Question 1

What clinical manifestation occurs with hypoglycemia?

Accepted Answer

A)  Lethargy 
B)  Confusion 
C)  Nausea and vomiting 
D)  Weakness and dizziness 
A)  Lethargy 
B)  Confusion 
C)  Nausea and vomiting 
D)  Weakness and dizziness D

Question 2

The nurse is teaching the family of a child with type 1 diabetes about insulin.What should the nurse include in the teaching session?

Accepted Answer

A)  Unopened vials are good for 60 days. 
B)  Diabetic supplies should not be left in a hot environment. 
C)  Insulin can be placed in the freezer if not used every day. 
D)  After it has been opened, insulin is good for up to 28 to 30 days. 
E)  Insulin bottles that have been opened should be stored at room temperature or refrigerated. 
A)  Unopened vials are good for 60 days. 
B)  Diabetic supplies should not be left in a hot environment. 
C)  Insulin can be placed in the freezer if not used every day. 
D)  After it has been opened, insulin is good for up to 28 to 30 days. 
E)  Insulin bottles that have been opened should be stored at room temperature or refrigerated. B,D,E

Question 3

The health care provider has prescribed leuprolide acetate (Lupron Depot)0.2 mg/kg IM every 4 weeks for a child with precocious puberty.The child weighs 55 lb.The nurse is preparing to administer the dose.Calculate the dose the nurse should administer in milligrams.Record your answer below in a whole number.
_________

Accepted Answer

5
The correct calculation is:
55 lb/2.2 kg = 25 kg
Dose of Lupron Depot is 0.2 mg/kg
0.2 mg × 25 = 5 mg

Question 4

The nurse is caring for a child with an anterior pituitary tumor.What hormones are secreted by the anterior pituitary?

Accepted Answer

A)  Oxytocin 
B)  Luteinizing hormone 
C)  Antidiuretic hormone 
D)  Thyroid-stimulating hormone 
E)  Adrenocorticotrophic hormone 
A)  Oxytocin 
B)  Luteinizing hormone 
C)  Antidiuretic hormone 
D)  Thyroid-stimulating hormone 
E)  Adrenocorticotrophic hormone

Question 5

During the summer many children are more physically active.What changes in the management of the child with diabetes should be expected as a result of more exercise?

Accepted Answer

A)  ­food intake 
B)  ¯food intake 
C)  ­risk of hyperglycemia 
D)  ¯risk of insulin reaction 
A)  ­food intake 
B)  ¯food intake 
C)  ­risk of hyperglycemia 
D)  ¯risk of insulin reaction

Question 6

The clinic nurse is assessing a child with hypopituitarism.Hypopituitarism can lead to which disorder?

Accepted Answer

A)  Gigantism 
B)  Hyperthyroidism 
C)  Cushing syndrome 
D)  Growth hormone deficiency 
A)  Gigantism 
B)  Hyperthyroidism 
C)  Cushing syndrome 
D)  Growth hormone deficiency

Question 7

The school nurse practitioner is consulted by a fifth-grade teacher about a student who has become increasingly inattentive and hyperactive in the classroom.The nurse notes that the child's weight has changed from the 50th percentile to the 30th percentile.The nurse is concerned about possible hyperthyroidism.What additional sign or symptom should the nurse anticipate?

Accepted Answer

A)  Skin that is cool and dry 
B)  Blurred vision and loss of acuity 
C)  Running and being active during recess 
D)  Decreased appetite and food intake 
A)  Skin that is cool and dry 
B)  Blurred vision and loss of acuity 
C)  Running and being active during recess 
D)  Decreased appetite and food intake

Question 8

What clinical manifestation 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 9

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

Accepted Answer

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

Question 10

A health care provider prescribes hydrocortisone (Solu-Cortef)200 mg IV STAT for a child with acute adrenocortical insufficiency.The medication label states Solu-Cortef 100 mg/2 ml.The nurse prepares to administer one dose.How many milliliters will the nurse prepare to administer one dose? Fill in the blank.Record your answer below in a whole number.
________________

Accepted Answer

4
Follow the formula for dosag

Question 11

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

Accepted Answer

A)  Thyroid gland 
B)  Adrenal cortex 
C)  Anterior pituitary 
D)  Parathyroid glands 
A)  Thyroid gland 
B)  Adrenal cortex 
C)  Anterior pituitary 
D)  Parathyroid glands

Question 12

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 13

A child will start treatment for central precocious puberty.What synthetic hormone will be injected?

