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Pediatric Endocrine Disorders Latest Exam 2025 2026 With Correct Verified Answers, Exams of Nursing

Frontier Nursing University (FNU)Nursing

1. The school nurse is teaching a middle-school class about the hormones that regulate body functions. Which information provided by the nurse is accurate? 1. Hormones are chemicals secreted by endocrine glands. 2. Hormones act specifically on the glands that produce them. 3. Hormones react with negative feedback as levels decline. 4. Hormones are made from proteins, fats, and carbohydrates. - correct answer>>ANS 1 1 This is correct. It is true that hormones are chemicals produced by the endocrine glands and circulated in the bloodstream to another part of the body. 2 This is incorrect. Hormones do not act specifically on the glands that produce them; they activate or inhibit cells in the target organs and act as messengers to those organs. 3 This is incorrect. Positive feedback occurs when hormone levels start to decline, causing the hypothalamus to secrete hormones that stimulate the pituitary gland to release hormones that then affect the target organ.

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Pediatric Endocrine Disorders Latest Exam 2025-
2026 With Correct Verified Answers
1. The school nurse is teaching a middle-school class about the hormones that regulate
body functions. Which information provided by the nurse is accurate?
1. Hormones are chemicals secreted by endocrine glands.
2. Hormones act specifically on the glands that produce them.
3. Hormones react with negative feedback as levels decline.
4. Hormones are made from proteins, fats, and carbohydrates. - correct answer>>ANS 1
1 This is correct. It is true that hormones are chemicals produced by the endocrine
glands and circulated in the bloodstream to another part of the body.
2 This is incorrect. Hormones do not act specifically on the glands that produce them;
they activate or inhibit cells in the target organs and act as messengers to those organs.
3 This is incorrect. Positive feedback occurs when hormone levels start to decline,
causing the hypothalamus to secrete hormones that stimulate the pituitary gland to
release hormones that then affect the target organ.
4 This is incorrect. There are two types of hormones: protein hormones from amino
acids and steroid hormones from fat. Carbohydrates are not involved in the formation
of hormones.
2. 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?
1. The ovaries are located on each side of the uterus.
2. The ovaries secrete hormones that regulate the menstrual cycle.
3. The ovaries play a role in the regulation of puberty and fertility.
4. The body changes will indicate the patient is a woman and not a child. - correct
answer>>ANS 3
1 This is incorrect. The patient wants to know "how" her body is changing; providing the
location of the ovaries does not answer the patient's question.
2 This is incorrect. Telling the patient a function of the hormones secreted by the ovaries
does not specifically answer the patient's question of "how."
3 This is correct. The most appropriate answer to the patient's "how" is to explain how
the sex glands play a role in the regulation of puberty and fertility. The nurse will use
language and examples that are within the realm of the patient's understanding.
4 This is incorrect. Telling the patient that the changes she seems afraid of will indicate
she is a woman and not a child is not the appropriate answer. This information may
cause more doubt and fear; the patient asked specifically "how."
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Download Pediatric Endocrine Disorders Latest Exam 2025 2026 With Correct Verified Answers and more Exams Nursing in PDF only on Docsity!

