Question 1

The parents of a child who has just been diagnosed with type 1 diabetes ask about exercise.The nurse should explain that:

Accepted Answer

A) Exercise will increase blood glucose. 
B) Exercise should be restricted. 
C) Extra snacks are needed before exercise. 
D) Extra insulin is required during exercise. 
A) Exercise will increase blood glucose. 
B) Exercise should be restricted. 
C) Extra snacks are needed before exercise. 
D) Extra insulin is required during exercise.

Question 2

A child with hypoparathyroidism is receiving vitamin D therapy.The parents should be advised to watch for which sign of vitamin D toxicity?

Accepted Answer

A) Headache and seizures 
B) Physical restlessness and voracious appetite without weight gain 
C) Weakness and lassitude 
D) Anorexia and insomnia 
A) Headache and seizures 
B) Physical restlessness and voracious appetite without weight gain 
C) Weakness and lassitude 
D) Anorexia and insomnia

Question 3

A nurse is reviewing the laboratory results on a school-age child with hypoparathyroidism.Which results are consistent with this condition?

Accepted Answer

A) Decreased serum phosphorus 
B) Decreased serum calcium 
C) Increased serum glucose 
D) Decreased serum cortisol 
A) Decreased serum phosphorus 
B) Decreased serum calcium 
C) Increased serum glucose 
D) Decreased serum cortisol

Question 4

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 5

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 6

The nurse is admitting a toddler with the diagnosis of juvenile hypothyroidism.Which is a common clinical manifestation of this disorder?

Accepted Answer

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

Question 7

Exophthalmos (protruding eyeballs)may occur in children with:

Accepted Answer

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

Question 8

The nurse should expect to assess which clinical manifestations in an adolescent with Cushing's syndrome (Select all that apply)?

Accepted Answer

A) Hyperglycemia 
B) Hyperkalemia 
C) Hypotension 
D) Cushingoid features 
E) Susceptibility to infections 
A) Hyperglycemia 
B) Hyperkalemia 
C) Hypotension 
D) Cushingoid features 
E) Susceptibility to infections

Question 9

The parent of a child with diabetes mellitus asks the nurse when urine testing will be necessary.The nurse should explain that urine testing is necessary for which?

Accepted Answer

A) Glucose is needed before administration of insulin. 
B) Glucose is needed four times a day. 
C) Glycosylated hemoglobin is required. 
D) Ketonuria is suspected. 
A) Glucose is needed before administration of insulin. 
B) Glucose is needed four times a day. 
C) Glycosylated hemoglobin is required. 
D) Ketonuria is suspected.

Question 10

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 11

A child with hypopituitarism is being started on growth hormone (GH)therapy.Nursing considerations should be based on which of the following?

Accepted Answer

A) Treatment is most successful if it is started during adolescence. 
B) Treatment is considered successful if children attain full stature by adulthood. 
C) Replacement therapy requires daily subcutaneous injections. 
D) Replacement therapy will be required throughout the child's lifetime. 
A) Treatment is most successful if it is started during adolescence. 
B) Treatment is considered successful if children attain full stature by adulthood. 
C) Replacement therapy requires daily subcutaneous injections. 
D) Replacement therapy will be required throughout the child's lifetime.

Question 12

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) Poor wound healing 
A) Moist skin 
B) Weight gain 
C) Fluid overload 
D) Poor wound healing

Question 13

The nurse is teaching the parents of a child who is receiving propylthiouracil for the treatment of hyperthyroidism (Graves' disease).Which statement made by the parent indicates a correct understanding of the teaching?

Accepted Answer

A) "I would expect my child to gain weight while taking this medication." 
B) "I would expect my child to experience episodes of ear pain while taking this medication." 
C) "If my child develops a sore throat and fever, I should contact the physician immediately." 
D) "If my child develops the stomach flu, my child will need to be hospitalized." 
A) "I would expect my child to gain weight while taking this medication." 
B) "I would expect my child to experience episodes of ear pain while taking this medication." 
C) "If my child develops a sore throat and fever, I should contact the physician immediately." 
D) "If my child develops the stomach flu, my child will need to be hospitalized."

