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 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 2 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 3 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 4 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 5 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.