CHAPTER 26: NURSING CARE OF THE
CHILD WITH AN ALTERATION IN
METABOLISM/ENDOCRINE DISORDER
EXAM WITH COMPLETE QUESTIONS
AND ANSWERS [GRADED A+]
In a child with diabetes insipidus, which characteristic would most likely be
present in the child's health history? - ✔✔Abrupt onset of polyuria,
nocturia, and polydipsia
Diabetes insipidus is characterized by deficient secretion of antidiuretic
hormone leading to diuresis. Most children with this disorder experience an
abrupt onset of symptoms, including polyuria, nocturia, and polydipsia. The
other choices reflect symptoms of pituitary hyperfunction
©morren2025/2026.Year published 2026.
,The school nurse notes that a child diagnosed with diabetes mellitus is
experiencing an insulin reaction and is unable to eat or drink. Which action
would be the most appropriate for the school nurse to do? - ✔✔Administer
subcutaneous glucagon
If the child having an insulin reaction cannot take a sugar source orally,
glucagon should be administered subcutaneously to bring about a prompt
increase in the blood glucose level. This treatment prevents the long delay
while waiting for a physician to administer IV glucose or for an ambulance
to reach the child
When discussing care of an infant with congenital hypothyroidism, you
would stress that the infant will need: - ✔✔Administration of levothyroxine
for a lifetime.
Hypothyroidism occurs because the thyroid is not producing adequate
thyroxine. The child will need a supplemental source for a lifetime.
The physician has ordered a thyroid scan to confirm the diagnosis. Before
the procedure the nurse should: - ✔✔Assess the client for allergies.
©morren2025/2026.Year published 2026.
, A thyroid scan uses dye, so a client should be assessed for allergies to
iodine and shellfish to prevent a possible reaction. The client will not be
asleep, have a catheter, or receive a bolus of fluids
A newborn is born with hypothyroidism. A complication of this disorder if it
is not recognized and treated is: - ✔✔Cognitive impairment.
Congenital hypothyroidism can lead to extreme cognitive challenge
impairment if not treated.
A 6-year-old child is being evaluated for growth hormone dysfunction.
Which tests will be employed in the diagnostic workup? - ✔✔• CT scan
• MRI
• Pituitary function test
The child will undergo laboratory tests to rule out chronic illnesses such as
renal failure or liver and thyroid dysfunction. Laboratory and diagnostic
tests used in children with suspected GH deficiency include CT and MRI to
©morren2025/2026.Year published 2026.
CHILD WITH AN ALTERATION IN
METABOLISM/ENDOCRINE DISORDER
EXAM WITH COMPLETE QUESTIONS
AND ANSWERS [GRADED A+]
In a child with diabetes insipidus, which characteristic would most likely be
present in the child's health history? - ✔✔Abrupt onset of polyuria,
nocturia, and polydipsia
Diabetes insipidus is characterized by deficient secretion of antidiuretic
hormone leading to diuresis. Most children with this disorder experience an
abrupt onset of symptoms, including polyuria, nocturia, and polydipsia. The
other choices reflect symptoms of pituitary hyperfunction
©morren2025/2026.Year published 2026.
,The school nurse notes that a child diagnosed with diabetes mellitus is
experiencing an insulin reaction and is unable to eat or drink. Which action
would be the most appropriate for the school nurse to do? - ✔✔Administer
subcutaneous glucagon
If the child having an insulin reaction cannot take a sugar source orally,
glucagon should be administered subcutaneously to bring about a prompt
increase in the blood glucose level. This treatment prevents the long delay
while waiting for a physician to administer IV glucose or for an ambulance
to reach the child
When discussing care of an infant with congenital hypothyroidism, you
would stress that the infant will need: - ✔✔Administration of levothyroxine
for a lifetime.
Hypothyroidism occurs because the thyroid is not producing adequate
thyroxine. The child will need a supplemental source for a lifetime.
The physician has ordered a thyroid scan to confirm the diagnosis. Before
the procedure the nurse should: - ✔✔Assess the client for allergies.
©morren2025/2026.Year published 2026.
, A thyroid scan uses dye, so a client should be assessed for allergies to
iodine and shellfish to prevent a possible reaction. The client will not be
asleep, have a catheter, or receive a bolus of fluids
A newborn is born with hypothyroidism. A complication of this disorder if it
is not recognized and treated is: - ✔✔Cognitive impairment.
Congenital hypothyroidism can lead to extreme cognitive challenge
impairment if not treated.
A 6-year-old child is being evaluated for growth hormone dysfunction.
Which tests will be employed in the diagnostic workup? - ✔✔• CT scan
• MRI
• Pituitary function test
The child will undergo laboratory tests to rule out chronic illnesses such as
renal failure or liver and thyroid dysfunction. Laboratory and diagnostic
tests used in children with suspected GH deficiency include CT and MRI to
©morren2025/2026.Year published 2026.
