JOYCE UNIVERSITY PEDS EXAM 4 STUDY GUIDE | PEDIATRIC NURSING PRACTICE
QUESTIONS & ANSWERS 2026/2027
Growth hormone deficiency caused by - ANS ✔✔damage to pituitary, meningitis, tumor
Urine Specific Gravity range - ANS ✔✔1.005-1.030
Growth hormone deficiency s/s - ANS ✔✔short stature, teeth crowding, delayed epiphyseal
closure, delayed sexual maturation
Growth hormone deficiency Tx - ANS ✔✔Somatotropin administration (stop once epiphyseal
plate has closed)
Diabetes Insipidus caused by - ANS ✔✔damage to pituitary, meningitis, tumor
Diabetes Insipidus s/s - ANS ✔✔polydipsia, polyuria, hypernatremia, low specific gravity
Diabetes Insipidus Tx - ANS ✔✔surgery (tumor removal), ADH replacement (desmopressin or
vasopressin)
SIADH caused by - ANS ✔✔Head injury, brain tumor, meds, meningitis
SIADH s/s - ANS ✔✔oliguria, decreased thirst, water retention, low urine output, high specific
gravity
SIADH Tx - ANS ✔✔Hypertonic saline, furosemide, diuretics
, Hypothyroidism caused by - ANS ✔✔Hashimoto's (autoimmune), trauma, radiation
Hypothyroidism s/s - ANS ✔✔decreased metabolism, weight gain, dry course skin and hair,
sleepiness, large tongue, goiter
Hypothyroidism Tx - ANS ✔✔Levothyroxine (Synthroid)
Hyperthyroidism caused by - ANS ✔✔Graves disease (autoimmune)
Hyperthyroidism s/s - ANS ✔✔uncomfortably hot, high metabolism, weight loss, goiter
Hyperthyroidism Tx - ANS ✔✔Propylthiouracil (PTU) (anti-thyroid drug, watch for low WBC)
Hyperparathyroidism s/s - ANS ✔✔Hypercalcemia, kidney stones, decalcification of bones
Hypoparathyroidism s/s - ANS ✔✔Hypocalcemia, paresthesia, tetany, chvostek's sign
Adrenal Insufficiency (Hypocortisolism) caused by - ANS ✔✔Addison's disease (autoimmune),
abruptly stopping cortisol meds
Adrenal Insufficiency (Hypocortisolism) s/s - ANS ✔✔low BP and HR, pale, dehydration,
hyponatremia, seizures
Hypercortisolism caused by - ANS ✔✔Cushing's disease (benign tumor in the pituitary gland),
chronic steroid use
Hypercortisolism s/s - ANS ✔✔Fat accumulation, moon faced, thin extremities compared to
trunk, infection risk, HTN, hyperpigmented cheeks.
QUESTIONS & ANSWERS 2026/2027
Growth hormone deficiency caused by - ANS ✔✔damage to pituitary, meningitis, tumor
Urine Specific Gravity range - ANS ✔✔1.005-1.030
Growth hormone deficiency s/s - ANS ✔✔short stature, teeth crowding, delayed epiphyseal
closure, delayed sexual maturation
Growth hormone deficiency Tx - ANS ✔✔Somatotropin administration (stop once epiphyseal
plate has closed)
Diabetes Insipidus caused by - ANS ✔✔damage to pituitary, meningitis, tumor
Diabetes Insipidus s/s - ANS ✔✔polydipsia, polyuria, hypernatremia, low specific gravity
Diabetes Insipidus Tx - ANS ✔✔surgery (tumor removal), ADH replacement (desmopressin or
vasopressin)
SIADH caused by - ANS ✔✔Head injury, brain tumor, meds, meningitis
SIADH s/s - ANS ✔✔oliguria, decreased thirst, water retention, low urine output, high specific
gravity
SIADH Tx - ANS ✔✔Hypertonic saline, furosemide, diuretics
, Hypothyroidism caused by - ANS ✔✔Hashimoto's (autoimmune), trauma, radiation
Hypothyroidism s/s - ANS ✔✔decreased metabolism, weight gain, dry course skin and hair,
sleepiness, large tongue, goiter
Hypothyroidism Tx - ANS ✔✔Levothyroxine (Synthroid)
Hyperthyroidism caused by - ANS ✔✔Graves disease (autoimmune)
Hyperthyroidism s/s - ANS ✔✔uncomfortably hot, high metabolism, weight loss, goiter
Hyperthyroidism Tx - ANS ✔✔Propylthiouracil (PTU) (anti-thyroid drug, watch for low WBC)
Hyperparathyroidism s/s - ANS ✔✔Hypercalcemia, kidney stones, decalcification of bones
Hypoparathyroidism s/s - ANS ✔✔Hypocalcemia, paresthesia, tetany, chvostek's sign
Adrenal Insufficiency (Hypocortisolism) caused by - ANS ✔✔Addison's disease (autoimmune),
abruptly stopping cortisol meds
Adrenal Insufficiency (Hypocortisolism) s/s - ANS ✔✔low BP and HR, pale, dehydration,
hyponatremia, seizures
Hypercortisolism caused by - ANS ✔✔Cushing's disease (benign tumor in the pituitary gland),
chronic steroid use
Hypercortisolism s/s - ANS ✔✔Fat accumulation, moon faced, thin extremities compared to
trunk, infection risk, HTN, hyperpigmented cheeks.
