ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 28 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
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 3 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 4 of 5
A child with hypopituitarism is being started on growth hormone (GH) therapy. Nursing considerations should be based on which knowledge?
Correct Answer: B
Rationale: GH therapy involves daily subcutaneous injections, with education for self-management in school-age children. It?s most effective in younger or severely deficient children, not adolescents, and isn?t needed lifelong after final height. Success involves near-final height, not necessarily by adolescence.
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.