Exam 3: Endocrine Dysfunction NCLEX Questions
with correct answers
b Correct Answer-A father calls the pediatrician's office concerned about
his 5 year old type 1 diabetic child who has been ill. He reports that
upon checking the child's urine, it was positive for ketones. What is the
nurse's best response to the father?
a. "come to the office immediately"
b. "encourage the child to drink calorie-free liquids"
c. "hold the next dose of insulin"
d. "administer an extra dose of insulin now"
c Correct Answer-A nurse working on a pediatric unit is assigned to an
infant with hypothyroidism. She knows that the assessment may include:
a. thyroid function test that are usually normal, although TSH levels may
be slightly or moderately elevated
b. increased secretion of pituitary TSH in response to decreased
circulating levels of TH or from infiltrative neoplastic or inflammatory
processes
c. dry skin, puffiness around the eyes, sparse hair, constipation,
sleepiness, lethargy, and mental decline
d. clinical features, including irritability, hyperactivity, short attention
span, tremors, insomnia, and emotional lability
,b Correct Answer-You are working in the ED, and a 10 year old child
with type 1 DM has just been admitted. He has been diagnosed with
diabetic ketoacidosis. Which assessment data will you expect to note in
this child?
a. shallow or normal respirations, hypertension, and tachycardia
b. fruity breath odor and decreasing levels of consciousness
c. headache, hunger, and excessive irritability
d. normal urine output with specific gravity less than 1.020 and a trace
of ketones
a Correct Answer-What statement best describes hypopituitarism?
a. Skeletal proportions are normal for age.
b. Weight is usually more retarded than height.
c. Growth is normal during the first 3 years of life.
d. Most of these children have subnormal intelligence.
c Correct Answer-What would the nurse include when discussing a
child's precocious puberty with the parents?
a. The child is not yet fertile.
b. Heterosexual interest is usually advanced.
c. Dress and activities should be appropriate to chronologic age.
,d. Appearance of secondary sexual characteristics does not proceed in
the usual order.
b Correct Answer-A 13-year-old girl is brought to the clinic with the
complaint of insomnia and hyperactivity. Other symptoms include
gradual weight loss despite a good appetite; warm, flushed, and moist
skin; and unusually fine hair. What are these assessment findings
suggestive of for this child?
a. Hypothyroidism
b. Hyperthyroidism
c. Hypoparathyroidism
d. Hyperparathyroidism
a Correct Answer-What statement best describes Cushing syndrome?
a. It is caused by excessive production of cortisol.
b. Treatment involves replacement of cortisol.
c. The major clinical features are exophthalmia and pigmentary changes.
d. The diagnosis is suspected with findings of hypotension,
hyperkalemia, and polyuria.
c Correct Answer-The parent of a 10-year-old child with diabetes asks
the nurse why home blood glucose monitoring is being recommended.
What is the basis for the nurse's explanation?
, a. It is an easier method of testing.
b. Parents are better able to manage the diabetes.
c. Children have a greater sense of control over the diabetes.
d. Fewer visits to the primary care provider will be necessary.
c Correct Answer-A school-age child recently diagnosed with type 1
diabetes mellitus asks the nurse if he can still play soccer, play baseball,
and swim. What is the basis of knowledge for the response by the nurse?
a. Exercise is contraindicated.
b. The level of activity depends on the type of insulin required.
c. Exercise is not restricted unless indicated by other health conditions.
d. Soccer and baseball are too strenuous, but swimming is acceptable.
c Correct Answer-When a child develops diabetic ketoacidosis, what is
this considered by the nurse?
a. Expected outcome
b. Best treated at home
c. A life-threatening situation
d. Best treated at practitioner's office or clinic
with correct answers
b Correct Answer-A father calls the pediatrician's office concerned about
his 5 year old type 1 diabetic child who has been ill. He reports that
upon checking the child's urine, it was positive for ketones. What is the
nurse's best response to the father?
a. "come to the office immediately"
b. "encourage the child to drink calorie-free liquids"
c. "hold the next dose of insulin"
d. "administer an extra dose of insulin now"
c Correct Answer-A nurse working on a pediatric unit is assigned to an
infant with hypothyroidism. She knows that the assessment may include:
a. thyroid function test that are usually normal, although TSH levels may
be slightly or moderately elevated
b. increased secretion of pituitary TSH in response to decreased
circulating levels of TH or from infiltrative neoplastic or inflammatory
processes
c. dry skin, puffiness around the eyes, sparse hair, constipation,
sleepiness, lethargy, and mental decline
d. clinical features, including irritability, hyperactivity, short attention
span, tremors, insomnia, and emotional lability
,b Correct Answer-You are working in the ED, and a 10 year old child
with type 1 DM has just been admitted. He has been diagnosed with
diabetic ketoacidosis. Which assessment data will you expect to note in
this child?
a. shallow or normal respirations, hypertension, and tachycardia
b. fruity breath odor and decreasing levels of consciousness
c. headache, hunger, and excessive irritability
d. normal urine output with specific gravity less than 1.020 and a trace
of ketones
a Correct Answer-What statement best describes hypopituitarism?
a. Skeletal proportions are normal for age.
b. Weight is usually more retarded than height.
c. Growth is normal during the first 3 years of life.
d. Most of these children have subnormal intelligence.
c Correct Answer-What would the nurse include when discussing a
child's precocious puberty with the parents?
a. The child is not yet fertile.
b. Heterosexual interest is usually advanced.
c. Dress and activities should be appropriate to chronologic age.
,d. Appearance of secondary sexual characteristics does not proceed in
the usual order.
b Correct Answer-A 13-year-old girl is brought to the clinic with the
complaint of insomnia and hyperactivity. Other symptoms include
gradual weight loss despite a good appetite; warm, flushed, and moist
skin; and unusually fine hair. What are these assessment findings
suggestive of for this child?
a. Hypothyroidism
b. Hyperthyroidism
c. Hypoparathyroidism
d. Hyperparathyroidism
a Correct Answer-What statement best describes Cushing syndrome?
a. It is caused by excessive production of cortisol.
b. Treatment involves replacement of cortisol.
c. The major clinical features are exophthalmia and pigmentary changes.
d. The diagnosis is suspected with findings of hypotension,
hyperkalemia, and polyuria.
c Correct Answer-The parent of a 10-year-old child with diabetes asks
the nurse why home blood glucose monitoring is being recommended.
What is the basis for the nurse's explanation?
, a. It is an easier method of testing.
b. Parents are better able to manage the diabetes.
c. Children have a greater sense of control over the diabetes.
d. Fewer visits to the primary care provider will be necessary.
c Correct Answer-A school-age child recently diagnosed with type 1
diabetes mellitus asks the nurse if he can still play soccer, play baseball,
and swim. What is the basis of knowledge for the response by the nurse?
a. Exercise is contraindicated.
b. The level of activity depends on the type of insulin required.
c. Exercise is not restricted unless indicated by other health conditions.
d. Soccer and baseball are too strenuous, but swimming is acceptable.
c Correct Answer-When a child develops diabetic ketoacidosis, what is
this considered by the nurse?
a. Expected outcome
b. Best treated at home
c. A life-threatening situation
d. Best treated at practitioner's office or clinic
