Question 1

The nurse is caring for a preschool child with suspected diabetes insipidus. Which clinical manifestation should 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 2

The nurse should expect to assess which clinical manifestations in an adolescent with Cushing 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 3

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

Accepted Answer

A)  Fat 
B)  Fruit juice 
C)  Several glasses of water 
D)  Complex carbohydrate and protein 
A)  Fat 
B)  Fruit juice 
C)  Several glasses of water 
D)  Complex carbohydrate and protein

Question 4

The nurse is caring for an 8-year-old child with type 1 diabetes. The nurse should teach the child to monitor for which 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 5

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 6

The nurse is teaching the parents of a child who is receiving methimazole (Tapazole) 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 7

Nursing care of a child diagnosed with a syndrome of inappropriate ADH should include which of the following? (Select all that apply.)

Accepted Answer

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

Question 8

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 which knowledge?

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)  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)  Parents are better able to manage the disease.

Question 9

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

Question 10

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 11

A neonate born with ambiguous genitalia is diagnosed with congenital adrenogenital hyperplasia. What does therapeutic management include?

Accepted Answer

A)  Administration of vitamin D 
B)  Administration of cortisone 
C)  Administration of stool softeners 
D)  Administration of calcium carbonate 
A)  Administration of vitamin D 
B)  Administration of cortisone 
C)  Administration of stool softeners 
D)  Administration of calcium carbonate

Question 12

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 13

The nurse is conducting a staff in-service on childhood endocrine disorders. Diabetes insipidus is a disorder of:

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 14

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

Question 15

What is chronic adrenocortical insufficiency also called?

Accepted Answer

A)  Graves disease 
B)  Addison disease 
C)  Cushing syndrome 
D)  Hashimoto disease 
A)  Graves disease 
B)  Addison disease 
C)  Cushing syndrome 
D)  Hashimoto disease

Question 16

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

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 17

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 18

Parents of a toddler with hypopituitarism ask the nurse, "What can we expect with this condition?" The nurse should respond with which statement?

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 19

A nasal spray of desmopressin acetate (DDAVP) is used to treat which disorder?

Accepted Answer

A)  Hypopituitarism 
B)  Diabetes insipidus 
C)  Acute adrenocortical insufficiency 
D)  Syndrome of inappropriate antidiuretic hormone 
A)  Hypopituitarism 
B)  Diabetes insipidus 
C)  Acute adrenocortical insufficiency 
D)  Syndrome of inappropriate antidiuretic hormone

Exam 28: The Child with Endocrine Dysfunction

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

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

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

The nurse is caring for an 8-year-old child with type 1 diabetes. The nurse should teach the child to monitor for which manifestation of hypoglycemia?

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 methimazole (Tapazole) 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 a syndrome of inappropriate ADH should include which of the following? (Select all that apply.)

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 which knowledge?

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

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. What does therapeutic management include?

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

The nurse is conducting a staff in-service on childhood endocrine disorders. Diabetes insipidus is a disorder of:

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

What is chronic adrenocortical insufficiency also called?

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

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?

Parents of a toddler with hypopituitarism ask the nurse, "What can we expect with this condition?" The nurse should respond with which statement?

A nasal spray of desmopressin acetate (DDAVP) is used to treat which disorder?

Perspectives of 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

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

Health Promotion of the Infant and Family

Health Problems of Infants

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Toddlers and Preschoolers

Health Promotion of the School-Age Child and Family

Health Promotion of the Adolescent and Family

Health Problems of School-Age Children and Adolescents

Quality of Life for Children Living with Chronic and Complex Diseases

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

The Child with Cerebral Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

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