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 condition that can result if hypersecretion of growth hormone (GH) occurs after epiphyseal closure?
Correct Answer: D
Rationale: Acromegaly results from excess GH after epiphyseal closure, causing bone and tissue overgrowth. Cretinism is linked to hypothyroidism, dwarfism to GH deficiency, and gigantism to GH excess before closure.
Question 2 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 3 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 4 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 5 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.