Question: The nurse is developing a plan of care for a 7-year-old child with arginine vasopressin resistance (central diabetes insipidus). Which intervention should the nurse include in this care plan?
Answer Options:
Provide a high-sodium diet for the child.
Encourage the child to drink fluids only when thirsty.
Restrict the child’s fluid intake to prevent overhydration.
Monitor the child’s daily weight, fluid intake, and output.
Answer: Monitor the child’s daily weight, fluid intake, and output.
Question: Early this morning, a client had a subtotal thyroidectomy. During evening rounds, the nurse obtains data from the client, who now has nausea, a temperature of 105° F (40.5° C), tachycardia, and extreme restlessness. What is the most likely cause of these signs?
Answer Options:
Tetany
Hypoglycemia
Thyroid crisis
Diabetic ketoacidosis
Answer: Thyroid crisis
Question: The nurse is preparing a teaching plan for a 10-year-old child with hyperthyroidism. What information will the nurse include in the plan?
Answer Options:
Keeping the patient’s room cool
Showing the parents how to give DDAVP intranasally
Describing surgery to remove an anterior pituitary tumor
Teaching the parents to give injections of growth hormone
Answer: Keeping the patient’s room cool
Question: The nurse is administering 10 units of NPH insulin to a child at 0800. The nurse expects this insulin to begin acting at which time?
Answer Options:
By 0815
Around 1200
Between 0830 and 0900
Between 0900 and 1100
Answer: Between 0900 and 1100
Question: A client has diabetic ketoacidosis secondary to infection. As the condition progresses, which signs and symptoms might the nurse see?
Answer Options:
Shallow respirations and severe abdominal pain
Decreased respirations and increased urine output
Cheyne-Stokes respirations and foul-smelling urine
Kussmaul respirations and a fruity odor on the breath
Answer: Kussmaul respirations and a fruity odor on the breath
Question: An adolescent is diagnosed with hyperthyroidism (Graves disease) and the health care provider orders propranolol and propylthiouracil (PTU) for the child. Which of the following interventions should the nurse include in the plan of care for this child?
Answer Options:
Monitor blood pressure
Monitor platelet and white blood cell levels
Teach parents not to discontinue the above meds abruptly
All the above
Answer: All the above
Question: The nurse is reviewing the laboratory results of a child with Addison disease. What findings does the nurse expect?
Answer Options:
Hyponatremia and Hyperkaleria
Hyperglycemia and hypernatremia
Hypercalcemia and hypermagnesemia
All the above
Answer: Hyponatremia and Hyperkaleria
Question: Which of the following is characterized by destruction of pancreatic beta cells, resulting in insulin deficiency?
Answer Options:
Maturity-onset diabetes of the young (MODY)
Type 2 diabetes
Type 1 diabetes
Gestational diabetes
Answer: Type 1 diabetes
Question: Is there any other options that are correct also? Can select up to 4 answers for it?
Answer Options:
None provided
Answer: No — only Type 1 diabetes is correct.
Question: A nurse is reviewing information about the endocrine system in infants and children. Which statement indicates an understanding of endocrine system development?
Answer Options:
Infants have difficulty balancing glucose and electrolytes.
At birth, the endocrine glands are completely functional.
Endocrine glands begin developing in the third trimester of gestation.
A child’s endocrine system has little effect on growth and development.
Answer: Infants have difficulty balancing glucose and electrolytes.
Question: Which medication would a nurse expect the health care provider to prescribe for a client with hypothyroidism?
Answer Options:
A. Lactulose
B. Lidocaine
C. Levothyroxine
D. Dexamethasone
Answer: C. Levothyroxine
Question: A nurse is caring for a postoperative thyroidectomy client at risk for hypocalcemia. What intervention should the nurse implement in this client’s care?
Answer Options:
A. Observe for swelling of the neck, tracheal deviation, and severe pain.
B. Monitor laboratory values daily for an elevated thyroid-stimulating hormone.
C. Evaluate the quality of the client’s voice postoperatively, noting any drastic changes.
D. Observe for muscle twitching and numbness or tingling of the lips, fingers, and toes.
Answer: D. Observe for muscle twitching and numbness or tingling of the lips, fingers, and toes.
Question: A child with arginine vasopressin deficiency (central diabetes insipidus) is being treated with desmopressin (DDAVP). For which symptoms of DDAVP overdose will the nurse monitor?
Answer Options:
A. Excessive urine output
B. Confusion and headache
C. Skin mottling and bruising
D. Hypotension and tachycardia
Answer: B. Confusion and headache