NURS 3444 Exam 5 UPDATED ACTUAL
Exam Questions and CORRECT Answers
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 - CORRECT 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. - CORRECT
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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.
Exam Questions and CORRECT Answers
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 - CORRECT 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. - CORRECT
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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.
