Deck 52: Endocrine Dysfunction

Question 1

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 1

Boys,9 years;girls,8 years

Question 2

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

A)At bedtime.
B)After meals.
C)Before meals.
D)On arising in the morning.

Answer 2

At bedtime.

Question 3

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 knowing that:

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.

Answer 3

Children are better able to manage the diabetes.

Question 4

Hyperglycemia associated with diabetic ketoacidosis is defined as a blood glucose measurement equal to or greater than:

A)185 mg/dl
B)220 mg/dl
C)280 mg/dl
D)330 mg/dl

Question 5

A condition that can result if hypersecretion of growth hormone (GH) occurs after epiphyseal closure is:

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

Question 6

Exophthalmos (protruding eyeballs) may occur in children with:

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

Question 7

A child will start treatment for precocious puberty. This involves injections of synthetic:

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

Question 8

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 9

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 10

Chronic adrenocortical insufficiency is also referred to as:

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

Question 11

The nurse is caring for a child with suspected diabetes insipidus. Which clinical manifestation would he or she expect to observe?

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

Question 12

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

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

Question 13

A common clinical manifestation of juvenile hypothyroidism is:

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

Question 14

What is considered a cardinal sign of diabetes mellitus?

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

Question 15

What is characteristic of the immune-mediated type 1 diabetes mellitus?

A)Ketoacidosis is infrequent.
B)Onset is gradual.
C)Age at onset is usually younger than 18 years.
D)Oral agents are often effective for treatment.

Question 16

Diabetes insipidus is a disorder of the:

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

Question 17

A goiter is an enlargement or hypertrophy of which gland?

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

Question 18

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

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 19

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

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

Question 20

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

Question 21

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 22

Manifestations of hypoglycemia include:

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

Question 23

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

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

Question 24

The parents of a child who has just been diagnosed with type 1 diabetes ask about exercise. The nurse should explain that:

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 25

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.

Question 26

Nursing care of a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) should include (choose all that apply):

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