Question 1

What is a condition that can result if hypersecretion of growth hormone (GH)occurs after epiphyseal closure?

Accepted Answer

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

Question 2

The nurse is discussing with a child and family the various sites used for insulin injections.What 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 3

Peripheral precocious puberty (PPP)differs from central precocious puberty (CPP)in which manner?

Accepted Answer

A)  PPP results from a central nervous system (CNS) insult. 
B)  PPP occurs more frequently in girls. 
C)  PPP may be viewed as a variation in sexual development. 
D)  PPP results from hormonal stimulation of the hypothalamic gonadotropin-releasing hormone (Gn-RH). 
A)  PPP results from a central nervous system (CNS) insult. 
B)  PPP occurs more frequently in girls. 
C)  PPP may be viewed as a variation in sexual development. 
D)  PPP results from hormonal stimulation of the hypothalamic gonadotropin-releasing hormone (Gn-RH).

Question 4

The nurse is preparing to assist with a growth hormone provocative test for a child with short stature.The nurse recognizes that which pharmacologics should be used to provoke the release of growth hormone (GH)?

Accepted Answer

A)  Larodopa (levodopa) 
B)  Clonidine (Catapres) 
C)  Propranolol (Inderal) 
D)  Cortisone (hydrocortisone) 
E)  Biosynthetic growth hormone 
A)  Larodopa (levodopa) 
B)  Clonidine (Catapres) 
C)  Propranolol (Inderal) 
D)  Cortisone (hydrocortisone) 
E)  Biosynthetic growth hormone

Question 5

The health care provider has prescribed levothyroxine (Synthroid)4 mcg/kg/day PO for a child with hypothyroidism.The child weighs 77 lb.The nurse is preparing to administer the daily dose.Calculate the dose the nurse should administer in micrograms.Record your answer below in a whole number.
________

Accepted Answer

140
The correct calculation is

Question 6

What is a common clinical manifestation of juvenile hypothyroidism?

Accepted Answer

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

Question 7

The nurse is planning to admit a 14-year-old adolescent with Cushing syndrome.What clinical manifestations should the nurse expect to observe in this child?

Accepted Answer

A)  Truncal obesity 
B)  Decreased pubic hair 
C)  Petechial hemorrhage 
D)  Hyperpigmentation of elbows 
E)  Facial plethora
F) Headache and weakness 
A)  Truncal obesity 
B)  Decreased pubic hair 
C)  Petechial hemorrhage 
D)  Hyperpigmentation of elbows 
E)  Facial plethora
F) Headache and weakness

Question 8

Prolonged steroid therapy has caused a child to have Cushing syndrome.To lessen the cushingoid effects,the steroid should be administered at which time?

Accepted Answer

A)  In the PM 
B)  After lunch 
C)  QD in the AM 
D)  QOD in the AM 
A)  In the PM 
B)  After lunch 
C)  QD in the AM 
D)  QOD in the AM

Question 9

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

Accepted Answer

A)  Sports drink and fruit 
B)  Glucose tabs and protein 
C)  Glass of water and crackers 
D)  Milk and peanut butter on bread 
A)  Sports drink and fruit 
B)  Glucose tabs and protein 
C)  Glass of water and crackers 
D)  Milk and peanut butter on bread

Question 10

The nurse is planning to admit an 8-year-old child with hypoparathyroidism.What clinical manifestations should the nurse expect to observe in this child?

Accepted Answer

A)  Muscle cramps 
B)  Positive Chvostek sign 
C)  Emotional lability 
D)  Laryngeal spasms 
E)  Short attention span 
A)  Muscle cramps 
B)  Positive Chvostek sign 
C)  Emotional lability 
D)  Laryngeal spasms 
E)  Short attention span

Question 11

The nurse is preparing a community outreach program for adolescents about the characteristic differences between type 1 and type 2 diabetes mellitus (DM).What concepts should the nurse include?

Accepted Answer

A)  Type 1 DM has an abrupt onset. 
B)  Type 1 DM is often controlled with oral glucose agents. 
C)  Type 1 DM occurs primarily in whites. 
D)  Type 2 DM always requires insulin therapy. 
E)  Type 2 DM frequently has a familial history.
F) Type 2 DM occurs in people who are overweight. 
A)  Type 1 DM has an abrupt onset. 
B)  Type 1 DM is often controlled with oral glucose agents. 
C)  Type 1 DM occurs primarily in whites. 
D)  Type 2 DM always requires insulin therapy. 
E)  Type 2 DM frequently has a familial history.
F) Type 2 DM occurs in people who are overweight.

Question 12

Exophthalmos (protruding eyeballs)may occur in children with which condition?

Accepted Answer

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

Question 13

The nurse is teaching the parent of a preschool child how to administer the child's insulin injection.The child will be receiving 2 units of regular insulin and 12 units of NPH insulin every morning.What should the parent be taught?

Accepted Answer

A)  Draw the insulin in separate syringes. 
B)  Draw the regular insulin first and then the NPH into the same syringe. 
C)  Draw the NPH insulin first and then the regular into the same syringe. 
D)  Check blood sugar first, and if below 120, hold the regular insulin and give the NPH. 
A)  Draw the insulin in separate syringes. 
B)  Draw the regular insulin first and then the NPH into the same syringe. 
C)  Draw the NPH insulin first and then the regular into the same syringe. 
D)  Check blood sugar first, and if below 120, hold the regular insulin and give the NPH.

Question 14

A child is having tests done to determine parathyroid function.The clinic nurse knows that the parathyroid hormone (PTH)regulates the homeostasis of what in the serum?

