ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 28 : The Child with Endocrine Dysfunction Questions
Question 1 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 2 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 3 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.
Question 4 of 5
What is a common clinical manifestation of juvenile hypothyroidism?
Correct Answer: C
Rationale: Dry skin is a hallmark of juvenile hypothyroidism, along with mental decline and myxedema. Hypothyroidism causes sleepiness, constipation, and slowed growth, not insomnia, diarrhea, or rapid growth.
Question 5 of 5
A goiter is an enlargement or hypertrophy of which gland?
Correct Answer: A
Rationale: A goiter is an enlargement of the thyroid gland, often due to iodine deficiency or thyroid dysfunction. It is not associated with adrenal, anterior, or posterior pituitary glands.