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NURS 535 Final Exam Questions and
Answers Latest 2026
Growth Hormone Deficiency Ans: Absence or deficiency
of growth hormone produced by the pituitary gland to
stimulate the body to grow
Etiology of GH deficiency Ans: Infections, trauma, brain
tumors
Clinical manifestations of GH Ans: 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 Ans: Thyroid panel
Evaluate renal and liver function
Insulin like growth factors (will be low)
Growth Hormone Stimulant test
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Bone density scan
Brain CT or MRI
Karotyping
GH Treatment Ans: 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 Ans: The very early onset and rapid
progression of puberty
Before age 8 in girls
Before age 9 in boys
Etiology of Precocious Puberty Ans: Hormone-secreting
tumors
Brain injury caused by head trauma
Infection
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Thyroid dysfunction
Ovarian dysfunction
Idiopathic (most cases)
Clinical manifestations of precocious puberty Ans:
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 Ans:
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
congenital hypothyroidism Ans: 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 Ans: Lethargy
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Weakness
Dry skin
Cold intolerance
Weight gain
Constipation
Coarse hair
Diagnostic evaluation for hypothyroidism Ans: 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 Ans: Excessive production of thyroid
hormones
Signs and symptoms of hyperthyroidism Ans: Weakness,
insomnia, tachycardia, palpitations, dyspnea, emotional
of people and extremes, "everything speeds up"
Causes of hyperthyroidism Ans: Graves Disease
© 2025 All rights reserved
NURS 535 Final Exam Questions and
Answers Latest 2026
Growth Hormone Deficiency Ans: Absence or deficiency
of growth hormone produced by the pituitary gland to
stimulate the body to grow
Etiology of GH deficiency Ans: Infections, trauma, brain
tumors
Clinical manifestations of GH Ans: 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 Ans: Thyroid panel
Evaluate renal and liver function
Insulin like growth factors (will be low)
Growth Hormone Stimulant test
© 2025 All rights reserved
, 2 | Page
Bone density scan
Brain CT or MRI
Karotyping
GH Treatment Ans: 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 Ans: The very early onset and rapid
progression of puberty
Before age 8 in girls
Before age 9 in boys
Etiology of Precocious Puberty Ans: Hormone-secreting
tumors
Brain injury caused by head trauma
Infection
© 2025 All rights reserved
, 3 | Page
Thyroid dysfunction
Ovarian dysfunction
Idiopathic (most cases)
Clinical manifestations of precocious puberty Ans:
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 Ans:
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
congenital hypothyroidism Ans: 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 Ans: Lethargy
© 2025 All rights reserved
, 4 | Page
Weakness
Dry skin
Cold intolerance
Weight gain
Constipation
Coarse hair
Diagnostic evaluation for hypothyroidism Ans: 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 Ans: Excessive production of thyroid
hormones
Signs and symptoms of hyperthyroidism Ans: Weakness,
insomnia, tachycardia, palpitations, dyspnea, emotional
of people and extremes, "everything speeds up"
Causes of hyperthyroidism Ans: Graves Disease
© 2025 All rights reserved
