Question 1

Chronic adrenocortical insufficiency is also referred to as:

Accepted Answer

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

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 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

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 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

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 8

Nursing care of a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) should include (choose 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 9

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 10

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 11

A condition that can result if hypersecretion of growth hormone (GH) occurs after epiphyseal closure is:

Accepted Answer

A) Dwarfism. 
B) Acromegaly. 
C) Gigantism. 
D) Cretinism. 
A) Dwarfism. 
B) Acromegaly. 
C) Gigantism. 
D) Cretinism.

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 caring for a child with suspected diabetes insipidus. Which clinical manifestation would he or she 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 14

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.

Question 15

What 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 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

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

Question 18

Hyperglycemia associated with diabetic ketoacidosis is defined as a blood glucose measurement equal to or greater than:

Accepted Answer

A) 185 mg/dl 
B) 220 mg/dl 
C) 280 mg/dl 
D) 330 mg/dl 
A) 185 mg/dl 
B) 220 mg/dl 
C) 280 mg/dl 
D) 330 mg/dl

Question 19

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 20

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.

Exam 52: Endocrine Dysfunction

Chronic adrenocortical insufficiency is also referred to as:

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

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?

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:

Which statement best describes hypopituitarism?

Manifestations of hypoglycemia include:

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?

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

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

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

A condition that can result if hypersecretion of growth hormone (GH) occurs after epiphyseal closure is:

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 he or she expect to observe?

A common clinical manifestation of juvenile hypothyroidism is:

What is considered a cardinal sign of diabetes mellitus?

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

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?

Hyperglycemia associated with diabetic ketoacidosis is defined as a blood glucose measurement equal to or greater than:

Diabetes insipidus is a disorder of the:

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

Contemporary Maternity Nursing

The Family and Culture

Community and Home Care

Health Promotion and Illness Prevention

Health Assessment

Common Health Problems

Infertility,Contraception,and Abortion

Genetics,Conception,and Fetal Development

Assessment for Risk Factors

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Management of Discomfort

Fetal Assessment During Labor

Nursing Care During Labor and Birth

Labor and Birth at Risk

Maternal Physiologic Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiologic 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

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

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Home Care

Reaction to 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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