child with a Metabolic Condition

Which food sources are high in soluble fiber?

Which process(es)does the nurse explain the endocrine system is primarily responsible for controlling?

After 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,what does the nurse suspect has developed?

What makes keeping diabetes in control in an adolescent difficult?

What is the function of an insulin pump?

What does the nurse remind the adolescent with diabetes that soluble fiber in the diet can reduce?

The nurse is teaching the parents of a child with diabetes insipidus about water intoxication. The nurse would tell the parents to be alert for what symptom? For

Long-acting types of insulin are seldom given to children because of the danger of ___________________ during sleep.

The parents of a child newly diagnosed with diabetes mellitus tell the nurse,"Our son's body is resistant to insulin." With what does the nurse recognize this description is consistent?

A child receives a combination of regular and NPH insulin at 8:00 AM.At 8:45 AM the breakfast trays have not yet arrived from the kitchen.What is the best action by the nurse?

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.

Which laboratory result indicates good metabolic control for a child with type 1 diabetes mellitus?

Why does the nurse instruct an 11-year-old diabetic child to use the side of the finger for blood testing?

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

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"?

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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