Question 1

The nurse is caring for an 11-year-old boy who has recently been diagnosed with diabetes.Which should be included in the teaching plan for daily injections?

Accepted Answer

A) The parents do not need to learn the procedure. 
B) He is old enough to give most of his own injections. 
C) Self-injections will be possible when he is closer to adolescence. 
D) He can learn about self-injections when he is able to reach all injection sites.

Question 2

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.

Question 3

Which is considered a cardinal sign of diabetes mellitus?

Accepted Answer

A) Nausea 
B) Seizures 
C) Impaired vision 
D) Frequent urination

Question 4

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.

Question 5

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) On arising in the morning

Question 6

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

Question 7

The parents of a child who has just been diagnosed with type 1 diabetes ask about exercise.Which should the nurse explain about exercise in type 1 diabetes?

Accepted Answer

A) Exercise will increase blood glucose. 
B) Exercise should be restricted. 
C) Extra snacks are needed before exercise. 
D) Extra insulin is required during exercise.

Question 8

Chronic adrenocortical insufficiency is also referred to as:

Accepted Answer

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

Question 9

The nurse is caring for a school-age child with hyperthyroidism (Graves disease).Which clinical manifestations should the nurse monitor that may indicate a thyroid storm? (Select all that apply.)

Accepted Answer

A) Constipation 
B) Hypotension 
C) Hyperthermia 
D) Tachycardia 
E) Vomiting

Question 10

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.

Question 11

The nurse should teach parents of a preschool child with type 1 diabetes that which can raise the blood glucose level?

Accepted Answer

A) Exercise 
B) Steroids 
C) Decreased food intake 
D) Lantus insulin

Question 12

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

Question 13

Exophthalmos (protruding eyeballs)may occur in children with:

Accepted Answer

A) hypothyroidism. 
B) hyperthyroidism. 
C) hypoparathyroidism. 
D) hyperparathyroidism.

Question 14

The nurse is admitting a toddler with the diagnosis of juvenile hypothyroidism.Which is a common clinical manifestation of this disorder?

Accepted Answer

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

Question 15

A child with hypoparathyroidism is receiving vitamin D therapy.The parents should be advised to watch for which sign of vitamin D toxicity?

Accepted Answer

A) Headache and seizures 
B) Physical restlessness and voracious appetite without weight gain 
C) Weakness and lassitude 
D) Anorexia and insomnia

Question 16

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."

Question 17

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.

Question 18

A nurse is planning care for a school-age child with type 1 diabetes.Which insulin preparations are rapid and short acting? (Select all that apply.)

Accepted Answer

A) Novolin N 
B) Lantus 
C) NovoLog 
D) Novolin R

Question 19

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

Exam 29: The Child with Endocrine Dysfunction

The nurse is caring for an 11-year-old boy who has recently been diagnosed with diabetes.Which should be included in the teaching plan for daily injections?

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?

Which is considered a cardinal sign of diabetes mellitus?

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

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

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

The parents of a child who has just been diagnosed with type 1 diabetes ask about exercise.Which should the nurse explain about exercise in type 1 diabetes?

Chronic adrenocortical insufficiency is also referred to as:

The nurse is caring for a school-age child with hyperthyroidism (Graves disease) .Which clinical manifestations should the nurse monitor that may indicate a thyroid storm? (Select all that apply.)