Test Bank for Leifer's Introduction to
Maternity and Pediatric Nursing in Canada 1st
Edition by Leifer
Chapters 31-33
,Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. A mother reports that her 6-month-old infant is lethargic, sleeps 18 hours a day, and
snores. The nurse recognizes these signs are characteristic of which condition?
a. Hypothyroidism
b. Hyperthyroidism
c. Type 1 diabetes mellitus
d. Tay-Sachs disease
ANS: A
The infant with hypothyroidism will appear sluggish, and the tongue will be enlarged,
causing noisy respiration.
DIF: Cognitive Level: Analysis REF: 725 OBJ: 3
TOP: Hypothyroidism KEY: Nursing Process Step: Data
Collection
2. What is an important consideration for a school-age child taking DDAVP for diabetes
insipidus?
a. Observe for signs of water deprivation.
b. Restrict the child’s physical education program.
c. Arrange for the child to use the bathroom when needed.
d. Limit fluid intake other than during the lunch period.
ANS: C
The child with diabetes insipidus needs liberal access to bathrooms and water
fountains. Arrangements may have to be made with the school to allow access.
DIF: Cognitive Level: Application REF: 727 OBJ: 4
TOP: Diabetes Insipidus KEY: Nursing Process Step:
, Implementation
3. What condition does a nurse suspect when a child with type 1 diabetes mellitus has
hyperglycemia, diaphoresis, and headaches in the morning?
a. Dawn phenomenon
b. Somogyi phenomenon
c. Honeymoon effect
d. Ketoacidosis
ANS: B
The Somogyi phenomenon (rebound hyperglycemia) occurs when the blood glucose
level is lowered to the point at which the body’s counter-regulatory hormones are
released, producing the symptoms described.
DIF: Cognitive Level: Analysis REF: 735 OBJ: 11
TOP: Somogyi Phenomenon KEY: Nursing Process Step: Data Collection
4. What would be the most appropriate nursing response to a woman who says, “My sister
had a child with Tay-Sachs disease, and I want to know if I could have a child with this
condition”?
a. “The disease is rare. It is unlikely that you would have a child with Tay-Sachs
disease.”
b. “A screening test can be done to determine if you are a carrier of the gene.”
c. “The gene for Tay-Sachs disease is transmitted by the father.”
d. “The cause of Tay-Sachs disease is thought to be an autoimmune response to a
virus.”
ANS: B
Carriers can be identified by screening tests. Tay-Sachs disease has an autosomal
recessive pattern of transmission.
DIF: Cognitive Level: Comprehension REF: 724 OBJ: 2
TOP: Tay-Sachs Disease KEY: Nursing Process Step:
Implementation
5. A nurse is preparing to administer a long-acting insulin. Which insulin is considered long
, acting?
a. Lispro
b. Aspart
c. Glargine
d. Regular
ANS: C
Insulin glargine is a long-acting insulin. Regular is short acting. Lispro and Aspart are
rapid acting.
DIF: Cognitive Level: Knowledge REF: 733 OBJ: 9
TOP: Insulin KEY: Nursing Process Step: Implementation
6. After a closed head injury, an unconscious 10-year-old child begins to excrete copious
amounts of pale urine along with a drop in blood pressure (BP). Based on these
symptoms, what does a nurse suspect has developed?
a. Diabetes insipidus
b. Diabetes mellitus
c. Hypothyroidism
d. Hyperthyroidism
ANS: A
Diabetes insipidus can be acquired as the result of a head injury or tumour, and
suppression of the posterior pituitary causes copious urine output along with a drop in
BP. The child can become dehydrated very quickly if some remedy is not applied.
DIF: Cognitive Level: Analysis REF: 726 OBJ: 4
TOP: Diabetes Insipidus KEY: Nursing Process Step: Data
Collection
7. A nurse is planning to teach a family about Tay-Sachs disease. What will the nurse relay
about the pattern of inheritance for inborn errors of metabolism?
a. They are usually autosomal recessive.
b. They are usually autosomal dominant.
c. They are usually X-linked recessive.
d. They are usually multifactorial.
