Question 1

The student nurse knows that which gland produces the hormone triiodothyronine?

Accepted Answer

A)  Adrenal 
B)  Hypothalamus 
C)  Parathyroid 
D)  Thyroid

Question 2

A pediatric dentist refers a child to an endocrinologist because of a concern about the child having so few teeth.Which laboratory testing does the nurse anticipate ordering for the child?

Accepted Answer

A)  24-hour urinalysis for cortisol 
B)  Growth hormone stimulation test 
C)  Serum testosterone 
D)  Water deprivation test

Question 3

A 55-lb (25-kg)child in the hospital has syndrome of inappropriate antidiuretic hormone (SIADH).The nurse calculates the child's 24-hour fluid allowance at what volume? ____________________

Accepted Answer

The answer of A 55-lb (25-kg)child in the hospital has...

Question 4

The nurse is teaching parents of an infant diagnosed with hypothyroidism.Which items are appropriate to include in the teaching plan?

Accepted Answer

A)  Dissolving the levothyroxine (Synthroid) completely in formula 
B)  Frequent monitoring of the child's height and weight 
C)  Keeping a log or diary of developmental milestones the child meets 
D)  Monitoring the child for behavioral changes as he or she grows 
E)  The need for frequent laboratory testing during the child's life

Question 5

The student nurse caring for a child with type 1 diabetes mellitus learns which classic signs?

Accepted Answer

A)  Polydactyly 
B)  Polydipsia 
C)  Polyneuritis 
D)  Polyphagia 
E)  Polyuria

Question 6

The clinic nurse reads in a child's chart that the parent reports hyperhidrosis.Which item should the nurse take into the examination room?

Accepted Answer

A)  Disposable stethoscope 
B)  Extra hand towels 
C)  Incontinence pads 
D)  Large blood pressure cuff

Question 7

A hospitalized child has been diagnosed with hyperthyroidism and has a calcium level of 6.8 mg/dL.Which action by the nurse takes priority?

Accepted Answer

A)  Administer calcium. 
B)  Apply telemetry. 
C)  Pad the side rails. 
D)  Start an IV.

Question 8

A child is 4 hours postoperative after a total parathyroidectomy.Which assessment takes priority?

Accepted Answer

A)  Airway 
B)  Dressing 
C)  IV site 
D)  Pain

Question 9

A nurse is teaching a new diabetic child and family about sick-day management.What information does the nurse plan to include?

Accepted Answer

A)  Check blood sugars every 4 hours. 
B)  Hold insulin if the child is vomiting. 
C)  Provide plenty of rest and sleep. 
D)  Offer calorie-containing liquids. 
E)  Try to follow the usual meal plan.

Question 10

A 5-year-old child is 3 hours postoperative after a total thyroidectomy.The nurse notes hand spasms as the blood pressure cuff is inflated,and the child reports numbness around her lips.After notifying the health-care provider,which action by the nurse takes priority?

Accepted Answer

A)  Bring the crash cart to the room. 
B)  Call the laboratory to have blood work drawn. 
C)  Prepare to administer oral vitamin 
D)  Raise the head of the child's bed.

Question 11

A child has been diagnosed with diabetic ketoacidosis (DKA)and is in the pediatric intensive care unit.Which nursing diagnosis does the nurse direct interventions toward as the priority?

Accepted Answer

A)  Fluid volume deficit 
B)  Ineffective breathing patterns 
C)  Knowledge deficit 
D)  Risk for infection

Question 12

A hospitalized diabetic child is sweating,nauseated,and has a headache.What action by the nurse takes priority?

Accepted Answer

A)  Administer sliding-scale insulin. 
B)  Call laboratory for a stat blood sugar. 
C)  Give the child some orange juice. 
D)  Perform a urine ketone test.

Question 13

A child is taking methimazole (MTZ).What does the nurse teach parents to report immediately?

Accepted Answer

A)  Brittle hair 
B)  Dry skin 
C)  Headache 
D)  Jaundice 
E)  Pink or red urine

Question 14

A child diagnosed with hyperaldosteronism needs a diuretic.Which diuretic does the nurse anticipate administering?

Accepted Answer

A)  Bumetanide (Bumex) 
B)  Furosemide (Lasix) 
C)  Hydrocholorthiazide (Hydrodiuril) 
D)  Spironolactone (Aldactone)

Question 15

A child is in the clinic for follow-up after starting recombinant growth hormone for growth hormone deficiency.After obtaining the child's height,which assessment is the priority?

Accepted Answer

A)  Blood pressure 
B)  Bowel function 
C)  Respiratory effort 
D)  Urinary osmolality

Question 16

A parent calls the clinic nurse to report that his child,who takes methimazole (MTZ),is running a high fever,seems agitated,and is nauseated.Which response by the nurse is the most appropriate?

Accepted Answer

A)  "Bring your child to the clinic this afternoon for a checkup." 
B)  "Double the methimazole dose for 2 days or until the fever is gone." 
C)  "Give your child acetaminophen (Tylenol) every 4 hours for the fever." 
D)  "Take your child to the nearest emergency department right away."

Exam 27: Caring for the Child With an Endocrinological or Metabolic Condition