Pediatric Endocrine Disorders Latest Exam 2025-

2026 With Correct Verified Answers

  1. The school nurse is teaching a middle-school class about the hormones that regulate body functions. Which information provided by the nurse is accurate?
  2. Hormones are chemicals secreted by endocrine glands.
  3. Hormones act specifically on the glands that produce them.
  4. Hormones react with negative feedback as levels decline.
  5. Hormones are made from proteins, fats, and carbohydrates. - correct answer>>ANS 1 1 This is correct. It is true that hormones are chemicals produced by the endocrine glands and circulated in the bloodstream to another part of the body. 2 This is incorrect. Hormones do not act specifically on the glands that produce them; they activate or inhibit cells in the target organs and act as messengers to those organs. 3 This is incorrect. Positive feedback occurs when hormone levels start to decline, causing the hypothalamus to secrete hormones that stimulate the pituitary gland to release hormones that then affect the target organ. 4 This is incorrect. There are two types of hormones: protein hormones from amino acids and steroid hormones from fat. Carbohydrates are not involved in the formation of hormones.
  6. 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?
  7. The ovaries are located on each side of the uterus.
  8. The ovaries secrete hormones that regulate the menstrual cycle.
  9. The ovaries play a role in the regulation of puberty and fertility.
  10. The body changes will indicate the patient is a woman and not a child. - correct answer>>ANS 3 1 This is incorrect. The patient wants to know "how" her body is changing; providing the location of the ovaries does not answer the patient's question. 2 This is incorrect. Telling the patient a function of the hormones secreted by the ovaries does not specifically answer the patient's question of "how." 3 This is correct. The most appropriate answer to the patient's "how" is to explain how the sex glands play a role in the regulation of puberty and fertility. The nurse will use language and examples that are within the realm of the patient's understanding. 4 This is incorrect. Telling the patient that the changes she seems afraid of will indicate she is a woman and not a child is not the appropriate answer. This information may cause more doubt and fear; the patient asked specifically "how."
  1. A 1 5 - 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?
  2. Add the parents' heights in inches together; divide by 2; add 2.5 inches.
  3. Add the parents' heights in inches together; divide by 2; subtract 2.5 inches.
  4. Add the parents' heights in inches together and divide the total by 4.
  5. Add the parents' heights in inches together; divide by 4; add 2.5 inches. - correct answer>>ANS 2 1 This is incorrect. The height of both parents is 136 inches; divided by 2 = 68, plus 2. inches for a male. A son of these parents will be 5 feet 9 inches. 2 This is correct. The height of both parents is 136 inches; divided by 2 = 68 minus 2. inches for a female. The patient will be 5 feet 4.5 inches tall. 3 This is incorrect. This calculation is wrong and would predict a height of 34 inches. 4 This is incorrect. This calculation is wrong and would predict a height of 36.5 inches.
  6. 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?
  7. High weight-to-height ratio
  8. Large hands and feet for body size
  9. Severe aching in knees and ankles
  10. Height increase of 1.75 inches in 12 months - correct answer>>ANS 4 1 This is incorrect. Hypopituitarism can result in a high weight-to-height ratio; however, the finding alone can be caused by other conditions as well. 2 This is incorrect. Large hands and feet when compared to the body size is most likely associated with hyperpituitarism after closure of the epiphyseal disks. 3 This is incorrect. A side effect of growth hormone replacement therapy can be joint aches primarily in the knees, ankles, and wrists. 4 This is correct. A cardinal sign of hypopituitarism is delayed growth of less than 2 inches (3 to 4 cm) per year.
  11. 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?
  12. Limit oral intake of water to 200 mL per shift.
  13. Weigh diapers to measure 24-hour urine output.
  14. Check urine-specific gravity every 8 hours.
  15. Allow the mother to continue breastfeeding. - correct answer>>ANS 1 1 This is correct. The patient is exhibiting the symptoms of diabetes insipidus (DI). Dehydration is a critical effect of DI in children. Severe dehydration can occur very

1 This is incorrect. Because fluid is retained with the diagnosis of SIADH, the specific gravity of urine is expected to be high (less fluid to the ratio of solutes). 2 This is correct. With a diagnosis of SIADH, the nurse will expect to see high urine osmolarity but low serum osmolarity on laboratory tests. The kidneys are unable to conserve appropriate amounts of water, so the body retains water, leading to water intoxication, hyponatremia, and cellular edema. 3 This is incorrect. The expected laboratory finding with SIADH is a low serum sodium level. Sodium will follow water back into the cells. 4 This is incorrect. The expected laboratory finding with SIADH is a decreased hematocrit. 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?

