Question 1

The nurse at a pediatric clinic is assessing a 12-year-old female. The patient ask the nurse, "I am scared about what's happening to my body. How does it happen?" Which information from the nurse is most appropriate?

Accepted Answer

The most appropriate response is to explain that the ovaries play a role in the regulation of puberty and fertility, which directly addresses the patient's concern about changes happening to her body.

Question 2

The nurse is providing care for a child who is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). Which laboratory result does the nurse expect with this condition?

Accepted Answer

In SIADH, the body produces too much antidiuretic hormone (ADH), leading to water retention, which dilutes the blood, decreasing serum osmolarity while increasing urine osmolarity. This results in concentrated urine (high urine osmolarity) and diluted blood (low serum osmolarity), not affecting urine-specific gravity, serum sodium, or hematocrit in the ways described by the other options.

Question 3

The nurse on a pediatric unit is admitting a 6-week-old infant. Symptoms include a wet daily diaper count of 10 to 12 a day, irritability, constipation, and dehydration. For which medical prescription does the nurse contact the physician?

Accepted Answer

The symptoms suggest the infant may be experiencing water intoxication, indicated by a high daily diaper count, irritability, constipation, and dehydration. Limiting oral intake of water is necessary to prevent further dilution of electrolytes and worsening of the condition.

Question 4

The nurse is assessing a 4-month-old infant who has a diagnosis of hypoparathyroidism. In which manner will the nurse assess the infant for pain related to the diagnosis?

Accepted Answer

Tapping on a facial nerve and noting the response, known as Chvostek's sign, is a method used to assess for hypocalcemia, a common symptom of hypoparathyroidism, which can cause neuromuscular irritability and potentially painful muscle spasms or cramps.

Question 5

The nurse is planning a teaching session for a 10-year-old patient and the patient's parents. The patient is newly diagnosed with type 1 diabetes mellitus. Which is the most important topic for the nurse to cover?

Accepted Answer

Understanding insulin administration is crucial for managing type 1 diabetes, as it is essential for maintaining blood glucose levels and preventing complications.

Question 6

The school nurse is teaching a middle-school class about the hormones that regulate body functions. Which information provided by the nurse is accurate?

Accepted Answer

Hormones are indeed chemicals secreted by endocrine glands, which regulate various body functions.

Question 7

The nurse in a pediatrician's office is assessing a 9-year-old male patient who is being monitored for the possible diagnosis of hypopituitarism. Which assessment finding does the nurse recognize specifically as an indication of growth hormone deficiency?

Accepted Answer

A height increase of only 1.75 inches in 12 months for a 9-year-old is indicative of a growth hormone deficiency, as it is below the expected growth rate for a child of this age.

Question 8

The nurse in a NICU nursery is providing care for a newborn diagnosed with congenital hypothyroidism. During hospitalization, which home-care concept will the nurse include in the newborn's care?

Accepted Answer

The answer of The nurse in a NICU nursery is...

Question 9

A 10-year-old patient is diagnosed with type 2 diabetes mellitus. Which medical history finding will help the nurse identify alternative interventions for managing the patient's condition?

Accepted Answer

The patient's BMI being greater than the 85th percentile for age and weight indicates obesity, which is a modifiable risk factor for type 2 diabetes. Addressing obesity through diet, exercise, and lifestyle changes can be an effective intervention for managing the condition.

Question 10

Identify one or more choices that best complete the statement or answer the question.
-The nurse on a pediatric unit is providing care for a preschool child with syndrome of inappropriate antidiuretic hormone (SIADH). The parents brought the child to the hospital to receive IV therapy. Which statements by the parents indicate to the nurse that the child is receiving appropriate care? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Question 11

A 16-year-old adolescent has Addison's disease. The adolescent's current medication involves corticosteroid and mineralocorticoid replacement therapy. During sports practice, the adolescent collapses and loses consciousness with sudden, penetrating pain in the lower back and legs. Which action is taken by the school nurse?

Accepted Answer

Given the adolescent's history of Addison's disease and the acute collapse, this scenario suggests an Addisonian crisis, which is a life-threatening condition requiring immediate administration of hydrocortisone (Solu-Cortef) and emergency medical attention.

Question 12

A 15-year-old female asks the pediatric nurse how tall she may be as an adult. The adolescent’s father is 6 feet 0 inches tall; her mother is 5 feet 4 inches tall. Which calculation will the nurse use to provide a probable answer?

Accepted Answer

The correct method to estimate the adult height of a female child is to add the parents' heights in inches together, divide by 2, and then subtract 2.5 inches. This formula accounts for the average height difference between males and females.

Question 13

The nurse is providing care for a 12-month-old patient who is experiencing poor weight gain. Physical assessment reveals an open anterior fontanel and open cranial sutures. To differentiate between a decrease in growth hormone and a congenital thyroid problem, which laboratory test does the nurse expect to be ordered?

Accepted Answer

TSH (Thyroid Stimulating Hormone) is the appropriate test to differentiate between a decrease in growth hormone and a congenital thyroid problem, as it directly assesses thyroid function, which is crucial for growth and development.

