Ch32 Child With A Metabolic Condition Test Bank Docx - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 32: Child With a Metabolic Condition
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which of the following is not a functional unit of the endocrine system?
1) | The gland in which the hormone is produced |
2) | The area of the brain that sends messages to glands |
3) | The target cell where the chemical messenger acts |
4) | The transport system through which the chemical messenger travels |
____ 2. The nurse is administering desmopressin to a child with hemophilia. Which teaching point should the nurse discuss with the parents of the child?
1) | “Your child needs to sit up straight for 45 minutes after administration of desmopressin.” |
2) | “Your child cannot eat for up to 6 hours after administration of desmopressin.” |
3) | o “Your child cannot drink fluids for up to 6 hours after administration of desmopressin.” |
4) | “Your child needs this medicine to regulate blood calcium concentrations.” |
____ 3. A mother reports to the nurse that her child has been feeling hot, has an increased appetite, and has been losing weight. The nurse suspects that the child may have an issue with what endocrine gland?
1) | Thyroid |
2) | Pancreas |
3) | Pituitary |
4) | Adrenal |
____ 4. Which is the priority nursing action when providing care for a school-aged child admitted to the hospital experiencing an adrenal crisis?
1) | Administering prescribed fluids and electrolytes |
2) | Clustering care to enhance rest |
3) | Monitoring stool output |
4) | Providing pain relief and tepid baths |
____ 5. The nurse is providing education to a school-aged child recently diagnosed with type 1 diabetes mellitus (DM). Which item will the nurse include in the teaching plan regarding sick day management?
1) | Holding the prescribed dose of insulin |
2) | Monitoring blood glucose every 8 hours |
3) | Monitoring for ketones after each void |
4) | Encouraging exercise every 24 hours |
____ 6. Which of the following endocrine glands is correctly paired with its location?
1) | Ovaries – in front of the fallopian tubes |
2) | Thyroid gland – in the neck |
3) | Adrenal glands – in the pelvis |
4) | Pancreas – superior to the kidneys |
____ 7. Which teaching point should the nurse include in the discharge instructions for the parents of an infant who has been diagnosed with congenital hypothyroidism and has been prescribed daily levothyroxine?
1) | Stopping the medication as long as the child continues to grow |
2) | Preventing hypothermia with appropriate clothing |
3) | Changing formula because it is contraindicated with the prescribed medication |
4) | Monitoring growth and development without any other prescribed interventions |
____ 8. The overproduction and excretion of antidiuretic hormone (ADH) from the posterior pituitary results in which symptoms?
1) | Kidneys absorb less water |
2) | Decreased fluid retention |
3) | Hypernatremia |
4) | Decreased urine output |
____ 9. A 5-year-old child with a history of hypopituitarism presents with complaints of right hip and leg pain. Which prescribed medication for the diagnosis should the nurse identify as the cause for the current symptoms?
1) | Daily growth hormone |
2) | Insulin before meals and bedtime |
3) | Desmopressin at bedtime |
4) | Cortisone injections |
____ 10. Which of the following is not true regarding pituitary dwarfism?
1) | Intelligence may be affected. |
2) | Growth hormone injections may be given as treatment. |
3) | An x-ray of the wrists is used to diagnose the disorder. |
4) | An affected child will have delayed but normal development of puberty. |
____ 11. The nurse is giving discharge instructions to the parents of a child whose adrenal glands have been removed because of a tumor. Which parental statement indicates the need for further education?
1) | “I will call the doctor if my child has restlessness and confusion.” |
2) | “If my child has any gastric irritation, I will give him antacids.” |
3) | “If my child has vomiting and diarrhea, I will hold his hydrocortisone.” |
4) | “I will give my child his hydrocortisone in the morning.” |
____ 12. An adolescent patient presents in the emergency department (ED) with confusion. The health-care provider suspects diabetic ketoacidosis (DKA). A STAT serum glucose is done, and the result is 715 mg/dL. Which clinical manifestations does the nurse anticipate upon assessment of this patient?
1) | Tachycardia, dehydration, and abdominal pain |
2) | Sweating, photophobia, and tremors |
3) | Dry mucous membranes, blurred vision, and weakness |
4) | Dry skin, shallow rapid breathing, and dehydration |
____ 13. Which action related to insulin administration should the nurse include in the teaching plan for an adolescent client who has been newly diagnosed with DM in order to avoid the development of lipoatrophy?
