Question 1

A goiter is an enlargement or hypertrophy of which gland?

Accepted Answer

A)  Thyroid
B)  Adrenal
C)  Anterior pituitary
D)  Posterior pituitary A

Question 2

Glucocorticoids,mineralocorticoids,and sex steroids are secreted by the:

Accepted Answer

A)  thyroid gland.
B)  parathyroid glands.
C)  adrenal cortex.
D)  anterior pituitary. C

Question 3

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. C

Question 4

The parents of a neonate with adrenogenital hyperplasia tell the nurse that they are afraid to have any more children.The nurse should explain which statement about adrenogenital hyperplasia?

Accepted Answer

A)  It is not hereditary.
B)  Genetic counseling is indicated.
C)  It can be prevented during pregnancy.
D)  All future children will have the disorder.

Question 5

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

Question 6

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.

Question 7

To help the adolescent deal with diabetes,the nurse must 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)  Need to make peers aware of the seriousness of hypoglycemic reactions

Question 8

A child will start treatment for precocious puberty.The nurse recognizes that this will involve the injection of which synthetic medication?

Accepted Answer

A)  Thyrotropin
B)  Gonadotropins
C)  Somatotropic hormone
D)  Luteinizing hormone-releasing hormone

Question 9

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

Question 10

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

Question 11

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

Question 12

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

Accepted Answer

A)  fat.
B)  fruit juice.
C)  several glasses of water.
D)  complex carbohydrate and protein.

Question 13

Which 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 20 years.
D)  Oral agents are often effective for treatment.

Question 14

A nurse is planning interventions for a toddler with juvenile hypothyroidism.Which interventions should the nurse plan to implement for this child? (Select all that apply.)

Accepted Answer

A)  Moisturizer for dry skin
B)  Antidiarrheal medications
C)  Medications to help with insomnia
D)  Implementation of thyroxine therapy

Question 15

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

Question 16

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

Question 17

The clinic nurse is reviewing hemoglobin A?c levels on several children with type 1 diabetes.Hemoglobin A?c levels of less than _____% is a goal for children with type 1 diabetes.(Record your answer in a whole number.)

Accepted Answer

The answer of The clinic nurse is reviewing hemoglobin A?c...

Question 18

Hyperglycemia associated with diabetic ketoacidosis is defined as a blood glucose measurement equal to or greater than _____ mg/dl.

Accepted Answer

A)  100
B)  120
C)  180
D)  200

Question 19

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.

Question 20

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.

Exam 29: The Child with Endocrine Dysfunction