NR 328 CMS Exam: Practice Questions& Answers
Causes of growth hormone deficiency - ANSWER:Tumors
Pituitary gland abnormalities
Head trauma
Genetic abnormalities
The pituitary gland is part of the endocrine system and is controlled by signals from the_________. The
anterior gland secretes growth hormones. - ANSWER:hypothalamus
Children with insufficient growth hormone may present with: - ANSWER:short stature
low growth velocity for age
increased abdominal fat
delayed tooth development
delayed onset of puberty
elevated LDL cholesterol levels
Children with growth hormone deficiency often have normal growth during the first year of life. As they
age, they present as short in stature and are often __________ for their height. - ANSWER:overweight
The nurse is caring for a pediatric client who was diagnosed with growth hormone deficiency and is
beginning growth hormone therapy. Which statement by the parent indicates further education is
needed? - ANSWER:"Growth hormone treatment will help my child reach an adult height."
Children receiving growth hormone therapy will likely experience the most growth during the ______
year of treatment, but they will still grow at a slower rate than other children. - ANSWER:first
Growth hormone is administered subcutaneously in the arm, thigh, or abdomen at _________ because
that aligns with the physiological release of growth hormone within 45-90 minutes after the onset of
sleep. - ANSWER:bedtime
Which is the best statement by the nurse when explaining an MRI procedure to a child? - ANSWER:"You
will have a special drink that makes you tired and then we will take some pictures."
*special drink=medicine*
*makes you tired= puts you to sleep*
findings that are consistent with familial short stature and hypothyroidism - ANSWER:height at 2nd
percentile
delayed growth
, findings consistent with growth hormone deficiency - ANSWER:Delayed loss of baby teeth
Height at 2nd percentile
High low-density lipoprotein (LDL) cholesterol
Delayed growth
Clients with diabetes mellitus type __ have decreased or lack insulin secretions and require insulin to
lower their blood glucose levels to the normal range - ANSWER:1
Clients with diabetes mellitus type __ have defective insulin receptors and may be able to manage their
blood glucose levels by diet, exercise, or oral hypoglycemic agents. - ANSWER:2
The nurse is providing education for the family of a pediatric client recently diagnosed with diabetes
mellitus type 1. Which are important teaching points for the nurse to include? - ANSWER:Medication
management
Signs/symptoms of hypoglycemia
Diet management
Blood glucose monitoring
Signs/symptoms of hyperglycemia
CM of type 1 diabetes - ANSWER:Fruity Smelling Breath
Fatigue
Frequent Urination (polyuria)
Extreme Hunger (polyphagia)
Increased Thirst (polydipsia)
CM of type 2 diabetes - ANSWER:Darkened areas of skin
Fatigue
Increased Thirst (polydipsia)
Frequent Urination (polyuria)
Normal Hemoglobin A1C level - ANSWER:less than 6.5%
*anything higher indicates diabetes*
symptoms of hypoglycemia - ANSWER:tachycardia/tremors
sweating
pallor
irritability
Causes of growth hormone deficiency - ANSWER:Tumors
Pituitary gland abnormalities
Head trauma
Genetic abnormalities
The pituitary gland is part of the endocrine system and is controlled by signals from the_________. The
anterior gland secretes growth hormones. - ANSWER:hypothalamus
Children with insufficient growth hormone may present with: - ANSWER:short stature
low growth velocity for age
increased abdominal fat
delayed tooth development
delayed onset of puberty
elevated LDL cholesterol levels
Children with growth hormone deficiency often have normal growth during the first year of life. As they
age, they present as short in stature and are often __________ for their height. - ANSWER:overweight
The nurse is caring for a pediatric client who was diagnosed with growth hormone deficiency and is
beginning growth hormone therapy. Which statement by the parent indicates further education is
needed? - ANSWER:"Growth hormone treatment will help my child reach an adult height."
Children receiving growth hormone therapy will likely experience the most growth during the ______
year of treatment, but they will still grow at a slower rate than other children. - ANSWER:first
Growth hormone is administered subcutaneously in the arm, thigh, or abdomen at _________ because
that aligns with the physiological release of growth hormone within 45-90 minutes after the onset of
sleep. - ANSWER:bedtime
Which is the best statement by the nurse when explaining an MRI procedure to a child? - ANSWER:"You
will have a special drink that makes you tired and then we will take some pictures."
*special drink=medicine*
*makes you tired= puts you to sleep*
findings that are consistent with familial short stature and hypothyroidism - ANSWER:height at 2nd
percentile
delayed growth
, findings consistent with growth hormone deficiency - ANSWER:Delayed loss of baby teeth
Height at 2nd percentile
High low-density lipoprotein (LDL) cholesterol
Delayed growth
Clients with diabetes mellitus type __ have decreased or lack insulin secretions and require insulin to
lower their blood glucose levels to the normal range - ANSWER:1
Clients with diabetes mellitus type __ have defective insulin receptors and may be able to manage their
blood glucose levels by diet, exercise, or oral hypoglycemic agents. - ANSWER:2
The nurse is providing education for the family of a pediatric client recently diagnosed with diabetes
mellitus type 1. Which are important teaching points for the nurse to include? - ANSWER:Medication
management
Signs/symptoms of hypoglycemia
Diet management
Blood glucose monitoring
Signs/symptoms of hyperglycemia
CM of type 1 diabetes - ANSWER:Fruity Smelling Breath
Fatigue
Frequent Urination (polyuria)
Extreme Hunger (polyphagia)
Increased Thirst (polydipsia)
CM of type 2 diabetes - ANSWER:Darkened areas of skin
Fatigue
Increased Thirst (polydipsia)
Frequent Urination (polyuria)
Normal Hemoglobin A1C level - ANSWER:less than 6.5%
*anything higher indicates diabetes*
symptoms of hypoglycemia - ANSWER:tachycardia/tremors
sweating
pallor
irritability