  1. Serum calcium
  2. CBC
  3. TSH
  4. FSH - correct answer>>ANS 3 1 This is incorrect. Serum calcium will indicate parathyroid activity. 2 This is incorrect. A complete blood count (CBC) will provide information regarding blood cells, which is not affected by either condition. 3 This is correct. A laboratory test for thyroid-stimulating hormone (TSH) will indicate the functioning of the pituitary gland and the effects it has on the thyroid gland. 4 This is incorrect. Follicle-stimulating hormone (FSH) will indicate functioning of the pituitary as it affects the ovary follicles. 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?
  5. Mix thyroid replacement hormone medication in a bottle of milk.
  6. Increase dietary fiber with a soy-based formula to prevent constipation.
  7. Ask the breastfeeding mother to bring breastmilk to the hospital.
  8. Administer hormone replacement medication using a medicine dropper. - correct answer>>ANS 3 1 This is incorrect. Instruct parents to administer medication via needleless syringe and not to put medication in a bottle, which may or may not be completely consumed. 2 This is incorrect. Instruct parents that formula should be milk-based and not soy- based, because soy-based formulas can break down the effects of the medication.

3 This is correct. Because the mother is breastfeeding, the nurse can use breastmilk for the administration of thyroid hormone replacement medications. The medication will be crushed and mixed with a small amount of breastmilk. 4 This is incorrect. Medications are administered to newborns and infants using a needleless syringe to assure accurate dosage. 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?

  1. Provide a low-stress, low-pressure environment.
  2. Ensure medications are given on the home schedule.
  3. Limit intake of caffeine and carbonated fluids.
  4. Increase intake of foods high in calcium and vitamin K. - correct answer>>ANS 1 1 This is correct. A low-stress, low-pressure environment is needed after a thyroid storm both during and after hospitalization and until the child's symptoms of hyperthyroidism are decreasing. The nurse needs to integrate this home-care concept. 2 This is incorrect. Medications for hyperthyroidism should be given as prescribed by the physician, regardless of whether the patient is in the hospital or at home. 3 This is incorrect. Limiting the intake of caffeine and carbonated beverages is appropriate for the care of the patient with hypoparathyroidism. 4 This is incorrect. Increasing the intake of foods high in calcium and vitamin K is appropriate care of the patient with hypoparathyroidism. 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?
  5. Tap on a facial nerve and note the response.
  6. Monitor closely for signs of seizure activity.
  7. Assess for hyperreflexia of the muscles.
  8. Carefully monitor cardiovascular status. - correct answer>>ANS 1 1 This is correct. Assessment of hyperreflexia of the muscles can be performed by tapping on the facial nerve. If a spasm occurs in the facial muscles, then a positive Chvostek sign has occurred. This confirms that the child has muscle spasms, pain, cramping, and twitches. 2 This is incorrect. Seizure activity is possible with a diagnosis of hypoparathyroidism, and recognition and management is essential. However, a seizure does not indicate the presence of pain. 3 This is incorrect. Assessment for hyperreflexia of the muscles should be performed frequently while calcium levels are unstable. However, this assessment alone does not indicate the presence of pain.

3 This is incorrect. In an Addisonian crisis, time is lost by calling parents for permission to have the adolescent transported for acute medical attention. 4 This is correct. The nurse will administer Solu-Cortef IM, because the patient is unconscious. Careful assessment of signs and symptoms of hypovolemic shock in the severely dehydrated patient is critical. IV fluids are needed as quickly as possible; the paramedics are notified immediately. 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?

  1. Methods for preventing hypoglycemia during exercise
  2. The purpose of setting up a dietary consult for the patient
  3. All procedures involved in insulin administration
  4. Instructions for blood glucose and urine ketone testing - correct answer>>ANS 3 1 This is incorrect. The patient and parents need to understand the actions that are necessary for preventing hypoglycemia during exercise. Teaching will include eating an extra complex carbohydrate and protein serving at least 30 minutes to 1 hour before engaging in exercise or sports. Another topic is most important. 2 This is incorrect. The patient and parents should have a dietary consult so that the patient can be placed on a diabetic diet or be taught to count carbohydrate exchanges and adjust insulin requirements based on dietary intake. This an important action, but one other is more important. 3 This is correct. Because the patient is insulin dependent, insulin management is crucial and procedures for insulin administration are vital; this is the most important topic for the nurse to present in patient and parent teaching. 4 This is incorrect. The second most important teaching for the nurse to present is the methods by which the patient and parents will monitor the patient's blood glucose levels and test for the presence of urine ketones. 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?
  5. The patient's ethnicity group is African American.
  6. The patient's BMI is greater than 85th percentile for age and weight.
  7. The patient's mother had gestational diabetes during her pregnancy.
  8. The patient's extended family exhibits a high incidence of diabetes. - correct answer>>ANS 2 1 This is incorrect. Certain race/ethnicity groups such as African American, Latino, Asian American, American Indians, and Pacific Islanders have a higher risk for type 2 diabetes mellitus. However, there is no alternative intervention that will diminish this risk.