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

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

Accepted Answer

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

Question 15

The health care provider has prescribed desmopressin acetate (DDAVP)0.05mg/kg/day PO divided twice daily for a child with diabetes insipidus.The child weighs 110 lb.The nurse is preparing to administer the 0900 dose.Calculate the dose the nurse should administer in milligrams.Record your answer in a whole number.
_________

Accepted Answer

1
The correct calculation is:

Question 16

The nurse is taking care of a child who had a thyroidectomy.The nurse recognizes what as a positive Chvostek sign?

Accepted Answer

A)  Paresthesia occurring in feet and toes 
B)  Frequent sharp flexion of wrist and ankle joints 
C)  Carpal spasm elicited by pressure applied to the nerves of the upper arm 
D)  Facial muscle spasm elicited by tapping the facial nerve in the region of the parotid gland 
A)  Paresthesia occurring in feet and toes 
B)  Frequent sharp flexion of wrist and ankle joints 
C)  Carpal spasm elicited by pressure applied to the nerves of the upper arm 
D)  Facial muscle spasm elicited by tapping the facial nerve in the region of the parotid gland

Question 17

The nurse is planning to admit a 10-year-old child with syndrome of inappropriate antidiuretic hormone (SIADH).What clinical manifestations should the nurse expect to observe in this child?

Accepted Answer

A)  Polyuria 
B)  Anorexia 
C)  Polydipsia 
D)  Irritability 
E)  Stomach cramps 
A)  Polyuria 
B)  Anorexia 
C)  Polydipsia 
D)  Irritability 
E)  Stomach cramps

Question 18

A school-age child with diabetes gets 30 units of NPH insulin at 0800.According to when this insulin peaks,the child should be at greatest risk for a hypoglycemic episode between when?

Accepted Answer

A)  Lunch and dinner 
B)  Breakfast and lunch 
C)  0830 to his midmorning snack 
D)  Bedtime and breakfast the next morning 
A)  Lunch and dinner 
B)  Breakfast and lunch 
C)  0830 to his midmorning snack 
D)  Bedtime and breakfast the next morning

Question 19

To help an adolescent deal with diabetes,the nurse needs to 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)  Awareness of peers that diabetes is a severe disease 
A)  Desire to be unique 
B)  Preoccupation with the future 
C)  Need to be perfect and similar to peers 
D)  Awareness of peers that diabetes is a severe disease

Question 20

The nurse is preparing to admit a 7-year-old child with type 2 diabetes.What clinical features of type 2 diabetes should the nurse recognize?

Accepted Answer

A)  Oral agents are effective. 
B)  Insulin is usually needed. 
C)  Ketoacidosis is infrequent. 
D)  Diet only is often effective. 
E)  Chronic complications frequently occur. 
A)  Oral agents are effective. 
B)  Insulin is usually needed. 
C)  Ketoacidosis is infrequent. 
D)  Diet only is often effective. 
E)  Chronic complications frequently occur.

Exam 33: The Child With Endocrine Dysfunction

What clinical manifestation occurs with hypoglycemia?

The nurse is teaching the family of a child with type 1 diabetes about insulin.What should the nurse include in the teaching session?

The nurse is caring for a child with an anterior pituitary tumor.What hormones are secreted by the anterior pituitary?

During the summer many children are more physically active.What changes in the management of the child with diabetes should be expected as a result of more exercise?

The clinic nurse is assessing a child with hypopituitarism.Hypopituitarism can lead to which disorder?

What clinical manifestation is considered a cardinal sign of diabetes mellitus?

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

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

A goiter is an enlargement or hypertrophy of which gland?

A child will start treatment for central precocious puberty.What synthetic hormone will be injected?

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

The nurse is taking care of a child who had a thyroidectomy.The nurse recognizes what as a positive Chvostek sign?

The nurse is planning to admit a 10-year-old child with syndrome of inappropriate antidiuretic hormone (SIADH).What clinical manifestations should the nurse expect to observe in this child?

A school-age child with diabetes gets 30 units of NPH insulin at 0800.According to when this insulin peaks,the child should be at greatest risk for a hypoglycemic episode between when?

To help an adolescent deal with diabetes,the nurse needs to consider which characteristic of adolescence?

The nurse is preparing to admit a 7-year-old child with type 2 diabetes.What clinical features of type 2 diabetes should the nurse recognize?

Perspectives of Pediatric Nursing

Social,cultural,religious,and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child With Chronic Illness or Disability

Family-Centered Palliative Care

The Child With Cognitive, sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child With Fluid and Electrolyte Imbalance

The Child With Renal Dysfunction

The Child With Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child With Respiratory Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Cerebral Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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