,NUR 203 Exam 3 | Pediatric Nursing (2026) Actual
Q&A PDF | Fortis College
1. A nurse is assessing a child with suspected hypopituitarism. Which finding should
the nurse expect?
A) Tall stature for age
B) Delayed growth velocity and short stature
C) Early onset of puberty
D) Increased muscle mass
Correct Answer: Delayed growth velocity and short stature
Rationale: Hypopituitarism results in deficient growth hormone secretion, leading
to delayed growth velocity and short stature. Children with hypopituitarism typically
have normal proportions but are significantly shorter than peers. Tall stature, early
puberty, and increased muscle mass are not characteristic findings.
2. Which route of administration is used for growth hormone replacement in children
with hypopituitarism?
A) Oral
B) Subcutaneous injection
C) Intravenous infusion
D) Intramuscular injection
Correct Answer: Subcutaneous injection
Rationale: Growth hormone is administered via subcutaneous injection, typically
daily. It cannot be given orally because it would be digested. Intravenous and
,intramuscular routes are not standard for growth hormone replacement. Proper
injection technique and site rotation are essential teaching points.
3. A child with diabetes insipidus is admitted. Which finding should the nurse expect?
A) Hypernatremia and dilute urine
B) Hyponatremia and concentrated urine
C) Hyperkalemia and oliguria
D) Hypercalcemia and polyuria
Correct Answer: Hypernatremia and dilute urine
Rationale: Diabetes insipidus results from deficient antidiuretic hormone, causing
excessive water loss, hypernatremia, and dilute urine. Hyponatremia and
concentrated urine are characteristic of SIADH. Desmopressin and fluid replacement
are key treatments for DI.
4. Which medication is used to treat central diabetes insipidus in children?
A) Desmopressin
B) Vasopressin antagonist
C) Furosemide
D) Hydrochlorothiazide
Correct Answer: Desmopressin
Rationale: Desmopressin is a synthetic vasopressin analog used to treat central
diabetes insipidus by replacing deficient antidiuretic hormone. Furosemide and
hydrochlorothiazide are diuretics that would worsen fluid loss. Vasopressin
antagonists are used for SIADH, not DI.
, 5. A child is diagnosed with syndrome of inappropriate antidiuretic hormone. Which
finding should the nurse expect?
A) Hypernatremia and polyuria
B) Hyponatremia and concentrated urine
C) Hyperkalemia and dilute urine
D) Hypercalcemia and polyuria
Correct Answer: Hyponatremia and concentrated urine
Rationale: SIADH causes excessive antidiuretic hormone secretion, leading to
water retention, hyponatremia, and concentrated urine. Fluid restriction and sodium
replacement are key interventions. Hypernatremia and dilute urine are characteristic
of diabetes insipidus.
6. A child with Graves' disease is admitted. Which clinical manifestation should the
nurse expect?
A) Bradycardia and weight gain
B) Heat intolerance and weight loss
C) Cold intolerance and constipation
D) Hypertension and bradycardia
Correct Answer: Heat intolerance and weight loss
Rationale: Graves' disease causes hyperthyroidism, resulting in a hypermetabolic
state characterized by heat intolerance, weight loss, tachycardia, and anxiety.
Bradycardia, weight gain, cold intolerance, and constipation are associated with
hypothyroidism.
7. Which finding is most concerning in a child with hypothyroidism?
Q&A PDF | Fortis College
1. A nurse is assessing a child with suspected hypopituitarism. Which finding should
the nurse expect?
A) Tall stature for age
B) Delayed growth velocity and short stature
C) Early onset of puberty
D) Increased muscle mass
Correct Answer: Delayed growth velocity and short stature
Rationale: Hypopituitarism results in deficient growth hormone secretion, leading
to delayed growth velocity and short stature. Children with hypopituitarism typically
have normal proportions but are significantly shorter than peers. Tall stature, early
puberty, and increased muscle mass are not characteristic findings.
2. Which route of administration is used for growth hormone replacement in children
with hypopituitarism?
A) Oral
B) Subcutaneous injection
C) Intravenous infusion
D) Intramuscular injection
Correct Answer: Subcutaneous injection
Rationale: Growth hormone is administered via subcutaneous injection, typically
daily. It cannot be given orally because it would be digested. Intravenous and
,intramuscular routes are not standard for growth hormone replacement. Proper
injection technique and site rotation are essential teaching points.
3. A child with diabetes insipidus is admitted. Which finding should the nurse expect?
A) Hypernatremia and dilute urine
B) Hyponatremia and concentrated urine
C) Hyperkalemia and oliguria
D) Hypercalcemia and polyuria
Correct Answer: Hypernatremia and dilute urine
Rationale: Diabetes insipidus results from deficient antidiuretic hormone, causing
excessive water loss, hypernatremia, and dilute urine. Hyponatremia and
concentrated urine are characteristic of SIADH. Desmopressin and fluid replacement
are key treatments for DI.
4. Which medication is used to treat central diabetes insipidus in children?
A) Desmopressin
B) Vasopressin antagonist
C) Furosemide
D) Hydrochlorothiazide
Correct Answer: Desmopressin
Rationale: Desmopressin is a synthetic vasopressin analog used to treat central
diabetes insipidus by replacing deficient antidiuretic hormone. Furosemide and
hydrochlorothiazide are diuretics that would worsen fluid loss. Vasopressin
antagonists are used for SIADH, not DI.
, 5. A child is diagnosed with syndrome of inappropriate antidiuretic hormone. Which
finding should the nurse expect?
A) Hypernatremia and polyuria
B) Hyponatremia and concentrated urine
C) Hyperkalemia and dilute urine
D) Hypercalcemia and polyuria
Correct Answer: Hyponatremia and concentrated urine
Rationale: SIADH causes excessive antidiuretic hormone secretion, leading to
water retention, hyponatremia, and concentrated urine. Fluid restriction and sodium
replacement are key interventions. Hypernatremia and dilute urine are characteristic
of diabetes insipidus.
6. A child with Graves' disease is admitted. Which clinical manifestation should the
nurse expect?
A) Bradycardia and weight gain
B) Heat intolerance and weight loss
C) Cold intolerance and constipation
D) Hypertension and bradycardia
Correct Answer: Heat intolerance and weight loss
Rationale: Graves' disease causes hyperthyroidism, resulting in a hypermetabolic
state characterized by heat intolerance, weight loss, tachycardia, and anxiety.
Bradycardia, weight gain, cold intolerance, and constipation are associated with
hypothyroidism.
7. Which finding is most concerning in a child with hypothyroidism?