2 This is correct. A BMI greater than the 85th percentile for age and weight is an indication of childhood obesity, which is a major contributor to the increasing numbers of type 2 diabetes mellitus in children. The alternative intervention the nurse will recommend is increased exercise and a decrease in sedentary lifestyle. 3 This is incorrect. Maternal history of gestational diabetes or diabetes during pregnancy puts the child at higher risk for type 2 diabetes mellitus. However, there is no alternative intervention that will diminish this risk. 4 This is incorrect. A family history of type 2 diabetes mellitus places the child at a greater risk for the condition. The nurse may or may not be able to suggest alternative interventions that will diminish this risk. 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.

  1. Growth and development
  2. Sexual development
  3. Energy use and storage
  4. An individual's response to stress
  5. Levels of glucose, fluid, and sodium in the blood - correct answer>>ANS 1,2,3,4,
  6. This is correct. The endocrine system regulates growth and development.
  7. This is correct. The endocrine system regulates sexual development.
  8. This is correct. The endocrine system regulates energy use and storage.
  9. This is correct. The endocrine system regulates an individual's response to stress.
  10. This is correct. The endocrine system regulates the levels of glucose, fluid, and sodium in the blood. 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.
  11. Education about home administration of medications
  12. Education about the disorder and treatment options
  13. Explanations of long-term complications for noncompliance
  14. Signs of excess bone growth and other features of gigantism
  15. The impact of a tumor on or near the hypothalamus or pituitary gland - correct answer>>ANS 1,2,
  16. This is correct. Information about home medications such as somatostatin analogs, dopamine agonists, and GH receptor antagonist will optimize the outcomes for a patient with hyperpituitarism.

A 19-year-old patient has a history of hyperthyroidism that is managed with medication. The patient recently moved into an apartment and is living independently. Which behavior indicates to the nurse the patient is continuing appropriate health management? Select all that apply.