1) | Rotating injection sites |
2) | Checking blood sugar levels at mealtime and bedtime |
3) | Using a sliding scale for additional coverage |
4) | Administering insulin via a pump |
____ 14. A patient is diagnosed with hyperthyroidism. What medication does the nurse anticipate administering to this patient?
1) | Cortisol |
2) | Methimazole |
3) | Levothyroxine |
4) | Ketoconazole |
____ 15. Which assessment finding causes the nurse to question whether a preschool-aged boy diagnosed with phenylketonuria (PKU) shortly after birth is following the prescribed dietary restrictions?
1) | The child’s body has a musty odor. |
2) | The child is a blue-eyed blond. |
3) | The child appears sleepy and uninterested in the surroundings. |
4) | The child has a sunburn over his entire body. |
____ 16. Which nonpharmacological nursing intervention is most needed in a child with gigantism?
1) | Biofeedback therapy |
2) | Psychological support for possible altered body image |
3) | Psychological support for self-care deficit |
4) | Chest physiotherapy |
____ 17. A child presents with a rounded face, muscle weakness, and poor wound healing. The nurse knows that these symptoms are consistent with what disorder?
1) | Hypothyroidism |
2) | Diabetes mellitus |
3) | Cushing’s syndrome |
4) | Hyperthyroidism |
____ 18. A child is diagnosed with maple syrup urine disease (MSUD). The nurse knows that without treatment for this disorder the child may develop what symptom?
1) | Polyuria |
2) | Seizures |
3) | Dysuria |
4) | Blurred vision |
____ 19. Which of the following is the correct method for mixing insulin?
1) | Draw up cloudy insulin into a syringe, then draw up clear insulin. |
2) | Draw up cloudy insulin into one syringe and clear in another, then mix them up. |
3) | Draw up clear insulin into a syringe, then draw up cloudy insulin. |
4) | Draw up cloudy and clear insulins in separate syringes and administer them separately; they cannot be mixed. |
____ 20. A child has been diagnosed with SIADH. Which interventions will likely be included in the child’s plan of care?
1) | Diuretic medication and fluid restriction |
2) | Diuretic medication and 0.9% normal saline |
3) | Desmopressin and fluid restriction |
4) | Desmopressin and 0.9% normal saline |
____ 21. A postpartum mother is upset and asks why the doctor ordered blood tests for her newborn 24 hours after birth. How should the nurse respond?
1) | “We need to check your baby’s electrolytes to see if there are signs of dehydration.” |
2) | “We need to analyze the blood to determine paternity of your baby.” |
3) | “We need to test for metabolic disorders that can be deadly if they go untreated.” |
4) | “Why are you so upset about your baby’s blood tests?” |
____ 22. Which of the following is not a function of estrogen?
1) | Stimulates pubic and axillary hair growth |
2) | Breast development during puberty and pregnancy |
3) | Promotes the epiphyseal closure of bones |
4) | Prepares the uterus for implantation of a fertilized ovum |
____ 23. Which of the following is true of diabetes insipidus (DI)?
1) | DI is treated with insulin. |
2) | Small amounts of urine are produced. |
3) | DI is the opposite of SIADH. |
4) | ADH is overproduced and oversecreted. |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 24. An endocrinologist orders a test(s) for a child to diagnose adrenal crisis. Which test(s) does the nurse anticipate based on the child’s diagnosis? (Select all that apply.)
1) | Computed tomography (CT) scan of the brain |
2) | White blood cell count |
3) | Chest radiography |
4) | Blood test to determine electrolyte levels |
5) | Aldosterone levels |
____ 25. A mother brings her school-aged daughter to the pediatrician. Upon hearing the daughter’s symptoms, the health-care provider prescribes a test for type 1 DM. Which data collected during the nursing assessment support the diagnosis of type 1 diabetes? (Select all that apply.)
1) | Polydipsia |
2) | Polyuria |
3) | Polyphagia |
4) | Enuresis |
5) | Hypoglycemia |
Chapter 32: Child With a Metabolic Condition
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Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer
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