Question 14

The nurse in a pediatric emergency department is providing care for a 1-year-old patient with a history of congenital adrenal hyperplasia (CAH). The patient is exhibiting the manifestations of a febrile illness. Which medical intervention does the nurse expect to be prescribed?

Accepted Answer

In a patient with congenital adrenal hyperplasia (CAH), stress such as a febrile illness can precipitate an adrenal crisis. Administering corticosteroids by injection is crucial to manage the stress response and prevent adrenal insufficiency.

Question 15

Identify one or more choices that best complete the statement or answer the question.
-The pediatric nurse is preparing a community education program for parents and children who have endocrine disorders. With which normal regulatory functions does the nurse begin the presentation before covering endocrine disorders? Select all that apply.

Accepted Answer

The endocrine system plays a crucial role in regulating various bodily functions, including growth and development, sexual development, energy use and storage, an individual's response to stress, and the levels of glucose, fluid, and sodium in the blood. These are fundamental aspects that would be essential to cover in a presentation about endocrine disorders to provide a comprehensive understanding of how these disorders can affect the body.

Question 16

Identify one or more choices that best complete the statement or answer the question.
-The nurse is preparing a teaching plan for a patient and family. The patient is diagnosed with hyperpituitarism. Which teaching information will optimize therapy outcomes for the patient? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Question 17

A 13-year-old male patient is diagnosed with hypopituitarism and is prescribed to begin growth hormone replacement therapy. Which patient teaching information will best optimize the replacement therapy outcomes for the patient?

Accepted Answer

Clear communication about side effects of therapy and how they are managed is crucial for optimizing outcomes, as it ensures adherence to the therapy and allows for timely management of any adverse effects.

Question 18

Identify one or more choices that best complete the statement or answer the question.
-The nurse is providing family teaching for a child diagnosed with hypoparathyroidism. Which additional teaching will the nurse include related to alternative dietary management? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Question 19

A 12-year-old patient has a diagnosis of hyperthyroidism and is hospitalized for the manifestations of a thyroid storm. Which home-care concept will the nurse include in the care of the patient during hospitalization?

Accepted Answer

A low-stress, low-pressure environment is crucial for managing a thyroid storm, as stress can exacerbate symptoms.

Quiz 17: Endocrine Disorders

The nurse at a pediatric clinic is assessing a 12-year-old female. The patient ask the nurse, "I am scared about what's happening to my body. How does it happen?" Which information from the nurse is most appropriate?

The nurse is providing care for a child who is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) . Which laboratory result does the nurse expect with this condition?

The nurse on a pediatric unit is admitting a 6-week-old infant. Symptoms include a wet daily diaper count of 10 to 12 a day, irritability, constipation, and dehydration. For which medical prescription does the nurse contact the physician?

The nurse is assessing a 4-month-old infant who has a diagnosis of hypoparathyroidism. In which manner will the nurse assess the infant for pain related to the diagnosis?

The nurse is planning a teaching session for a 10-year-old patient and the patient's parents. The patient is newly diagnosed with type 1 diabetes mellitus. Which is the most important topic for the nurse to cover?

The school nurse is teaching a middle-school class about the hormones that regulate body functions. Which information provided by the nurse is accurate?

The nurse in a pediatrician's office is assessing a 9-year-old male patient who is being monitored for the possible diagnosis of hypopituitarism. Which assessment finding does the nurse recognize specifically as an indication of growth hormone deficiency?

The nurse in a NICU nursery is providing care for a newborn diagnosed with congenital hypothyroidism. During hospitalization, which home-care concept will the nurse include in the newborn's care?

A 10-year-old patient is diagnosed with type 2 diabetes mellitus. Which medical history finding will help the nurse identify alternative interventions for managing the patient's condition?

A 15-year-old female asks the pediatric nurse how tall she may be as an adult. The adolescent’s father is 6 feet 0 inches tall; her mother is 5 feet 4 inches tall. Which calculation will the nurse use to provide a probable answer?

The nurse in a pediatric emergency department is providing care for a 1-year-old patient with a history of congenital adrenal hyperplasia (CAH) . The patient is exhibiting the manifestations of a febrile illness. Which medical intervention does the nurse expect to be prescribed?

Identify one or more choices that best complete the statement or answer the question. -The nurse is preparing a teaching plan for a patient and family. The patient is diagnosed with hyperpituitarism. Which teaching information will optimize therapy outcomes for the patient? Select all that apply.

A 13-year-old male patient is diagnosed with hypopituitarism and is prescribed to begin growth hormone replacement therapy. Which patient teaching information will best optimize the replacement therapy outcomes for the patient?

Identify one or more choices that best complete the statement or answer the question. -The nurse is providing family teaching for a child diagnosed with hypoparathyroidism. Which additional teaching will the nurse include related to alternative dietary management? Select all that apply.

A 12-year-old patient has a diagnosis of hyperthyroidism and is hospitalized for the manifestations of a thyroid storm. Which home-care concept will the nurse include in the care of the patient during hospitalization?