Question 1

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 C

Question 2

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. D

Question 3

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. B,C,E

Question 4

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 5

To help the adolescent deal with diabetes,the nurse must consider which characteristic of adolescence?

Accepted Answer

A)  Desire to be unique 
B)  Preoccupation with the future 
C)  Need to be perfect and similar to peers 
D)  Need to make peers aware of the seriousness of hypoglycemic reactions 
A)  Desire to be unique 
B)  Preoccupation with the future 
C)  Need to be perfect and similar to peers 
D)  Need to make peers aware of the seriousness of hypoglycemic reactions

Question 6

Which statement best describes idiopathic 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 7

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 what information?

Accepted Answer

A)  It is a less expensive method of testing. 
B)  It is not as accurate as laboratory testing. 
C)  Children need to learn to manage their 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 need to learn to manage their diabetes. 
D)  The parents are better able to manage the disease.

Question 8

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

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 9

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 10

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 11

A nurse is planning care for a school-age child diagnosed with type 1 diabetes.Which insulin preparations are either rapid or short acting? (Select all that apply.)

Accepted Answer

A)  Novolin N 
B)  Lantus 
C)  NovoLog 
D)  Novolin R 
A)  Novolin N 
B)  Lantus 
C)  NovoLog 
D)  Novolin R

Question 12

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 13

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 14

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 15

Glucocorticoids,mineralocorticoids,and sex steroids are secreted by which organ?

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

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 17

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

Accepted Answer

A)  Glucose is needed before administration of insulin. 
B)  Glucose is needed 4 times a day. 
C)  Glycosylated hemoglobin is required. 
D)  Ketonuria is suspected. 
A)  Glucose is needed before administration of insulin. 
B)  Glucose is needed 4 times a day. 
C)  Glycosylated hemoglobin is required. 
D)  Ketonuria is suspected.

Question 18

What is the 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 19

The nurse is implementing care for a school-age child admitted to the pediatric intensive care experiencing symptomology associated with 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 20

What is the priority nursing goal for a 14 year old diagnosed 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 monitoring for medication side effects 
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 monitoring for medication side effects 
D)  Developing alternative educational goals

Exam 47: The Child With Endocrine Dysfunction

What is a common clinical manifestation of juvenile hypothyroidism?

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

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.)

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

To help the adolescent deal with diabetes,the nurse must consider which characteristic of adolescence?

Which statement best describes idiopathic hypopituitarism?

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 what information?

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

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

Which symptom is considered a cardinal sign of diabetes mellitus?

A nurse is planning care for a school-age child diagnosed with type 1 diabetes.Which insulin preparations are either rapid or short acting? (Select all that apply.)

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

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

Glucocorticoids,mineralocorticoids,and sex steroids are secreted by which organ?

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

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

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

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

21st Century Maternity Nursing

The Family, culture, spirituality, and Home Care

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

High-Risk Perinatal Care: Preexisting Conditions

High-Risk Perinatal Care: Gestational Conditions

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Postpartum 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 and Physical Assessment of the Child and Family

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

Impact of Chronic Illness, disability, or End-Of-Life Care for the Child and Family

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

The Child With Respiratory Dysfunction

The Child With Gastrointestinal Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Genitourinary Dysfunction

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The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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