ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 28 : The Child with Endocrine Dysfunction Questions
Question 1 of 5
A 20-kg (44-lb) child in ketoacidosis is admitted to the pediatric intensive care unit. What order should the nurse not implement until clarified with the physician?
Correct Answer: C
Rationale: D5 0.45% normal saline with potassium should be clarified, as initial rehydration in DKA uses 0.9% saline, and potassium is delayed until renal function is confirmed (urine output ?25 ml/hr). Daily weights, 48-hour fluid replacement, and insulin dosing are appropriate.
Question 2 of 5
What clinical manifestation occurs with hypoglycemia?
Correct Answer: D
Rationale: Hypoglycemia manifests as weakness, dizziness, difficulty concentrating, sweating, and pallor due to low glucose affecting the brain and body. Lethargy, confusion, and nausea are more typical of hyperglycemia, not hypoglycemia.
Question 3 of 5
Homeostasis in the body is maintained by what is collectively known as the neuroendocrine system. What is the name of the nervous system that is involved?
Correct Answer: D
Rationale: The autonomic nervous system, comprising sympathetic and parasympathetic systems, regulates involuntary functions to maintain homeostasis with the endocrine system. Central, skeletal, and peripheral nervous systems are not part of the neuroendocrine system.
Question 4 of 5
A child with hypopituitarism is being started on growth hormone (GH) therapy. Nursing considerations should be based on which knowledge?
Correct Answer: B
Rationale: GH therapy involves daily subcutaneous injections, with education for self-management in school-age children. It?s most effective in younger or severely deficient children, not adolescents, and isn?t needed lifelong after final height. Success involves near-final height, not necessarily by adolescence.
Question 5 of 5
A child with growth hormone (GH) deficiency is receiving GH therapy. When is the best time for the GH to be administered?
Correct Answer: A
Rationale: Administering GH at bedtime mimics the body?s natural nocturnal GH release, optimizing effectiveness. Timing after meals, before meals, or in the morning does not align with physiologic patterns.