NURS 345 Final Exam Review
Questions and Answers
This nontraditional therapy is used in place of conventional medicine - ANSWER-
alternative therapy
This parasite will present with complaints of intense itching between the fingers and
the axillae with a reddened linear/macular rash - ANSWER-scabies
This tick borne illness often presents with a bullseye type rash - ANSWER-lymes
disease
Children with this type of heart defect have elevated hemoglobin levels - ANSWER-
cyanotic defect
This age group strives for autonomy per Erikson's development - ANSWER-toddler
This nontraditional therapy is used along with conventional medicine - ANSWER-
complementary therapy
Explain hypopituitarism. - ANSWER-Hypopituitarism is the deficient secretion of
pituitary hormones. This inhibits somatic growth and development of secondary sex
characteristics.
What are the consequences of hypopituitarism? - ANSWER-Consequences depend
on the degree of dysfunction. They can include gonadotropin deficiency, growth
hormone (GH) deficiency, thyroid-stimulating hormone (TSH) deficiency, &
corticotropin deficiency.
What is included in the diagnostic evaluation
of growth hormone deficiency? - ANSWER-▶ Family history
▶ Growth patterns and previous health status
▶ Physical examination
▶ Psychosocial evaluations
▶ Radiographic survey
▶ Endocrine studies
What is the therapeutic management
of growth hormone deficiency? - ANSWER-Treatment is directed toward correction
of the
underlying disease process. Replacement with GH is successful in 80% of affected
children. Therapy is ended when growth rates are less than 1 inch per year.
▶ Girls: at 14 years of age
▶ Boys: at 16 years of age
, What is precocious puberty? - ANSWER-Defined as sexual development before age
9 years in boys or before age 8 years in girls.
Evaluation for pathologic cause is required in white girls younger than 7 years and
African American girls younger than 6 years.
Potential causes include disorder of gonads, adrenal glands, or hypothalamic-
pituitary gonadal axis; 95% are idiopathic.
Explain central precocious puberty (CPP). - ANSWER-Early maturation and
development of gonads and secondary sex characteristics. Accounts for 80% of
cases of precocious puberty.
Explain peripheral precocious puberty. - ANSWER-Premature development of
breasts, pubic and axillary hair, and menses
What is the therapeutic management
of precocious puberty? - ANSWER-Treatment of specific cause if known.
May be treated with leuprolide (Lupron): Slows prepubertal growth to normal rates;
Treatment is discontinued at age when normal pubertal changes are expected to
resume.
Psychological support for child and family.
You are teaching parents about how to prevent insect bites as part of your client
education. What should you include in the teaching? (Select all that apply)
A) Wear perfume or other fragrances when outside
B) Avoid areas of tall grass
C) Wear bright colored clothing when possible
D) Apply insect repellent as directed on the label
E) Inspect house pets regularly - ANSWER-Avoid areas of tall grass,
Apply insect repellent as directed on the label,
Inspect house pets regularly
A mother brings her 4 year old from a popular day care for an itchy rash that is
between his fingers and on his head. Upon further inspection, you notice thin, pencil-
like marks on his skin. You anticipate what skin manifestation is presented?
A) Tinea corporis
B) Pediculosis capitis (Head lice)
C) Cellulitis
D) Sarcoptes scabiei (Scabies mite) - ANSWER-Sarcoptes scabiei (Scabies mite)
The nurse understands that diabetes is more difficult to manage in children because
of: (Select all that apply)
A) Developmental conflicts
B) Increased exposure to infections at school
C) Rapid growth or growth spurts during puberty
D) Level of activity in sports (energy expenditure)
E) Emotional stress - ANSWER-All of the above
The nurse is suspecting this child of having diabetes insipidus. Which symptoms are
indicative of diabetes insipidus? (Select all that apply)
A) Vaginal yeast infection
Questions and Answers
This nontraditional therapy is used in place of conventional medicine - ANSWER-
alternative therapy
This parasite will present with complaints of intense itching between the fingers and
the axillae with a reddened linear/macular rash - ANSWER-scabies
This tick borne illness often presents with a bullseye type rash - ANSWER-lymes
disease
Children with this type of heart defect have elevated hemoglobin levels - ANSWER-
cyanotic defect
This age group strives for autonomy per Erikson's development - ANSWER-toddler
This nontraditional therapy is used along with conventional medicine - ANSWER-
complementary therapy
Explain hypopituitarism. - ANSWER-Hypopituitarism is the deficient secretion of
pituitary hormones. This inhibits somatic growth and development of secondary sex
characteristics.
What are the consequences of hypopituitarism? - ANSWER-Consequences depend
on the degree of dysfunction. They can include gonadotropin deficiency, growth
hormone (GH) deficiency, thyroid-stimulating hormone (TSH) deficiency, &
corticotropin deficiency.
What is included in the diagnostic evaluation
of growth hormone deficiency? - ANSWER-▶ Family history
▶ Growth patterns and previous health status
▶ Physical examination
▶ Psychosocial evaluations
▶ Radiographic survey
▶ Endocrine studies
What is the therapeutic management
of growth hormone deficiency? - ANSWER-Treatment is directed toward correction
of the
underlying disease process. Replacement with GH is successful in 80% of affected
children. Therapy is ended when growth rates are less than 1 inch per year.
▶ Girls: at 14 years of age
▶ Boys: at 16 years of age
, What is precocious puberty? - ANSWER-Defined as sexual development before age
9 years in boys or before age 8 years in girls.
Evaluation for pathologic cause is required in white girls younger than 7 years and
African American girls younger than 6 years.
Potential causes include disorder of gonads, adrenal glands, or hypothalamic-
pituitary gonadal axis; 95% are idiopathic.
Explain central precocious puberty (CPP). - ANSWER-Early maturation and
development of gonads and secondary sex characteristics. Accounts for 80% of
cases of precocious puberty.
Explain peripheral precocious puberty. - ANSWER-Premature development of
breasts, pubic and axillary hair, and menses
What is the therapeutic management
of precocious puberty? - ANSWER-Treatment of specific cause if known.
May be treated with leuprolide (Lupron): Slows prepubertal growth to normal rates;
Treatment is discontinued at age when normal pubertal changes are expected to
resume.
Psychological support for child and family.
You are teaching parents about how to prevent insect bites as part of your client
education. What should you include in the teaching? (Select all that apply)
A) Wear perfume or other fragrances when outside
B) Avoid areas of tall grass
C) Wear bright colored clothing when possible
D) Apply insect repellent as directed on the label
E) Inspect house pets regularly - ANSWER-Avoid areas of tall grass,
Apply insect repellent as directed on the label,
Inspect house pets regularly
A mother brings her 4 year old from a popular day care for an itchy rash that is
between his fingers and on his head. Upon further inspection, you notice thin, pencil-
like marks on his skin. You anticipate what skin manifestation is presented?
A) Tinea corporis
B) Pediculosis capitis (Head lice)
C) Cellulitis
D) Sarcoptes scabiei (Scabies mite) - ANSWER-Sarcoptes scabiei (Scabies mite)
The nurse understands that diabetes is more difficult to manage in children because
of: (Select all that apply)
A) Developmental conflicts
B) Increased exposure to infections at school
C) Rapid growth or growth spurts during puberty
D) Level of activity in sports (energy expenditure)
E) Emotional stress - ANSWER-All of the above
The nurse is suspecting this child of having diabetes insipidus. Which symptoms are
indicative of diabetes insipidus? (Select all that apply)
A) Vaginal yeast infection
