Deck 51: Endocrine Dysfunction

Question 1

What is a cardinal sign of diabetes mellitus?

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

Answer 1

Frequent urination

Question 2

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

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

Answer 2

Boys,9 years;girls,8 years

Question 3

Which secretes glucocorticoids,mineralocorticoids,and sex steroids?

A) Thyroid gland
B) Parathyroid glands
C) Adrenal cortex
D) Anterior pituitary

Answer 3

Adrenal cortex

Question 4

A parent asks the nurse why self-monitoring of blood glucose is being recommended for her child with diabetes.What knowledge should form the basis of the nurse's explanation?

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) The parents are better able to manage the disease.

Question 5

A child eats some sugar cubes after experiencing symptoms of hypoglycemia.What type of food or beverage should follow this rapid-releasing sugar?

A) Saturated and unsaturated fat
B) Fruit juice
C) Several glasses of water
D) Complex carbohydrate and protein

Question 6

What should the nurse explain about exercise to the parents of a child who has just been diagnosed with type 1 diabetes?

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 7

The nurse is teaching the parents of a child who is receiving propylthiouracil for the treatment of Graves' disease.Which statement indicates the parents' correct understanding of the teaching?

A) "I expect my child to gain weight while taking this medication."
B) "I 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,he will need to be hospitalized."

Question 8

Which clinical manifestation would the nurse expect to observe when caring for a child with suspected diabetes insipidus?

A) Oliguria
B) Glycosuria
C) Nausea and vomiting
D) Polyuria and polydipsia

Question 9

Which would the nurse expect when completing an assessment on a child with juvenile hypothyroidism?

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

Question 10

A child is starting treatment for precocious puberty.This involves injections of which synthetic substance?

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

Question 11

Diabetes insipidus is a disorder of which of structure?

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

Question 12

What is another name for chronic adrenocortical insufficiency?

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

Question 13

Therapeutic management for a newborn with congenital adrenogenital hyperplasia includes which medication?

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

Question 14

Type 1 diabetes mellitus is suspected in an adolescent.Which clinical manifestation may be present?

A) Moist skin
B) Weight gain
C) Fluid overload
D) Poor wound healing

Question 15

Which is true of immune-mediated type 1 diabetes mellitus?

A) Ketoacidosis is infrequent.
B) Onset is gradual.
C) It occurs most often in children and adolescents.
D) Oral agents are often effective for treatment.

Question 16

A goitre is an enlargement,or hypertrophy,of which gland?

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

Question 17

Which statement best describes hypopituitarism?

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 the age.
D) Most of these children have subnormal intelligence.

Question 18

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

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

Question 19

Which may cause exophthalmos?

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

Question 20

Which is a condition that can result if there is hypersecretion of growth hormone (GH)after epiphyseal closure?

A) Dwarfism
B) Acromegaly
C) Gigantism
D) Cretinism

Question 21

Which would the nurse expect to find when assessing a child with hypoglycemia? Select all that apply.Express answer in small letters followed by a comma and a space-e.g. ,a,b,c

A) Glucose level of 10.7 mmol/L
B) Tachycardia
C) Trace of ketones in the urine
D) Blurred vision
E) Diplopia
F) Flushed skin

Question 22

Which would the nurse expect when assessing a child with hypoglycemia?

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

Question 23

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?

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

Question 24

Which are clinical manifestations of chronic adrenocortical insufficiency? Select all that apply.Express answer in small letters followed by a comma and a space-e.g. ,a,b,c

A) Insomnia
B) Palmar creases
C) Weight gain
D) Hypertension
E) Syncope attacks
F) Hypoglycemia

Question 25

Which should be included when providing nursing care for a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)?

A) Weigh the child daily.
B) Encourage fluids.
C) Turn the child frequently.
D) Maintain nothing by mouth.

Question 26

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

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.