  1. The patient called for refills of antithyroid medications and beta-blocking agents.
  2. The patient went to an urgent care facility over the weekend for a sore throat and fever.
  3. The patient reports experiencing tachycardia, restlessness, and tremors for a week.
  4. The patient's last laboratory results indicates a high level of T4.
  5. The patient stops the medication for 1 month once a year to promote hair regrowth. - correct answer>>ANS 1,
  6. This is correct. Calling for refills of antithyroid medications and beta-blocking agents indicates to the nurse that the patient is managing health care appropriately and understands medication compliance.
  7. This is correct. Going to an urgent care facility over the weekend for a sore throat and fever indicates the patient understands the manifestations of agranulocytosis, which can be fatal.
  8. This is incorrect. Beta-blocking agents do not decrease the amount of thyroid hormone they provide comfort for the patient who is experiencing tachycardia, restlessness, and tremors. Experiencing these symptoms for a week indicates a lack of medication compliance.
  9. This is incorrect. Laboratory results indicating a high level of T4 are a sign of noncompliance with antithyroid medications.
  10. This is incorrect. Stopping the medication for 1 month once a year to promote hair regrowth is indicative of medication noncompliance and lack of knowledge regarding medication side effects. 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.
  11. Avoiding caffeine and limiting the intake of carbonated beverages
  12. Encouraging foods high in calcium and vitamin K
  13. Including dietary supplements such as magnesium and boron
  14. Giving calcium and vitamin D with acidic substances
  15. Providing green leafy vegetables as the primary source of calcium - correct answer>>ANS 3,
  16. This is incorrect. Encouraging dietary compliance, such as avoiding caffeine and limiting the intake of carbonated beverages, is not considered an alternative intervention for dietary management.
  1. This is incorrect. Encouraging foods high in calcium and vitamin K is not considered an alternative intervention for dietary management.
  2. This is correct. Providing dietary instruction regarding alternative dietary supplements in addition to calcium and vitamin D, such as magnesium, boron, and vitamin K, is a suggestion for an alternative intervention.
  3. This is correct. Instructing parents to give calcium and vitamin D with acidic substances such as orange juice or with salads that contain lemon juice in the dressing is an alternative intervention aimed at increasing absorption.
  4. This is incorrect. The patient will need calcium and vitamin D in order to maintain health; however, no preference for the source of calcium is given.
  5. An example of the bodys response to the endocrine system includes all of the following except:
  6. A growth spurt for a 12-year-old boy.
  7. Development of breast buds for a 10-year-old girl.
  8. A teen reacting quickly, hitting another car while driving.
  9. A teen answering a question on a biology test. - correct answer>>ANS: 4 Feedback
  10. The endocrine system is responsible for growth rates in children.
  11. The development of secondary sexual characteristics is controlled by the endocrine system.
  12. The chemical interactions in the brain are controlled by the endocrine system.
  13. The cognitive development of a teen is not controlled by the endocrine system.
  14. The release of the luteinizing hormone causes __________ in teen girls.
  15. Primary sexual organ growth
  16. The release of the ovum for fertilization
  17. Rapid growth
  18. Pubic hair growth - correct answer>>ANS: 2 Feedback
  19. The luteinizing hormone works during the luteal phase of ovulation and does not have an influence on primary sexual organ growth.
  20. The luteinizing hormone controls the release of the ovum for fertilization.
  21. The growth hormone is responsible for rapid growth.
  22. Pubic hair growth occurs with the release of hormones from the hypothalamus.
  23. A nurse is discussing the production of the somatotropic hormone. Its primary responsibility is best described as:
  24. A hormone that regulates bone growth in children.
  25. A hormone that increase the rate of sexual/reproductive organ development.
  1. Diabetes. - correct answer>>ANS: 4 Feedback
  2. Hyperthyroidism occurs because of the oversecretion of thyroid stimulating hormone (TSH).
  3. Hypercorticosolism occurs because of oversecretion in the anterior pituitary gland.
  4. Precocious puberty occurs because of oversecretion in the anterior pituitary gland.
  5. The cortex produces the hormones called glucocorticoids, which increase blood sugar, leading to a risk of diabetes.
  6. One of the most common causes for thyroid disease in adolescents is:
  7. Graves Disease.
  8. Goiter.
  9. Hashimoto disease.
  10. Kawasakis disease - correct answer>>ANS: 3 Feedback
  11. Graves Disease is rare in adolescents and occurs more in adults.
  12. A goiter is more common in adults.
  13. The disease is the most common in adolescence. It rarely occurs in adulthood. It is a result of the thyroid malfunction.
  14. Kawasakis disease is not a thyroid disorder.
  15. A child has a history of hypoparathyroidism. While assessing the child, a nurse would expect to find:
  16. A short, thick neck for a girl.
  17. A malnourished child.
  18. A small-statured boy.
  19. A tall-statured girl. - correct answer>>ANS: 3 Feedback
  20. The disease occurs in boys.
  21. Nutrition is not an issue for growth for a child with hypoparathyroidism.
  22. The disease occurs in boys.
  23. The disease occurs in boys.
  24. An example of the medulla of the adrenal glands working properly would be:
  25. A child having an increase in heart rate and dilated pupils when scared.
  26. A child relaxing and watching a video.
  27. A child running a race with an increased respiratory rate.
  28. A child having constricted pupils and a rapid heart rate after jumping rope. - correct answer>>ANS: 1 Feedback
  1. The medulla contains adrenaline, which controls the fight-or-flight response, which causes an increase in heart rate and dilated pupils.
  2. Relaxation is not a primary concern for the adrenal medulla.
  3. The race is a planned event and does not create more stress, requiring the release of the adrenaline response.
  4. The pupils will dilate if the medulla requires an increase in the release of adrenaline.
  5. The purpose of exocrine release is to:
  6. Restore energy while sleeping.
  7. Provide a fight-or-flight response when scared.
  8. Increase the release of glycogen to the muscles when running.
  9. Aid in the digestion of pizza. - correct answer>>ANS: 4 Feedback
  10. Exocrine, which sits in the pancreas, does not influence sleeping.
  11. Adrenaline is not excreted in the pancreas to influence a fight-or-flight response.
  12. Glycogen is formed and pushed into the cells, which breaks down, not releasing any exocrine.
  13. The main purpose of exocrine is to help digest amylase, lipase, and trypsin. Pizza has a high level of lipase.
  14. The sex drive in males occurs in response to:
  15. The development of secondary sexual characteristics.
  16. Increased levels of progesterone.
  17. Increase levels of testosterone.
  18. Follicle cell formation. - correct answer>>ANS: 3 Feedback
  19. The hormone produces this response and does not react to it.
  20. This only occurs in females for relaxing the uterus and stimulating milk production.
  21. This is an androgen that can cause the sex drive in males.
  22. This only occurs in females for the release of an ovum
  23. A teenage girl and boy have come to the nurses office at school because of a concern of pregnancy. The nurse explains the types of tests that are used to indicate pregnancy. The teens understand that the hormone that indicates pregnancy is:
  24. Relaxin.
  25. Human chorionic gonadotropin.
  26. Estrogen.
  27. Progesterone. - correct answer>>ANS: 2 Feedback
  28. Relaxin works on the muscles and will not indicate pregnancy.

