EXAM_4_SAUNDERS_ENDOCRINE.docx
1. The mother of a 6-year-old child who has type 1 diabetes mellitus calls a clinic nurse and tells the
nurse that the child has been sick. The mother reports that she checked the child's urine and it was
positive for ketones. The nurse should instruct the mother to take which action?
a. Encourage the child to drink liquids
2. A health care provider prescribes an intravenous (IV) solution of 5% dextrose and half-normal
saline (0.45%) with 40 mEq of potassium chloride for a child with hypotonic dehydration. The
nurse performs which priority assessment before administering this IV prescription?
a. Check the amount of urine output
3. An adolescent client with type 1 diabetes mellitus is admitted to the emergency department for
treatment of diabetic ketoacidosis. Which assessment findings should the nurse expect to note?
a. Fruity breath odor and decreasing level of consciousness
4. A mother brings her 3-week-old infant to a clinic for a phenylketonuria rescreening blood test.
The test indicates a serum phenylalanine level of 1 mg/dL (60.5 mcmol/L). The nurse reviews this
result and makes which interpretation?
a. It is negative.
5. The nurse has just administered ibuprofen to a child with a temperature of 102°F (38.8°C). The
nurse should also take which action?
a. Remove excess clothing and blankets from the child.
6. A child has fluid volume deficit. The nurse performs an assessment and determines that the child
is improving and the deficit is resolving if which finding is noted?
a. Capillary refill is less than 2 seconds.
7. The nurse should implement which interventions for a child older than 2 years with type 1
diabetes mellitus who has a blood glucose level of 60 mg/dL (3.4 mmol/L)? Select all that apply.
a. "All 50 states require routine screening of all newborn infants for phenylketonuria."
b. Prepare to administer glucagon subcutaneously if unconsciousness occurs.
8. A pediatric nurse educator provides a teaching session to the nursing staff regarding
phenylketonuria. Which statement should the nurse educator include in the session?
a. "All 50 states require routine screening of all newborn infants for phenylketonuria."
9. A home care nurse is teaching an adolescent with type 1 diabetes mellitus about insulin
administration and rotation sites. Which statement, if made by the adolescent, would
indicate effective teaching?
a. "I need to give 4 to 6 injections in one area, about an inch apart, and then move to another
area."
10. A 6-year-old child with diabetes mellitus and the child's mother come to the health care clinic for
a routine examination. The nurse evaluates the data collected during this visit to determine if the
child has been euglycemic since the last visit. Which information is the most significant indicator
of euglycemia?
a. Glycosylated hemoglobin (hemoglobin A1c)
11. A child's fasting blood glucose levels range between 100 and 120 mg/dL (5.7 and 6.9 mmol/L)
daily. The before-dinner blood glucose levels are between 120 and 130 mg/dL (6.9 and 7.4
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1. The mother of a 6-year-old child who has type 1 diabetes mellitus calls a clinic nurse and tells the
nurse that the child has been sick. The mother reports that she checked the child's urine and it was
positive for ketones. The nurse should instruct the mother to take which action?
a. Encourage the child to drink liquids
2. A health care provider prescribes an intravenous (IV) solution of 5% dextrose and half-normal
saline (0.45%) with 40 mEq of potassium chloride for a child with hypotonic dehydration. The
nurse performs which priority assessment before administering this IV prescription?
a. Check the amount of urine output
3. An adolescent client with type 1 diabetes mellitus is admitted to the emergency department for
treatment of diabetic ketoacidosis. Which assessment findings should the nurse expect to note?
a. Fruity breath odor and decreasing level of consciousness
4. A mother brings her 3-week-old infant to a clinic for a phenylketonuria rescreening blood test.
The test indicates a serum phenylalanine level of 1 mg/dL (60.5 mcmol/L). The nurse reviews this
result and makes which interpretation?
a. It is negative.
5. The nurse has just administered ibuprofen to a child with a temperature of 102°F (38.8°C). The
nurse should also take which action?
a. Remove excess clothing and blankets from the child.
6. A child has fluid volume deficit. The nurse performs an assessment and determines that the child
is improving and the deficit is resolving if which finding is noted?
a. Capillary refill is less than 2 seconds.
7. The nurse should implement which interventions for a child older than 2 years with type 1
diabetes mellitus who has a blood glucose level of 60 mg/dL (3.4 mmol/L)? Select all that apply.
a. "All 50 states require routine screening of all newborn infants for phenylketonuria."
b. Prepare to administer glucagon subcutaneously if unconsciousness occurs.
8. A pediatric nurse educator provides a teaching session to the nursing staff regarding
phenylketonuria. Which statement should the nurse educator include in the session?
a. "All 50 states require routine screening of all newborn infants for phenylketonuria."
9. A home care nurse is teaching an adolescent with type 1 diabetes mellitus about insulin
administration and rotation sites. Which statement, if made by the adolescent, would
indicate effective teaching?
a. "I need to give 4 to 6 injections in one area, about an inch apart, and then move to another
area."
10. A 6-year-old child with diabetes mellitus and the child's mother come to the health care clinic for
a routine examination. The nurse evaluates the data collected during this visit to determine if the
child has been euglycemic since the last visit. Which information is the most significant indicator
of euglycemia?
a. Glycosylated hemoglobin (hemoglobin A1c)
11. A child's fasting blood glucose levels range between 100 and 120 mg/dL (5.7 and 6.9 mmol/L)
daily. The before-dinner blood glucose levels are between 120 and 130 mg/dL (6.9 and 7.4
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