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 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 2 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.
Question 3 of 5
Exophthalmos (protruding eyeballs) may occur in children with which condition?
Correct Answer: B
Rationale: Exophthalmos is a classic sign of hyperthyroidism, often due to Graves? disease, from tissue swelling behind the eyes. It is not associated with hypothyroidism, hypoparathyroidism, or hyperparathyroidism.
Question 4 of 5
A child with hyperthyroidism (Graves disease) is receiving propylthiouracil. The parents and child should be taught to recognize and report which sign or symptom immediately?
Correct Answer: C
Rationale: Fever and sore throat may indicate leukopenia, a serious side effect of propylthiouracil, requiring immediate reporting. Fatigue and weight loss are symptoms of hyperthyroidism, not drug complications, and upper respiratory infections are typically viral, not urgent.
Question 5 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.