Question: An adolescent developed diabetes insipidus after an automobile accident. The nurse is developing a care plan for the adolescent. Which of the following goals will be applicable?
Answer Choices:
The child will not develop water intoxication
The child will be free from injury during hospital stay
The child B/P will decrease to a normal level for his age
The child’s blood potassium level will increase to at least 3.5 mEq/cL
Answer: The child will not develop water intoxication 14.
Question: The nurse is caring for a 9-year-old child with achondroplasia. Which of the following nursing interventions will the nurse expect to apply?
Answer Choices:
Encourage parents to promote self-esteem
Encourage parents to manage the child’s weight
Encourage the child to socialize with kids their own age
All the above
Answer: All the above 15.
Question: A 15-year-old with newly diagnosed type 2 diabetes mellitus is admitted to the metabolic unit. Which of the following goals should the nurse incorporate into her teaching plan?
Answer Choices:
An eye examination every 5 years
Exercise and a weight reduction diet
Smoking reduction but not complete cessation
Maintenance of blood glucose levels between 180 and 200 mg/dL
Answer: Exercise and a weight reduction diet 16.
Question: The nurse is providing education to the mother of a newborn whose genetic test reveals Prader-Willi syndrome. Which of the following information should the nurse provide to the mother of the newborn?
Answer Choices:
“Monitor the child’s diet”
“Follow up with physical and behavioral therapies”
“Administer growth hormone meds as prescribed by the health care provider”
All of the above
None of the above
Answer: All of the above 17.
Question: The nurse is caring for a child who is taking corticosteroids for systemic lupus erythematosus. The nurse closely monitors the child based on the understanding that corticosteroids exert which major action?
Answer Choices:
They increase liver enzymes
They decrease renal function
They can mask signs of infection
They cause bone marrow suppression
Answer: They can mask signs of infection 18.
Question: The health care provider ordered Prednisone 20 mg PO every 6 hrs. for a child who weighs 40 pounds. The recommended safe dose is 5 mg-60 mg/day. Is the health care provider’s dose safe?
Answer Choices:
Yes, it is safe
No, it is not safe
The child should have 90.9 mg-1,090.9 mg of Prednisone per day
The child should have 200 mg-2,400 mg of Prednisone per day
Answer: No, it is not safe 19.
Question: The nurse is teaching the caregivers of a 1-month-old child with Down syndrome how to promote health for the child. Which statement by the caregivers indicates the need for further teaching?
Answer Choices:
“We will follow the high-protein, low-fat diet required for our child.”
“We will monitor our child closely for symptoms of respiratory infection.”
“We will ensure our child has an echocardiogram before 3 months of age.”
“We will ensure our child has cervical radiographs between 3 and 5 years of age.”
Answer: “We will follow the high-protein, low-fat diet required for our child.” 20.
Question: During a follow-up visit of a 16-year-old client who has recently been diagnosed with HIV, the nurse observes that the client is reluctant to discuss the diagnosis, and the client’s adherence to the medication has been inconsistent. What should the nurse do first to address these concerns?
Answer Choices:
Encourage the client to express their feelings and concerns about living with HIV
Arrange for the client to join a support group or speak with a peer who also has HIV
Remind the client of the importance of medication adherence to prevent disease progression
Discuss the potential social stigma associated with HIV and provide strategies to cope with stigma
Answer: Encourage the client to express their feelings and concerns about living with HIV 21.
Question: A child with hypogammaglobulinemia is to receive intravenous immunoglobulin (IVIG). What action(s) will the nurse take? Select all that apply.
Answer Choices:
Obtain preinfusion vital signs
Shake the vial after reconstituting it
Premedicate the child with acetaminophen
Ensure the child has remained NPO for past 8 hours
Check serum blood urea nitrogen and creatinine levels
Answer: Obtain preinfusion vital signs; Premedicate the child with acetaminophen; Check serum blood urea nitrogen and creatinine levels 22.
Question: While reviewing the food diary of a 12-year-old child with type 1 diabetes mellitus, a nurse notices that the child typically skips breakfast. Which instruction by the nurse would be helpful for this child?
Answer Choices:
“Breakfast is the most important meal of the day.”
“I know you must be rushed in the morning and find it difficult to eat breakfast.”
“As long as you consume two meals a day your blood sugar should remain stable.”
“It’s important to maintain a stable blood sugar throughout the day. Can I help you devise a plan so you can eat breakfast each day?”
Answer: “It’s important to maintain a stable blood sugar throughout the day. Can I help you devise a plan so you can eat breakfast each day?” 23.
Question: The nurse administers 15 units of Regular insulin to an 8-year-old child with Type 1 Diabetes Mellitus. Which findings indicate that the child is having an unwanted reaction to the medication?
Answer Choices:
Rapid breathing, fruity breath, and vomiting
Blurred vision, increased appetite, increased thirst, and weight loss
Frequent urination, skin is hot to touch, and reports increased thirst
Irritability, lightheadedness, palpitations, diaphoresis, and pallor
Answer: Irritability, lightheadedness, palpitations, diaphoresis, and pallor 24.
Question: The nurse is conducting a teaching session for the parents of children with endocrine disorders. Which of the following information will the nurse include in the teaching session? Select all that apply.
Answer Choices:
Assess for bullying behavior by the child’s peers
Encourage parents to teach the child self-defense techniques
Encourage parents to promote children’s feelings of maturity and self-esteem
All the above
Answer: Assess for bullying behavior by the child’s peers; Encourage parents to promote children’s feelings of maturity and self-esteem 25.