NURS 3444 Exam 5 Practice Questions
Answered Correctly.
A school-age client diagnosed with diabetes insipidus (DI) is admitted to the pediatric unit. Which
laboratory value does the nurse anticipate for this client based on the diagnosis?
1. Hyperglycemia
2. Hypernatremia
3. Hypercalcemia
4. Hypoglycemia - Answer 2. Hypernatremia
A nurse is conducting a daily weight on a pediatric client diagnosed with diabetes insipidus and notes the
child has lost two pounds in 24 hours. Which action by the nurse is the most appropriate?
1. Continue to monitor the child.
2. Notify the healthcare provider regarding the weight loss.
3. Chart the weight and report the loss to the next shift.
4. Do nothing more than chart the weight, as this would be a normal finding. - Answer 2. Notify the
healthcare provider regarding the weight loss.
An adolescent client diagnosed with Graves disease is admitted to the hospital. Which clinical
manifestations would the nurse expect on assessment?
1. Weight gain, hirsutism, and muscle weakness
2. Dehydration, metabolic acidosis, and hypertension
3. Tachycardia, fatigue, and heat intolerance
4. Hyperglycemia, ketonuria, and glucosuria - Answer 3. Tachycardia, fatigue, and heat intolerance
A pediatric client is admitted to the hospital unconscious. The client has a history of type 1 diabetes, and
according to the clients mother, has been to two birthday parties in the last few days and has resisted
,taking the prescribed insulin. At school the client had two more pieces of birthday cake and some ice
cream at a class birthday party. What is the likely reason for this clients unconscious state?
1. Metabolic alkalosis
2. Metabolic ketoacidosis
3. Insulin shock
4. Insulin reaction - Answer 2. Metabolic ketoacidosis
A pediatric client is diagnosed with type 1 diabetes. The nurse teaches the client the difference between
insulin shock and diabetic hyperglycemia. The nurse evaluates that the client understands the teaching
when the client states which characteristics of diabetic hyperglycemia?
1. Tremors and lethargy
2. Hunger and hypertension
3. Thirst and flushed skin
4. Shakiness and pallor - Answer 3. Thirst and flushed skin
The nurse is providing education to a pediatric client diagnosed with diabetes. The client will be playing
soccer over the summer. Which change in the clients management will the nurse explore during this
education session?
1. Increased food intake
2. Decreased food intake
3. Increased need for insulin
4. Decreased risk of insulin reaction - Answer 1. Increased food intake
The nurse is teaching the parent of a type 1 diabetic preschool-age client about management of the
disease. Which teaching point is appropriate for the nurse to include in this session?
1. Allowing the client to administer all the insulin injections
2. Allowing the client to choose which finger to stick for glucose testing
, 3. Allowing the client to draw up the insulin dose
4. Allowing the client to test blood glucose - Answer 2. Allowing the client to choose which finger to
stick for glucose testing
A pediatric client is seen in the clinic with a possible diagnosis of type 2 diabetes. The mother asks what
the healthcare provider uses to make the diagnosis. The nurse explains that type 2 diabetes is suspected
if the child has obesity, acanthosis nigricans, and two non-fasting blood-glucose levels above which
level?
1. 120
2. 80
3. 200
4. 50 - Answer 3. 200
The nurse is administering a dose of rapid-acting insulin at 0800 to an insulin-dependent pediatric client.
Based on when the insulin peaks, when will the client be at greatest risk for a hypoglycemic episode?
1. At about noon
2. Between bedtime and breakfast the next morning
3. Between lunch and dinner
4. Around 0930 - Answer 4. Around 0930
The nurse is planning care for pediatric clients who have diagnoses that impact the endocrine system.
Which changes occurring during the school-age and adolescence have a direct impact on the endocrine
system?
Select all that apply.
1. Puberty
2. Adrenarche
3. Menarche
4. Sexual exploration
Answered Correctly.
A school-age client diagnosed with diabetes insipidus (DI) is admitted to the pediatric unit. Which
laboratory value does the nurse anticipate for this client based on the diagnosis?
1. Hyperglycemia
2. Hypernatremia
3. Hypercalcemia
4. Hypoglycemia - Answer 2. Hypernatremia
A nurse is conducting a daily weight on a pediatric client diagnosed with diabetes insipidus and notes the
child has lost two pounds in 24 hours. Which action by the nurse is the most appropriate?
1. Continue to monitor the child.
2. Notify the healthcare provider regarding the weight loss.
3. Chart the weight and report the loss to the next shift.
4. Do nothing more than chart the weight, as this would be a normal finding. - Answer 2. Notify the
healthcare provider regarding the weight loss.
An adolescent client diagnosed with Graves disease is admitted to the hospital. Which clinical
manifestations would the nurse expect on assessment?
1. Weight gain, hirsutism, and muscle weakness
2. Dehydration, metabolic acidosis, and hypertension
3. Tachycardia, fatigue, and heat intolerance
4. Hyperglycemia, ketonuria, and glucosuria - Answer 3. Tachycardia, fatigue, and heat intolerance
A pediatric client is admitted to the hospital unconscious. The client has a history of type 1 diabetes, and
according to the clients mother, has been to two birthday parties in the last few days and has resisted
,taking the prescribed insulin. At school the client had two more pieces of birthday cake and some ice
cream at a class birthday party. What is the likely reason for this clients unconscious state?
1. Metabolic alkalosis
2. Metabolic ketoacidosis
3. Insulin shock
4. Insulin reaction - Answer 2. Metabolic ketoacidosis
A pediatric client is diagnosed with type 1 diabetes. The nurse teaches the client the difference between
insulin shock and diabetic hyperglycemia. The nurse evaluates that the client understands the teaching
when the client states which characteristics of diabetic hyperglycemia?
1. Tremors and lethargy
2. Hunger and hypertension
3. Thirst and flushed skin
4. Shakiness and pallor - Answer 3. Thirst and flushed skin
The nurse is providing education to a pediatric client diagnosed with diabetes. The client will be playing
soccer over the summer. Which change in the clients management will the nurse explore during this
education session?
1. Increased food intake
2. Decreased food intake
3. Increased need for insulin
4. Decreased risk of insulin reaction - Answer 1. Increased food intake
The nurse is teaching the parent of a type 1 diabetic preschool-age client about management of the
disease. Which teaching point is appropriate for the nurse to include in this session?
1. Allowing the client to administer all the insulin injections
2. Allowing the client to choose which finger to stick for glucose testing
, 3. Allowing the client to draw up the insulin dose
4. Allowing the client to test blood glucose - Answer 2. Allowing the client to choose which finger to
stick for glucose testing
A pediatric client is seen in the clinic with a possible diagnosis of type 2 diabetes. The mother asks what
the healthcare provider uses to make the diagnosis. The nurse explains that type 2 diabetes is suspected
if the child has obesity, acanthosis nigricans, and two non-fasting blood-glucose levels above which
level?
1. 120
2. 80
3. 200
4. 50 - Answer 3. 200
The nurse is administering a dose of rapid-acting insulin at 0800 to an insulin-dependent pediatric client.
Based on when the insulin peaks, when will the client be at greatest risk for a hypoglycemic episode?
1. At about noon
2. Between bedtime and breakfast the next morning
3. Between lunch and dinner
4. Around 0930 - Answer 4. Around 0930
The nurse is planning care for pediatric clients who have diagnoses that impact the endocrine system.
Which changes occurring during the school-age and adolescence have a direct impact on the endocrine
system?
Select all that apply.
1. Puberty
2. Adrenarche
3. Menarche
4. Sexual exploration
