Pediatrics Final Exam Updated Questions And Answers

This is the universal language of children. What is the most important form of communication and can be an effective technique in relating to children? - ANS Play Older infants respond to simple games. What old game is an excellent means of initiating communication with infants while maintaining a "safe", non-threatening distance? - ANS Peek-a-boo A child with growth hormone (GH) deficiency is receiving GH therapy. When is the best time for the GH to be administered? A) at bedtime B) After meals C) Before meals D) on arising in the morning - ANS At bedtime Injections are best given at bedtime to more closely approximate the physiologic response of GH. An adolescent is being seen in the clinic for evaluation of acromegaly. The nurse understands that which occurs with acromegaly? a. There is a lack of growth hormone (GH) being produced. b. There is excess growth hormone (GH) after closure of the epiphyseal plates. c. There is an excess of growth hormone (GH) before the closure of the epiphyseal plates. d. There is a lack of thyroid hormone being produced. - ANS There is excess growth hormone (GH) after closure of the epiphyseal plates. Excess GH after closure of the epiphyseal plates results in acromegaly. A child will start treatment for precocious puberty. The RN recognizes that this will involve the injection of which synthetic medication? A) thyrotropin B) Gonadotropins C) Somatotrophic hormone D) Luteinizing hormone-releasing hormone - ANS Luteinizing hormone-releasing hormone. Precocious puberty of central origin is treated with monthly sub-Q injections of luteinizing hormone-releasing hormone. The nurse is conducting a staff in-service on childhood endocrine disorders. Diabetes insipidus is a disorder of: A) anterior pituitary B) posterior pituitary C) adrenal cortex D) adrenal medulla - ANS Posterior pituitary the principal disorder of posterior pituitary hypofunction is diabetes insipidus. The nurse is caring for a preschool child with suspected diabetes insipidus. Which clinical manifestation should the nurse expect to observe? A) oliguria B) Glycosuria C) N/V D) polyuria and polydipsia - ANS polyuria and polydipsia Excessive urination accompanied by thirst is the primary clinical manifestations of diabetes A nasal spray of desmopressin acetate (DDAVP) is used to treat which disorder? A) hypopituitarism B) Diabetes insipidus C) Acute adrenocortical insufficiency D) Syndrome of inappropriate antidiuretic hormone - ANS Diabetes insipidus The drug of choice for the tx of diabetes insipidus is DDAVP, which is a synthetic analogue of vasopressin The nurse is admitting a toddler with the diagnosis of juvenile hypothyroidism. Which is a common clinical manifestation of this disorder? a. Insomnia b. Diarrhea c. Dry skin d. Accelerated growth - ANS Dry skin Dry skin, mental decline and myxedematous skin changes are associated with juvenile hypothyroidism. Children with hypothyroidism are usually sleepy. Constipation is associated with hypothyroidism. Decelerated growth is common with juvenile hypothyroidism A goiter is an enlargement or hypertrophy of which gland? a. Thyroid b. Adrenal c. Anterior pituitary d. Posterior pituitary - ANS Thyroid What condition may cause exophthalmos (protruding eyeballs) in children? a. Hypothyroidism b. Hyperthyroidism c. Hypoparathyroidism d. Hyperparathyroidism - ANS Hyperthyroidism