Question 1

The nurse is caring for an 11-year-old boy who has recently been diagnosed with diabetes.What should be included in the teaching plan for daily injections?

Accepted Answer

A) The parents do not need to learn the procedure. 
B) He is old enough to give most of his own injections. 
C) Self-injections will be possible when he is closer to adolescence. 
D) He can learn about self-injections when he is able to reach all injection sites. 
A) The parents do not need to learn the procedure. 
B) He is old enough to give most of his own injections. 
C) Self-injections will be possible when he is closer to adolescence. 
D) He can learn about self-injections when he is able to reach all injection sites. B

Question 2

At what age is sexual development in boys and girls considered to be precocious?

Accepted Answer

A) Boys, 11 years; girls, 9 years 
B) Boys, 12 years; girls, 10 years 
C) Boys, 9 years; girls, 8 years 
D) Boys, 10 years; girls, 9.5 years 
A) Boys, 11 years; girls, 9 years 
B) Boys, 12 years; girls, 10 years 
C) Boys, 9 years; girls, 8 years 
D) Boys, 10 years; girls, 9.5 years C

Question 3

Chronic adrenocortical insufficiency is also referred to as:

Accepted Answer

A) Graves' disease. 
B) Addison's disease. 
C) Cushing's syndrome. 
D) Hashimoto's disease. 
A) Graves' disease. 
B) Addison's disease. 
C) Cushing's syndrome. 
D) Hashimoto's disease. B

Question 4

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 knowing 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 5

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 6

Manifestations of hypoglycemia include:

Accepted Answer

A) Lethargy. 
B) Thirst. 
C) Nausea and vomiting. 
D) Shaky feeling and dizziness. 
A) Lethargy. 
B) Thirst. 
C) Nausea and vomiting. 
D) Shaky feeling and dizziness.

Question 7

A child eats some sugar cubes after experiencing symptoms of hypoglycemia.This rapid-releasing sugar should be followed by:

Accepted Answer

A) Saturated and unsaturated fat. 
B) Fruit juice. 
C) Several glasses of water. 
D) Complex carbohydrate and protein. 
A) Saturated and unsaturated fat. 
B) Fruit juice. 
C) Several glasses of water. 
D) Complex carbohydrate and protein.

Question 8

The clinic nurse is reviewing hemoglobin Ac levels on several children with type 1 diabetes.Hemoglobin Ac levels of less than _____ % are a goal for children with type 1 diabetes.Record your answer as a whole number.

Accepted Answer

7
The measurement of glycosylated hemogl

Question 9

Which clinical manifestation may occur in the child who is receiving too much methimazole (Tapazole)for the treatment of hyperthyroidism (Graves' disease)?

Accepted Answer

A) Seizures 
B) Enlargement of all lymph glands 
C) Pancreatitis or cholecystitis 
D) Lethargy and somnolence 
A) Seizures 
B) Enlargement of all lymph glands 
C) Pancreatitis or cholecystitis 
D) Lethargy and somnolence

Question 10

Which children admitted to the pediatric unit would the nurse monitor closely for development of syndrome of inappropriate antidiuretic hormone (SIADH)(Select all that apply)?

Accepted Answer

A) A newly diagnosed preschooler with type 1 diabetes 
B) A school-age child returning from surgery for removal of a brain tumor 
C) An infant with suspected meningitis 
D) An adolescent with blunt abdominal trauma following a car accident 
E) A school-age child with head trauma 
A) A newly diagnosed preschooler with type 1 diabetes 
B) A school-age child returning from surgery for removal of a brain tumor 
C) An infant with suspected meningitis 
D) An adolescent with blunt abdominal trauma following a car accident 
E) A school-age child with head trauma

Question 11

An adolescent is being seen in the clinic for evaluation of acromegaly.The nurse understands that which occurs with acromegaly?

Accepted Answer

A) There is a lack of growth hormone (GH) being produced. 
B) There is excess GH after closure of the epiphyseal plates. 
C) There is an excess of GH before the closure of the epiphyseal plates. 
D) There is a lack of thyroid hormone being produced. 
A) There is a lack of growth hormone (GH) being produced. 
B) There is excess GH after closure of the epiphyseal plates. 
C) There is an excess of GH before the closure of the epiphyseal plates. 
D) There is a lack of thyroid hormone being produced.

Question 12

The nurse is implementing care for a school-age child admitted to the pediatric intensive care in diabetic ketoacidosis (DKA).Which prescribed intervention should the nurse implement first?