Maternity and Pediatric Nursing in Canada 1st
Edition by Leifer
Chapters 31-33
,Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. A mother reports that her 6-month-old infant is lethargic, sleeps 18 hours a day, and
snores. The nurse recognizes these signs are characteristic of which condition?
a. Hypothyroidism
b. Hyperthyroidism
c. Type 1 diabetes mellitus
d. Tay-Sachs disease
ANS: A
The infant with hypothyroidism will appear sluggish, and the tongue will be enlarged,
causing noisy respiration.
DIF: Cognitive Level: Analysis REF: 725 OBJ: 3
TOP: Hypothyroidism KEY: Nursing Process Step: Data
Collection
2. What is an important consideration for a school-age child taking DDAVP for diabetes
insipidus?
a. Observe for signs of water deprivation.
b. Restrict the child’s physical education program.
c. Arrange for the child to use the bathroom when needed.
d. Limit fluid intake other than during the lunch period.
ANS: C
The child with diabetes insipidus needs liberal access to bathrooms and water
fountains. Arrangements may have to be made with the school to allow access.
DIF: Cognitive Level: Application REF: 727 OBJ: 4
TOP: Diabetes Insipidus KEY: Nursing Process Step:
, Implementation
3. What condition does a nurse suspect when a child with type 1 diabetes mellitus has
hyperglycemia, diaphoresis, and headaches in the morning?
a. Dawn phenomenon
b. Somogyi phenomenon
c. Honeymoon effect
d. Ketoacidosis
ANS: B
The Somogyi phenomenon (rebound hyperglycemia) occurs when the blood glucose
level is lowered to the point at which the body’s counter-regulatory hormones are
released, producing the symptoms described.
DIF: Cognitive Level: Analysis REF: 735 OBJ: 11
TOP: Somogyi Phenomenon KEY: Nursing Process Step: Data Collection
4. What would be the most appropriate nursing response to a woman who says, “My sister
had a child with Tay-Sachs disease, and I want to know if I could have a child with this
condition”?
a. “The disease is rare. It is unlikely that you would have a child with Tay-Sachs
disease.”
b. “A screening test can be done to determine if you are a carrier of the gene.”
c. “The gene for Tay-Sachs disease is transmitted by the father.”
d. “The cause of Tay-Sachs disease is thought to be an autoimmune response to a
virus.”
ANS: B
Carriers can be identified by screening tests. Tay-Sachs disease has an autosomal
recessive pattern of transmission.
DIF: Cognitive Level: Comprehension REF: 724 OBJ: 2
TOP: Tay-Sachs Disease KEY: Nursing Process Step:
Implementation
5. A nurse is preparing to administer a long-acting insulin. Which insulin is considered long
, acting?
a. Lispro
b. Aspart
c. Glargine
d. Regular
ANS: C
Insulin glargine is a long-acting insulin. Regular is short acting. Lispro and Aspart are
rapid acting.
DIF: Cognitive Level: Knowledge REF: 733 OBJ: 9
TOP: Insulin KEY: Nursing Process Step: Implementation
6. After a closed head injury, an unconscious 10-year-old child begins to excrete copious
amounts of pale urine along with a drop in blood pressure (BP). Based on these
symptoms, what does a nurse suspect has developed?
a. Diabetes insipidus
b. Diabetes mellitus
c. Hypothyroidism
d. Hyperthyroidism
ANS: A
Diabetes insipidus can be acquired as the result of a head injury or tumour, and
suppression of the posterior pituitary causes copious urine output along with a drop in
BP. The child can become dehydrated very quickly if some remedy is not applied.
DIF: Cognitive Level: Analysis REF: 726 OBJ: 4
TOP: Diabetes Insipidus KEY: Nursing Process Step: Data
Collection
7. A nurse is planning to teach a family about Tay-Sachs disease. What will the nurse relay
about the pattern of inheritance for inborn errors of metabolism?
a. They are usually autosomal recessive.
b. They are usually autosomal dominant.
c. They are usually X-linked recessive.
d. They are usually multifactorial.
