Question 1

A nurse is reviewing the laboratory results on a school-age child diagnosed 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

Question 2

Which clinical manifestation may occur in the child who is prescribed methimazole for the treatment of hyperthyroidism (Graves' disease)?

Accepted Answer

A)  Seizures 
B)  Enlargement of all lymph glands 
C)  Pancreatitis or cholecystitis 
D)  Sore throat or fever

Question 3

Chronic adrenocortical insufficiency is also referred to as what?

Accepted Answer

A)  Graves' disease 
B)  Addison's disease 
C)  Cushing's syndrome 
D)  Hashimoto's disease

Question 4

A child with growth hormone (GH)deficiency is receiving GH therapy.What 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 5

Nursing care of a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)should include which interventions? (Select all that apply.)

Accepted Answer

A)  Weigh daily 
B)  Encourage fluids 
C)  Turn frequently 
D)  Maintain nothing by mouth 
E)  Restrict fluids

Question 6

A child will start treatment for precocious puberty.This involves injections of which synthetic medication?

Accepted Answer

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

Question 7

At what age is sexual development in boys and girls considered to be precocious?

Accepted Answer

A)  Boys, 11 years; girls, 9 years 
B)  Boys, 12 years; girls, 10 years 
C)  Boys, 9 years; girls, 8 years 
D)  Boys, 10 years; girls, 9.5 years

Question 8

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

Accepted Answer

A)  Arm 
B)  Leg 
C)  Buttock 
D)  Abdomen

Question 9

Diabetes insipidus is a disorder of which organ?

Accepted Answer

A)  Anterior pituitary 
B)  Posterior pituitary 
C)  Adrenal cortex 
D)  Adrenal medulla

Question 10

Exophthalmos may occur in children with what diagnosis?

Accepted Answer

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

Question 11

A neonate born with ambiguous genitalia is diagnosed with congenital adrenogenital hyperplasia.Therapeutic management includes administration of which medication?

Accepted Answer

A)  Vitamin D 
B)  Cortisone 
C)  Stool softeners 
D)  Calcium carbonate

Question 12

The clinic nurse is reviewing hemoglobin A1c levels on several children with type 1 diabetes.Hemoglobin A1c levels of less than _____% are a goal for children with type 1 diabetes.Record your answer as a whole number.

Accepted Answer

The answer of The clinic nurse is reviewing hemoglobin A1c...

Question 13

The nurse is caring for a child with suspected diabetes insipidus.Which clinical manifestation would be observable?

Accepted Answer

A)  Oliguria 
B)  Glycosuria 
C)  Nausea and vomiting 
D)  Polydipsia

Question 14

An adolescent is being seen in the clinic for evaluation of acromegaly.The nurse understands that which event occurs with acromegaly?

Accepted Answer

A)  There is a lack of growth hormone (GH) being produced. 
B)  There is excess GH after closure of the epiphyseal plates. 
C)  There is an excess of GH before the closure of the epiphyseal plates. 
D)  There is a lack of thyroid hormone being produced.

Question 15

A goiter is an enlargement or hypertrophy of which gland?

Accepted Answer

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

Question 16

A child diagnosed 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 17

A child is diagnosed with juvenile hypothyroidism.The nurse should expect to assess which symptoms associated with hypothyroidism? (Select all that apply.)

Accepted Answer

A)  Weight loss 
B)  Sleepiness 
C)  Diarrhea 
D)  Puffiness around the eyes 
E)  Spare hair

Question 18

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 19

The parents of a child who has just been diagnosed with type 1 diabetes ask about exercise.The nurse should provide the parents with what information to address the child's safety needs?

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 20

What are the manifestations of hypoglycemia?

Accepted Answer

A)  Lethargy 
B)  Thirst 
C)  Nausea and vomiting 
D)  Shaky feeling and dizziness

Exam 47: The Child With Endocrine Dysfunction