Accepted Answer

A) Begin 0.9% saline solution intravenously as prescribed. 
B) Administer regular insulin intravenously as prescribed. 
C) Place child on a cardiac monitor. 
D) Place child on a pulse oximetry monitor. 
A) Begin 0.9% saline solution intravenously as prescribed. 
B) Administer regular insulin intravenously as prescribed. 
C) Place child on a cardiac monitor. 
D) Place child on a pulse oximetry monitor.

Question 13

The nurse is caring for a school-age child with hyperthyroidism (Graves' disease).Which clinical manifestations should the nurse monitor that may indicate a thyroid storm (Select all that apply)?

Accepted Answer

A) Constipation 
B) Hypotension 
C) Hyperthermia 
D) Tachycardia 
E) Vomiting 
A) Constipation 
B) Hypotension 
C) Hyperthermia 
D) Tachycardia 
E) Vomiting

Question 14

Which statement best describes hypopituitarism?

Accepted Answer

A) Growth is normal during the first 3 years of life. 
B) Weight is usually more retarded than height. 
C) Skeletal proportions are normal for age. 
D) Most of these children have subnormal intelligence. 
A) Growth is normal during the first 3 years of life. 
B) Weight is usually more retarded than height. 
C) Skeletal proportions are normal for age. 
D) Most of these children have subnormal intelligence.

Question 15

Glucocorticoids,mineralocorticoids,and sex steroids are secreted by the:

Accepted Answer

A) Thyroid gland. 
B) Parathyroid glands. 
C) Adrenal cortex. 
D) Anterior pituitary. 
A) Thyroid gland. 
B) Parathyroid glands. 
C) Adrenal cortex. 
D) Anterior pituitary.

Question 16

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.

Question 17

Which symptom is considered a cardinal sign of diabetes mellitus?

Accepted Answer

A) Nausea 
B) Seizures 
C) Impaired vision 
D) Frequent urination 
A) Nausea 
B) Seizures 
C) Impaired vision 
D) Frequent urination

Question 18

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 19

What is the most appropriate intervention for the parents of a 6-year-old girl 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 20

A common clinical manifestation of juvenile hypothyroidism is:

Accepted Answer

A) Insomnia. 
B) Diarrhea. 
C) Dry skin. 
D) Accelerated growth. 
A) Insomnia. 
B) Diarrhea. 
C) Dry skin. 
D) Accelerated growth.

Exam 46: Endocrine Dysfunction

The nurse is caring for an 11-year-old boy who has recently been diagnosed with diabetes.What should be included in the teaching plan for daily injections?

At what age is sexual development in boys and girls considered to be precocious?

Chronic adrenocortical insufficiency is also referred to as:

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 knowing that:

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

Manifestations of hypoglycemia include:

A child eats some sugar cubes after experiencing symptoms of hypoglycemia.This rapid-releasing sugar should be followed by:

The clinic nurse is reviewing hemoglobin Ac levels on several children with type 1 diabetes.Hemoglobin Ac levels of less than _____ % are a goal for children with type 1 diabetes.Record your answer as a whole number.

Which clinical manifestation may occur in the child who is receiving too much methimazole (Tapazole)for the treatment of hyperthyroidism (Graves' disease)?

Which children admitted to the pediatric unit would the nurse monitor closely for development of syndrome of inappropriate antidiuretic hormone (SIADH)(Select all that apply)?

An adolescent is being seen in the clinic for evaluation of acromegaly.The nurse understands that which occurs with acromegaly?

The nurse is implementing care for a school-age child admitted to the pediatric intensive care in diabetic ketoacidosis (DKA).Which prescribed intervention should the nurse implement first?

The nurse is caring for a school-age child with hyperthyroidism (Graves' disease).Which clinical manifestations should the nurse monitor that may indicate a thyroid storm (Select all that apply)?

Which statement best describes hypopituitarism?

Glucocorticoids,mineralocorticoids,and sex steroids are secreted by the:

Diabetes insipidus is a disorder of the:

Which symptom is considered a cardinal sign of diabetes mellitus?

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

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

A common clinical manifestation of juvenile hypothyroidism is:

21st Century Maternity Nursing

Community Care: the Family and Culture

Assessment and Health Promotion

Reproductive System Concerns

Infertility,contraception,and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High Risk Pregnancy

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Pain Management

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Maternal Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication, history, and Physical Assessment

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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