NURS 535 Final Exam 2026 Questions
and Answers
Growth Hormone Deficiency - Correct answer-Absence or deficiency of growth
hormone produced by the pituitary gland to stimulate the body to grow
Etiology of GH deficiency - Correct answer-Infections, trauma, brain tumors
Clinical manifestations of GH - Correct answer-Short height for child's age
Increased amount of fat around waist and in face
Emotional feelings about height or weight
Younger appearance than children of same age
Decreased muscle mass
Delayed skeletal maturation Delayed onset of puberty Delayed tooth development
Hypoglycemia
GH Diagnostics - Correct answer-Thyroid panel
Evaluate renal and liver function
Insulin like growth factors (will be low)
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,Growth Hormone Stimulant test
Bone density scan
Brain CT or MRI
Karotyping
GH Treatment - Correct answer-Most children receive subcutaneous injections
Injections can be daily or three to four times per week and have increased growth
velocity at bedtime
GH must be refrigerated
Close monitoring of growth with endocrinology visits every 3 to 6 months
Treatment stops when growth plates fuse
Precocious puberty - Correct answer-The very early onset and rapid progression of
puberty
Before age 8 in girls
Before age 9 in boys
Etiology of Precocious Puberty - Correct answer-Hormone-secreting tumors
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,Brain injury caused by head trauma
Infection
Thyroid dysfunction
Ovarian dysfunction
Idiopathic (most cases)
Clinical manifestations of precocious puberty - Correct answer-Female: Breast
development, axillary hair, pubic hair, body odor, onset of menses, acne
Male: Testicular/Penile enlargement, axillary and chest hair, deepening voice, acne
Diagnostic evaluation of precocious puberty - Correct answer-Computed
tomographic scan or magnetic resonance imaging
Bone density scan
Pelvic and adrenal ultrasound
Gonadotropin-releasing hormone stimulation test
Blood work: Testosterone, estrogen, LH, FSH
Treatment involves the suppression of puberty
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, congenital hypothyroidism - Correct answer-Condition present at birth that results
in lack of thyroid hormones; results in poor physical and mental development;
formerly called cretinism
Clinical manifestations of hypothyroidism - Correct answer-Lethargy
Weakness
Dry skin
Cold intolerance
Weight gain
Constipation
Coarse hair
Diagnostic evaluation for hypothyroidism - Correct answer-State-required
screening: TSH and T4
Low T4, elevated TSH, or both indicate hypothyroidism
Positive test results may be followed by scan for bone age
Blood tests before 48 hours after birth may be falsely interpreted because of the
rise in TSH immediately after birth
Hyperthyroidism - Correct answer-Excessive production of thyroid hormones
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and Answers
Growth Hormone Deficiency - Correct answer-Absence or deficiency of growth
hormone produced by the pituitary gland to stimulate the body to grow
Etiology of GH deficiency - Correct answer-Infections, trauma, brain tumors
Clinical manifestations of GH - Correct answer-Short height for child's age
Increased amount of fat around waist and in face
Emotional feelings about height or weight
Younger appearance than children of same age
Decreased muscle mass
Delayed skeletal maturation Delayed onset of puberty Delayed tooth development
Hypoglycemia
GH Diagnostics - Correct answer-Thyroid panel
Evaluate renal and liver function
Insulin like growth factors (will be low)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Growth Hormone Stimulant test
Bone density scan
Brain CT or MRI
Karotyping
GH Treatment - Correct answer-Most children receive subcutaneous injections
Injections can be daily or three to four times per week and have increased growth
velocity at bedtime
GH must be refrigerated
Close monitoring of growth with endocrinology visits every 3 to 6 months
Treatment stops when growth plates fuse
Precocious puberty - Correct answer-The very early onset and rapid progression of
puberty
Before age 8 in girls
Before age 9 in boys
Etiology of Precocious Puberty - Correct answer-Hormone-secreting tumors
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,Brain injury caused by head trauma
Infection
Thyroid dysfunction
Ovarian dysfunction
Idiopathic (most cases)
Clinical manifestations of precocious puberty - Correct answer-Female: Breast
development, axillary hair, pubic hair, body odor, onset of menses, acne
Male: Testicular/Penile enlargement, axillary and chest hair, deepening voice, acne
Diagnostic evaluation of precocious puberty - Correct answer-Computed
tomographic scan or magnetic resonance imaging
Bone density scan
Pelvic and adrenal ultrasound
Gonadotropin-releasing hormone stimulation test
Blood work: Testosterone, estrogen, LH, FSH
Treatment involves the suppression of puberty
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, congenital hypothyroidism - Correct answer-Condition present at birth that results
in lack of thyroid hormones; results in poor physical and mental development;
formerly called cretinism
Clinical manifestations of hypothyroidism - Correct answer-Lethargy
Weakness
Dry skin
Cold intolerance
Weight gain
Constipation
Coarse hair
Diagnostic evaluation for hypothyroidism - Correct answer-State-required
screening: TSH and T4
Low T4, elevated TSH, or both indicate hypothyroidism
Positive test results may be followed by scan for bone age
Blood tests before 48 hours after birth may be falsely interpreted because of the
rise in TSH immediately after birth
Hyperthyroidism - Correct answer-Excessive production of thyroid hormones
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
