ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 28 : The Child with Endocrine Dysfunction Questions
Question 1 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 2 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.
Question 3 of 5
The nurse is planning care for a child recently diagnosed with diabetes insipidus (DI). What intervention should be included?
Correct Answer: A
Rationale: Medical identification is critical for DI, a potentially life-threatening condition requiring free access to fluids. Fluid restriction worsens dehydration, urine testing isn?t routine, and DI is chronic, requiring lifelong vasopressin.
Question 4 of 5
Intranasal administration of desmopressin acetate (DDAVP) is used to treat which condition?
Correct Answer: B
Rationale: DDAVP, administered intranasally, replaces vasopressin in DI, with effects lasting 6-24 hours. It?s not used for hypopituitarism, SIADH, or adrenocortical insufficiency, which require different treatments.
Question 5 of 5
What nursing care should be included for a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)?
Correct Answer: C
Rationale: SIADH causes excessive water retention, so fluid restriction is key to prevent hyponatremia and fluid overload. NPO status isn?t needed, frequent turning is unnecessary unless unresponsive, and encouraging fluids worsens the condition.