Accepted Answer

A)  Sodium 
B)  Calcium 
C)  Potassium 
D)  Magnesium 
A)  Sodium 
B)  Calcium 
C)  Potassium 
D)  Magnesium

Question 15

A 20-kg (44-lb)child in ketoacidosis is admitted to the pediatric intensive care unit.What order should the nurse not implement until clarified with the physician?

Accepted Answer

A)  Weigh on admission and daily. 
B)  Replace fluid volume deficit over 48 hours. 
C)  Begin intravenous line with D5 0.45% normal saline with 20 mEq of potassium chloride. 
D)  Give intravenous regular insulin 2 units/kg/hr after initial rehydration bolus. 
A)  Weigh on admission and daily. 
B)  Replace fluid volume deficit over 48 hours. 
C)  Begin intravenous line with D5 0.45% normal saline with 20 mEq of potassium chloride. 
D)  Give intravenous regular insulin 2 units/kg/hr after initial rehydration bolus.

Question 16

The nurse is planning to admit a 12-year-old with Graves disease (GD).What clinical manifestations should the nurse expect to observe in this child?

Accepted Answer

A)  Insomnia 
B)  Irritability 
C)  Tonic rigidity 
D)  Hyperactivity 
E)  Muscle cramps 
A)  Insomnia 
B)  Irritability 
C)  Tonic rigidity 
D)  Hyperactivity 
E)  Muscle cramps

Question 17

What statement applies to the current focus of the dietary management of children with diabetes?

Accepted Answer

A)  Measurement of all servings of food is vital for control. 
B)  Daily calculate specific amounts of carbohydrates, fats, and proteins. 
C)  The number of calories for carbohydrates remains constant on a daily basis; protein and fat calories are liberal. 
D)  The intake ensures day-to-day consistency in total calories, protein, carbohydrates, and moderate fat while allowing for a wide variety of foods. 
A)  Measurement of all servings of food is vital for control. 
B)  Daily calculate specific amounts of carbohydrates, fats, and proteins. 
C)  The number of calories for carbohydrates remains constant on a daily basis; protein and fat calories are liberal. 
D)  The intake ensures day-to-day consistency in total calories, protein, carbohydrates, and moderate fat while allowing for a wide variety of foods.

Question 18

What statement is characteristic of type 1 diabetes mellitus?

Accepted Answer

A)  Onset is usually gradual. 
B)  Ketoacidosis is infrequent. 
C)  Peak age incidence is 10 to 15 years. 
D)  Oral agents are available for treatment. 
A)  Onset is usually gradual. 
B)  Ketoacidosis is infrequent. 
C)  Peak age incidence is 10 to 15 years. 
D)  Oral agents are available for treatment.

Question 19

The nurse is assisting with a growth hormone stimulation test for a child with short stature.What should the nurse monitor closely on this child during the test?

Accepted Answer

A)  Hypotension 
B)  Tachycardia 
C)  Hypoglycemia 
D)  Nausea and vomiting 
A)  Hypotension 
B)  Tachycardia 
C)  Hypoglycemia 
D)  Nausea and vomiting

Question 20

The parents of a child who has just been diagnosed with type 1 diabetes ask about exercise.What effect does exercise have on a type 1 diabetic?

Accepted Answer

A)  Exercise increases blood glucose. 
B)  Extra insulin is required during exercise. 
C)  Additional snacks are needed before exercise. 
D)  Excessive physical activity should be restricted. 
A)  Exercise increases blood glucose. 
B)  Extra insulin is required during exercise. 
C)  Additional snacks are needed before exercise. 
D)  Excessive physical activity should be restricted.

Exam 33: The Child With Endocrine Dysfunction

What is a condition that can result if hypersecretion of growth hormone (GH)occurs after epiphyseal closure?

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

Peripheral precocious puberty (PPP)differs from central precocious puberty (CPP)in which manner?

The nurse is preparing to assist with a growth hormone provocative test for a child with short stature.The nurse recognizes that which pharmacologics should be used to provoke the release of growth hormone (GH)?

What is a common clinical manifestation of juvenile hypothyroidism?

The nurse is planning to admit a 14-year-old adolescent with Cushing syndrome.What clinical manifestations should the nurse expect to observe in this child?

Prolonged steroid therapy has caused a child to have Cushing syndrome.To lessen the cushingoid effects,the steroid should be administered at which time?

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

The nurse is planning to admit an 8-year-old child with hypoparathyroidism.What clinical manifestations should the nurse expect to observe in this child?

The nurse is preparing a community outreach program for adolescents about the characteristic differences between type 1 and type 2 diabetes mellitus (DM).What concepts should the nurse include?

Exophthalmos (protruding eyeballs)may occur in children with which condition?

The nurse is teaching the parent of a preschool child how to administer the child's insulin injection.The child will be receiving 2 units of regular insulin and 12 units of NPH insulin every morning.What should the parent be taught?

A child is having tests done to determine parathyroid function.The clinic nurse knows that the parathyroid hormone (PTH)regulates the homeostasis of what in the serum?

A 20-kg (44-lb)child in ketoacidosis is admitted to the pediatric intensive care unit.What order should the nurse not implement until clarified with the physician?

The nurse is planning to admit a 12-year-old with Graves disease (GD).What clinical manifestations should the nurse expect to observe in this child?

What statement applies to the current focus of the dietary management of children with diabetes?

What statement is characteristic of type 1 diabetes mellitus?

The nurse is assisting with a growth hormone stimulation test for a child with short stature.What should the nurse monitor closely on this child during the test?

The parents of a child who has just been diagnosed with type 1 diabetes ask about exercise.What effect does exercise have on a type 1 diabetic?

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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