Feedback

  1. A child with ambiguous genitalia may have ovaries/uterus and testicles present.
  2. The hormone test is not appropriate because children with ambiguous genitalia can have ovaries and testicles.
  3. A child with ambiguous genitalia can have a release of estrogen.
  4. A chromosome test is the only test that can identify the DNA makeup of a male or female when a child has ambiguous genitalia.
  5. A classic sign of hypopituitarism in adolescents is:
  6. Rapid development of secondary sexual characteristics.
  7. Delayed puberty development.
  8. A rapid decrease in abdominal circumference.
  9. A low-pitched voice. - correct answer>>ANS: 2 Feedback
  10. This causes a delay in secondary sexual characteristics.
  11. There is a delay in puberty.
  12. Increased abdominal fat is present with this condition.
  13. Voice is high pitched, not low pitched.
  14. A 7-year-old boy with idiopathic hypopituitarism will need growth hormone replacement and:
  15. Require IV hormone infusions.
  16. Require subcutaneous injections.
  17. Require intramuscular injections.
  18. Require oral medications. - correct answer>>ANS: 2 Feedback
  19. Subcutaneous injections are required, not an IV.
  20. Subcutaneous injections are required for treatment.
  21. Subcutaneous injections are required, not IM injections.
  22. Subcutaneous injections are required, not oral medications.
  23. The best time of day to give growth hormone injections for hypopituitarism is:
  24. After breakfast.
  25. Immediately after waking for the day.
  26. At bedtime.
  27. In the afternoon, before dinner. - correct answer>>ANS: 3 Feedback
  28. Growth occurs the most at night, thus the injections should be given prior to bedtime.
  29. Growth occurs the most at night, thus the injections should be given prior to bedtime

  1. Children grow the most while sleeping, so giving the injections at night will help promote growth with the bodys normal system.

  2. Growth occurs the most at night, thus the injections should be given prior to bedtime.

  3. A common blood test that should be done for a child with questionable celiac disease is:

  4. TSH.

  5. FSH.

  6. Antigliadin antibodies.

  7. ACTH. - correct answer>>ANS: 3 Feedback

  8. Checks the function of the thyroid

  9. Indicates follicle stimulation

  10. Screens for celiac disease

  11. Indicates hormone deficiencies

  12. The nurse is discussing follow-up visits with the family of a boy using growth hormone therapy. The parents demonstrate understanding of the teaching with which statement?

