Pediatric Nursing | Endocrine Disorders care NCLEX Quiz 11
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All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.The 6-year-old son of Mr. and Mrs. Peters is admitted to the healthcare facility with the diagnosis of idiopathic hypopituitarism. His height is measured below the third percentile and weight at the 40th percentile. Which of the following would be the first action of his attending nurse?
- A.
Recommend orthodontic referral for underdeveloped jaw.
- B.
Collaborate with a dietician to access his caloric needs.
- C.
Provide for a tutor for his precocious intellectual ability.
- D.
Place him in a room with a 2-year-old boy.
- 2.Katie is admitted to the intensive care unit of Nurseslabs Medical Center for diabetic ketoacidosis; which of the following is of primary importance when caring for the child?
- A.
Giving I.V. NPH insulin in high doses
- B.
Evaluating the child for cardiac abnormalities
- C.
Limiting fluids to prevent aggravating cerebral edema
- D.
Monitoring and recording the child’s vital signs for hypertension
- 3.Nurse Angelo is attending for a child with Cushing’s syndrome; which of the following nursing interventions would be most necessary?
- A.
Observing the child for signs and symptoms of metabolic acidosis
- B.
Handling the child carefully to prevent bruising
- C.
Monitoring vital signs for hypertension and tachycardia
- D.
Monitoring the child for signs and symptoms of hypoglycemia
- 4.While Andres is being assessed at the clinic. Nurse Shiela observed that the child appears to be small. with an immature face and chubby body build. Her parents stated that their child’s rate of growth of all body parts is somewhat slow. but her proportions and intelligence remain normal. As a knowledgeable nurse. you know that the child has a deficiency of which of the following?
- A.
Antidiuretic hormone (ADH)
- B.
Parathyroid hormone (PTH)
- C.
Growth hormone (GH)
- D.
Melanocyte-stimulating hormone (MSH)
- 5.Justine is admitted to the pediatric unit due to the occurrence of diabetic ketoacidosis signaling a new diagnosis of diabetes. The diabetes team explores the cause of the episode and take steps to prevent a recurrence. Diabetic ketoacidosis (DKA) results from an excessive accumulation of which of the following?
- A.
Sodium bicarbonate from renal compensation
- B.
Potassium from cell death
- C.
Glucose from carbohydrate metabolism
- D.
Ketone bodies from fat metabolism
- 6.Nurse Aries entered the room of a child with hypopituitarism and was asked by the couple about the condition of their child. Which of the following phrases if stated by the nurse best describes the condition?
- A.
Linear growth retardation with skeletal proportions normal for chronologic age
- B.
A complete normal growth pattern. but with the onset of precocious puberty
- C.
Normal growth for first five years. followed by progressive linear growth retardation
- D.
Growth retardation in which height and weight are equally affected
- 7.In growing children. growth hormone deficiency results in short stature and very slow growth rates. Short stature may result from which of the following?
- A.
Anterior pituitary gland hypofunction
- B.
Posterior pituitary gland hyperfunction
- C.
Parathyroid gland hyperfunction
- D.
Thyroid gland hyperfunction
- 8.Tara is an 11-year-old girl diagnosed with type 1 diabetes mellitus (DM). She asks her attending nurse why she can’t take a pill rather than shots like her grandmother does. Which of the following would be the nurse’s best reply?
- A.
“If your blood glucose levels are controlled. you can switch to using pills.”
- B.
“The pills correct fat and protein metabolism. not carbohydrate metabolism.”
- C.
“Your body does not make insulin. so the insulin injections help to replace it.”
- D.
“The pills work on the adult pancreas. you can switch when you are 18.”
- 9.Which type of diabetes mellitus (DM) most likely results from heterogenous risk factors. making it preventable?
- A.
Type 1
- B.
Type 2
- C.
Type 1 and 2
- D.
Gestational diabetes
- 10.Mr. Lopez has a 7-year-old son with growth hormone (GH) deficiency. He shares to the nurse the desire of his son to play ball games. However. his wife feels the child will be in danger since he is smaller than the other children. In planning anticipatory guidance for these parents. the nurse should keep in mind which of the following?
- A.
The child should be allowed to play because doing so can foster healthy self-esteem.
- B.
The risk for fractures is increased because a GH deficiency results in fragile bones.
- C.
Activity could aggravate insulin sensitivity. causing hyperglycemia.
- D.
Activity would aggravate the child’s joints. already over tasked by obesity.
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