Question 14

The nurse is discussing various sites used for insulin injections with a child and her family.Which site usually has the fastest rate of absorption?

Accepted Answer

A) Arm 
B) Leg 
C) Buttock 
D) Abdomen 
A) Arm 
B) Leg 
C) Buttock 
D) Abdomen

Question 15

The nurse is caring for a child with suspected diabetes insipidus.Which clinical manifestation would she or he expect to observe?

Accepted Answer

A) Oliguria 
B) Glycosuria 
C) Nausea and vomiting 
D) Polyuria and polydipsia 
A) Oliguria 
B) Glycosuria 
C) Nausea and vomiting 
D) Polyuria and polydipsia

Question 16

What is characteristic of the immune-mediated type 1 diabetes mellitus?

Accepted Answer

A) Ketoacidosis is infrequent. 
B) Onset is gradual. 
C) Age at onset is usually younger than 18 years. 
D) Oral agents are often effective for treatment. 
A) Ketoacidosis is infrequent. 
B) Onset is gradual. 
C) Age at onset is usually younger than 18 years. 
D) Oral agents are often effective for treatment.

Question 17

A child will start treatment for precocious puberty.This involves injections of synthetic:

Accepted Answer

A) Thyrotropin. 
B) Gonadotropins. 
C) Somatotropic hormone. 
D) Luteinizing hormone-releasing hormone. 
A) Thyrotropin. 
B) Gonadotropins. 
C) Somatotropic hormone. 
D) Luteinizing hormone-releasing hormone.

Question 18

Nursing care of a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)should include (Select all that apply):

Accepted Answer

A) Weigh daily. 
B) Encourage fluids. 
C) Turn frequently. 
D) Maintain nothing by mouth. 
E) Restrict fluids. 
A) Weigh daily. 
B) Encourage fluids. 
C) Turn frequently. 
D) Maintain nothing by mouth. 
E) Restrict fluids.

Question 19

A child with growth hormone (GH)deficiency is receiving GH therapy.The best time for the GH to be administered is:

Accepted Answer

A) At bedtime. 
B) After meals. 
C) Before meals. 
D) On arising in the morning. 
A) At bedtime. 
B) After meals. 
C) Before meals. 
D) On arising in the morning.

Question 20

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.

Exam 46: Endocrine Dysfunction

The parents of a child who has just been diagnosed with type 1 diabetes ask about exercise.The nurse should explain that:

A child with hypoparathyroidism is receiving vitamin D therapy.The parents should be advised to watch for which sign of vitamin D toxicity?

A nurse is reviewing the laboratory results on a school-age child with hypoparathyroidism.Which results are consistent with this condition?

A goiter is an enlargement or hypertrophy of which gland?

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

The nurse is admitting a toddler with the diagnosis of juvenile hypothyroidism.Which is a common clinical manifestation of this disorder?

Exophthalmos (protruding eyeballs)may occur in children with:

The nurse should expect to assess which clinical manifestations in an adolescent with Cushing's syndrome (Select all that apply)?

The parent of a child with diabetes mellitus asks the nurse when urine testing will be necessary.The nurse should explain that urine testing is necessary for which?

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

A child with hypopituitarism is being started on growth hormone (GH)therapy.Nursing considerations should be based on which of the following?

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

The nurse is teaching the parents of a child who is receiving propylthiouracil for the treatment of hyperthyroidism (Graves' disease).Which statement made by the parent indicates a correct understanding of the teaching?

The nurse is discussing various sites used for insulin injections with a child and her family.Which site usually has the fastest rate of absorption?

The nurse is caring for a child with suspected diabetes insipidus.Which clinical manifestation would she or he expect to observe?

What is characteristic of the immune-mediated type 1 diabetes mellitus?

A child will start treatment for precocious puberty.This involves injections of synthetic:

Nursing care of a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)should include (Select all that apply):

A child with growth hormone (GH)deficiency is receiving GH therapy.The best time for the GH to be administered is:

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?

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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