ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 28 : The Child with Endocrine Dysfunction Questions
Question 1 of 5
What blood glucose measurement is most likely associated with diabetic ketoacidosis?
Correct Answer: D
Rationale: Diabetic ketoacidosis (DK
A) typically involves blood glucose levels ?330 mg/dl, reflecting severe insulin deficiency. Levels of 185, 220, and 280 mg/dl are hyperglycemic but below the threshold commonly associated with DKA.
Question 2 of 5
The parents of a child who has just been diagnosed with type 1 diabetes ask about exercise. What effect does exercise have on a type 1 diabetic?
Correct Answer: C
Rationale: Exercise lowers blood glucose in type 1 diabetes, requiring additional snacks to prevent hypoglycemia. It doesn?t increase glucose, reduces insulin needs, and should be encouraged unless contraindicated by other conditions.
Question 3 of 5
A child eats some sugar cubes after experiencing symptoms of hypoglycemia. This rapid-releasing sugar should be followed by which dietary intervention?
Correct Answer: D
Rationale: After rapid-releasing sugar for hypoglycemia, milk (with lactose and protein) and peanut butter on bread (complex carbohydrate and protein) provide sustained glucose stabilization. Sports drinks and fruit lack protein, glucose tabs are rapid-acting, and crackers with water lack sufficient protein.
Question 4 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 5 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.