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 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 2 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.
Question 3 of 5
What is a condition that can result if hypersecretion of growth hormone (GH) occurs after epiphyseal closure?
Correct Answer: D
Rationale: Acromegaly results from excess GH after epiphyseal closure, causing bone and tissue overgrowth. Cretinism is linked to hypothyroidism, dwarfism to GH deficiency, and gigantism to GH excess before closure.
Question 4 of 5
Peripheral precocious puberty (PPP) differs from central precocious puberty (CPP) in which manner?
Correct Answer: C
Rationale: PPP, caused by non-hypothalamic hormone sources, may be considered a variation in sexual development. CPP stems from CNS-driven Gn-RH stimulation, is more common in girls, and isn?t a variation but a pathological early puberty.
Question 5 of 5
A child will start treatment for central precocious puberty. What synthetic hormone will be injected?
Correct Answer: D
Rationale: Monthly luteinizing hormone-releasing hormone injections regulate pituitary secretions in central precocious puberty. Thyrotropin, gonadotropins, and somatotropic hormone are not used for this condition.