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 school nurse practitioner is consulted by a fifth-grade teacher about a student who has become increasingly inattentive and hyperactive in the classroom. The nurse notes that the childs weight has changed from the 50th percentile to the 30th percentile. The nurse is concerned about possible hyperthyroidism. What additional sign or symptom should the nurse anticipate?
Correct Answer: B
Rationale: Blurred vision and loss of acuity are early signs of hyperthyroidism, alongside hyperactivity and weight loss. Skin is typically warm and moist, activity during recess is expected, and appetite increases despite weight loss in hyperthyroidism.
Question 2 of 5
A child with hypoparathyroidism is receiving vitamin D therapy. The parents should be advised to watch for which signs or symptoms of vitamin D toxicity?
Correct Answer: B
Rationale: Vitamin D toxicity can cause weakness, lassitude, nausea, vomiting, and renal issues like polyuria. Headaches occur but seizures do not, anorexia and insomnia are not typical, and restlessness with appetite changes suggests hyperthyroidism, not toxicity.
Question 3 of 5
Glucocorticoids, mineralocorticoids, and sex steroids are secreted by which gland?
Correct Answer: B
Rationale: The adrenal cortex produces glucocorticoids, mineralocorticoids, and sex steroids. The thyroid produces thyroid hormone, the anterior pituitary secretes hormones like GH and ACTH, and the parathyroids produce parathyroid hormone.
Question 4 of 5
Congenital adrenal hyperplasia (CAH) is suspected in a newborn because of ambiguous genitalia. The parents are appropriately upset and concerned about their childs gender. In teaching the parents about CAH, what should the nurse explain?
Correct Answer: B
Rationale: Sexual assignment in CAH should align with genetic sex, determined before deciding on surgery or rearing. Female genetic sex with hormone therapy can reverse virilization, while male genetic sex may require supplementation. Prenatal masculinization doesn?t dictate development, and genital appearance alone doesn?t determine gender.
Question 5 of 5
What form of diabetes is characterized by destruction of pancreatic beta cells, resulting in insulin deficiency?
Correct Answer: A
Rationale: Type 1 diabetes results from autoimmune destruction of pancreatic beta cells, causing absolute insulin deficiency. Type 2 involves insulin resistance, gestational diabetes is temporary, and MODY is a genetic defect in beta cell function without destruction.