  13. We will need to track his height every week and record it for the doctor.

  14. We will need to have follow-up visits every 3 to 4 months to measure progress.

  15. Our next visit will be in one year to assess growth.

  16. He will need to watch his weight closely and provide the record at the next visit. - correct answer>>ANS: 2 Feedback

  17. Height will change gradually, so measurements on a weekly basis are not recommended.

  18. Measurements and visits every 3 to 4 months will allow for growth to occur and for the medical provider to assess for needed changes.

  19. Growth patterns should be monitored more closely while taking a growth hormone to make changes to the medication as needed.

  20. Weight gain is not an issue with hormone replacement therapy and can be monitored at the medical provider visits.

  21. A nurse has received an order for the growth hormone somatropin to be given to a 14 - year-old boy. The correct weekly dose for a 110 pound boy is:

  22. 20 mg.

  23. 10 mg.

  24. 15 mg.

  25. 25 mg. - correct answer>>ANS: 3

  1. Hyperkalemia
  2. Hyponatremia - correct answer>>ANS: 2 Feedback
  3. The laboratory results do not indicate hypokalemia.
  4. The increase in sodium is common in a patient with diabetes insipidus because of the risks of dehydration.
  5. The potassium is in a normal range for the child.
  6. The sodium level is elevated.
  7. A 4 year-old has been admitted through the ER because of a diagnosis of the syndrome of Inappropriate Antidiuretic Hormone (SIADH). The nurse will need to monitor for:
  8. Rapid weight loss.
  9. Laboratory tests for hyponatremia.
  10. Decreased turgor.
  11. An increase in urine output. - correct answer>>ANS: 2 Feedback
  12. The nurse will see a weight gain because of fluid retention.
  13. SIADH causes fluid retention, thus the sodium level rises.
  14. Turgor will be increased and doughy.
  15. Urine is retained, so the output will be low.
  16. The nurse receives the doctors order for a child with SIADH. She should clarify which of the following orders?
  17. Weight check every 24 hours
  18. Diet high in protein
  19. IV of Normal Saline at 120ml/hr
  20. Strict intake and output documentation - correct answer>>ANS: 3 Feedback
  21. Because of water retention, weight should be checked every 24 hours.
  22. A diet high in protein is needed to provide adequate nutrition and keep the amount of sodium low.
  23. A hypertonic solution of sodium chloride should be used.
  24. Strict I/O will provide the information to find out if water retention is occurring.
  25. A child with a sodium measurement of less than 125 mEq/L and with a diagnosis of SIADH is at risk for:
  26. Seizures.
  27. Diarrhea.
  28. Vomiting.
  1. A change in the level of consciousness. - correct answer>>ANS: 1 Feedback
  2. The level is low and this increases the risk for seizure activity.
  3. Low sodium does not place the child at risk for diarrhea.
  4. Low sodium does not place the child at risk for vomiting.
  5. A change in the level of consciousness is minimal. The largest risk is seizures.
  6. A child with the diagnosis of precious puberty has been given Lupron. The nurse knows that the medication should help:
  7. Decrease the hormone levels to slow the puberty process.
  8. Increase the process for puberty development.
  9. Decrease the growth rate.
  10. Increase the growth rate. - correct answer>>ANS: 1 Feedback
  11. Lupron suppresses the release of growth hormones.
  12. The medication will decrease the progression of puberty if given in the correct pediatric dosage. 3 The medication will help slow the maturation process, not linear growth.
  13. The medication will help slow the maturation rate.
  14. A common test result for a child with hypothyroidism is a(n):
  15. Increase in T4 levels.
  16. Increase in TSH levels.
  17. Normal T4 level.
  18. Decreased TSH level. - correct answer>>ANS: 2 Feedback
  19. The T4 levels tend to be low.
  20. The TSH levels will be increased in a child with hypothyroidism.
  21. The T4 levels tend to be low.
  22. The TSH levels will be increased, not decreased. A 12-year-old girl diagnosed with hypothyroidism has been placed on Levothyroxine. The parents demonstrate an understanding of the medication when they state:
  23. The medication will be taken for three months, then we will reassess to see if she still needs the medication.
  24. The medication should only be given at night.
  25. The medication will require us to do daily weight checks.
  26. The medication will need to be taken for the remainder of her life - correct answer>>ANS: 4 Feedback