Question 1

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 the 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 the age. 
D)  Most of these children have subnormal intelligence. C

Question 2

What should the nurse explain about exercise to the parents of a child who has just been diagnosed with type 1 diabetes?

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. C

Question 3

The nurse is discussing with a child and family the various sites used for insulin injections.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 D

Question 4

A parent asks the nurse why self-monitoring of blood glucose is being recommended for her child with diabetes.What knowledge should form the basis of the nurse's explanation?

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 a common clinical manifestation of juvenile hypothyroidism?

Accepted Answer

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

Question 6

A neonate born with ambiguous genitalia is diagnosed with congenital adrenogenital hyperplasia.Therapeutic management includes administering which one of the following?

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 7

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 8

The nurse is caring for a child with suspected diabetes insipidus.Which clinical manifestation would the nurse 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 9

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.

Question 10

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

Accepted Answer

A)  "I expect my child to gain weight while taking this medication." 
B)  "I 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, he will need to be hospitalized." 
A)  "I expect my child to gain weight while taking this medication." 
B)  "I 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, he will need to be hospitalized."

Question 11

Nursing care for a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)should include which of the following?

Accepted Answer

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

Question 12

Which of the following is a manifestation of hypoglycemia?

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 13

A child is starting treatment for precocious puberty.This involves injections of which synthetic substance?

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 14

Which one of the following statements is true of immune-mediated type 1 diabetes mellitus?

Accepted Answer

A)  Ketoacidosis is infrequent. 
B)  Onset is gradual. 
C)  It occurs most often in children and young adults. 
D)  Oral agents are often effective for treatment. 
A)  Ketoacidosis is infrequent. 
B)  Onset is gradual. 
C)  It occurs most often in children and young adults. 
D)  Oral agents are often effective for treatment.

Question 15

What is another name for chronic adrenocortical insufficiency?

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

Question 16

A child eats some sugar cubes after experiencing symptoms of hypoglycemia.What type of food or beverage should follow this rapid-releasing sugar?

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 17

Which of the following may cause exophthalmos (protruding eyeballs)?

Accepted Answer

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

Question 18

A goiter is an enlargement,or hypertrophy,of which gland?

Accepted Answer

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

Question 19

Diabetes insipidus is a disorder of which of the following structures?

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 20

What is 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

Exam 52: Endocrine Dysfunction

Which statement best describes hypopituitarism?

What should the nurse explain about exercise to the parents of a child who has just been diagnosed with type 1 diabetes?

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

A parent asks the nurse why self-monitoring of blood glucose is being recommended for her child with diabetes.What knowledge should form the basis of the nurse's explanation?

What is a common clinical manifestation of juvenile hypothyroidism?

A neonate born with ambiguous genitalia is diagnosed with congenital adrenogenital hyperplasia.Therapeutic management includes administering which one of the following?

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

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

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?

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

Nursing care for a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)should include which of the following?

Which of the following is a manifestation of hypoglycemia?

A child is starting treatment for precocious puberty.This involves injections of which synthetic substance?

Which one of the following statements is true of immune-mediated type 1 diabetes mellitus?

What is another name for chronic adrenocortical insufficiency?

A child eats some sugar cubes after experiencing symptoms of hypoglycemia.What type of food or beverage should follow this rapid-releasing sugar?

Which of the following may cause exophthalmos (protruding eyeballs)?

A goiter is an enlargement,or hypertrophy,of which gland?

Diabetes insipidus is a disorder of which of the following structures?

What is a cardinal sign of diabetes mellitus?

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

Health Promotion

Health Assessment

Reproductive Health

Infertility, contraception, and Abortion

Preconception, genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

Developmental Influences on Child Health Promotion

Communication, history, physical, and Developmental Assessment

Pain Assessment and Management

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

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological and Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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