Chapter 47: Endocrine Dysfunction NCLEX questions
with correct answers
Which statement best describes hypopituitarism?
a. Growth is normal during the first 3 years of life.
b. Weight is usually more retarded than height.
c. Skeletal proportions are normal for age.
d. Most of these children have subnormal intelligence. Correct Answer-
C
(In children with hypopituitarism, the skeletal proportions are normal.
Growth is within normal limits for the first year of life. Height is usually
more delayed than weight. Intelligence is not affected by
hypopituitarism.)
A child with growth hormone (GH) deficiency is receiving GH therapy.
The best time for the GH to be administered is:
a. At bedtime.
b. After meals.
c. Before meals.
d. On arising in the morning. Correct Answer-A
(Injections are best given at bedtime to more closely approximate the
physiologic release of GH. Before or after meals and on arising in the
,morning are times that do not mimic the physiologic release of the
hormone.)
What is the priority nursing goal for a 14-year-old with Graves' disease?
a. Relieving constipation
b. Allowing the adolescent to make decisions about whether or not to
take medication
c. Verbalizing the importance of adherence to the medication regimen
d. Developing alternative educational goals Correct Answer-C
(In order to adhere to the medication schedule, children need to
understand that the medication must be taken two or three times per day.
The adolescent with Graves' disease is not likely to be constipated.
Adherence to the medication schedule is important to ensure optimal
health and wellness. Medications should not be skipped and dose
regimens should not be tapered by the child without consultation with
the child's medical provider. The management of Graves' disease does
not interfere with school attendance and does not require alternative
educational plans.)
At what age is sexual development in boys and girls considered to be
precocious?
a. Boys, 11 years; girls, 9 years
b. Boys, 12 years; girls, 10 years
, c. Boys, 9 years; girls, 8 years
d. Boys, 10 years; girls, 9.5 years Correct Answer-C
(Manifestations of sexual development before age 9 in boys and age 8 in
girls are considered precocious and should be investigated. Boys older
than 9 years of age and girls older than 8 years of age fall within the
expected range of pubertal onset.)
A child will start treatment for precocious puberty. This involves
injections of synthetic:
a. Thyrotropin.
b. Gonadotropins.
c. Somatotropic hormone.
d. Luteinizing hormone-releasing hormone. Correct Answer-D
(Precocious puberty of central origin is treated with monthly
subcutaneous injections of luteinizing hormone-releasing hormone.
Thyrotropin, gonadotropin, and somatotropic hormone are not
appropriate therapies for precocious puberty.)
Diabetes insipidus is a disorder of the:
a. Anterior pituitary.
b. Posterior pituitary.
with correct answers
Which statement best describes hypopituitarism?
a. Growth is normal during the first 3 years of life.
b. Weight is usually more retarded than height.
c. Skeletal proportions are normal for age.
d. Most of these children have subnormal intelligence. Correct Answer-
C
(In children with hypopituitarism, the skeletal proportions are normal.
Growth is within normal limits for the first year of life. Height is usually
more delayed than weight. Intelligence is not affected by
hypopituitarism.)
A child with growth hormone (GH) deficiency is receiving GH therapy.
The best time for the GH to be administered is:
a. At bedtime.
b. After meals.
c. Before meals.
d. On arising in the morning. Correct Answer-A
(Injections are best given at bedtime to more closely approximate the
physiologic release of GH. Before or after meals and on arising in the
,morning are times that do not mimic the physiologic release of the
hormone.)
What is the priority nursing goal for a 14-year-old with Graves' disease?
a. Relieving constipation
b. Allowing the adolescent to make decisions about whether or not to
take medication
c. Verbalizing the importance of adherence to the medication regimen
d. Developing alternative educational goals Correct Answer-C
(In order to adhere to the medication schedule, children need to
understand that the medication must be taken two or three times per day.
The adolescent with Graves' disease is not likely to be constipated.
Adherence to the medication schedule is important to ensure optimal
health and wellness. Medications should not be skipped and dose
regimens should not be tapered by the child without consultation with
the child's medical provider. The management of Graves' disease does
not interfere with school attendance and does not require alternative
educational plans.)
At what age is sexual development in boys and girls considered to be
precocious?
a. Boys, 11 years; girls, 9 years
b. Boys, 12 years; girls, 10 years
, c. Boys, 9 years; girls, 8 years
d. Boys, 10 years; girls, 9.5 years Correct Answer-C
(Manifestations of sexual development before age 9 in boys and age 8 in
girls are considered precocious and should be investigated. Boys older
than 9 years of age and girls older than 8 years of age fall within the
expected range of pubertal onset.)
A child will start treatment for precocious puberty. This involves
injections of synthetic:
a. Thyrotropin.
b. Gonadotropins.
c. Somatotropic hormone.
d. Luteinizing hormone-releasing hormone. Correct Answer-D
(Precocious puberty of central origin is treated with monthly
subcutaneous injections of luteinizing hormone-releasing hormone.
Thyrotropin, gonadotropin, and somatotropic hormone are not
appropriate therapies for precocious puberty.)
Diabetes insipidus is a disorder of the:
a. Anterior pituitary.
b. Posterior pituitary.
