The nurse is caring for the pediatric client with hyperthyroidism. Which intervention would the nurse plan to include in the child’s plan of care?

The nurse is caring for the older adolescent diagnosed with acromegaly. Which medication should the nurse plan to administer?

The teenage client has been given education regarding goals of GH for treatment of hypopituitarism. The nurse determines that the client has adequate understanding of the treatment goals when making which statement?

The nurse is caring for an infant hospitalized with congenital adrenal hypoplasia. Which problem is the nurse’s priority?

Glucocorticoids are prescribed for the child diagnosed with congenital adrenal hyperplasia. Which nursing assessment finding indicates that therapy is successful?

The nurse is reviewing the plan of care for the child hospitalized with congenital adrenal hyperplasia. Which intervention is the nurse’s priority?

The nurse teaches the parents of the child diagnosed with Addison’s disease signs of addisonian crisis. Which sign identified by the parents indicates that further teaching is needed?

The adolescent is hospitalized with a tentative diagnosis of Addison’s disease. Which nursing assessment findings would support the diagnosis of Addison’s disease?

The nurse is providing teaching to the parents who have a child newly diagnosed with hypoparathy- roidism. Which instruction should the nurse include?

The nurse is educating the parents of the school-aged child newly diagnosed with hyperthyroidism. Until the disease is under control, which instruction should be included in the education provided by the nurse?

The nurse observes the NA caring for the child newly diagnosed with hyperthyroidism. Which action by the NA requires the nurse to intervene?

The infant, diagnosed with hypothyroidism, is prescribed levothyroxine sodium. Which independent nursing intervention would assist the nurse in evaluating the effectiveness of levothyroxine sodium?

The adolescent client is taught how to use a continuous subcutaneous insulin infusion pump for tight glucose control of type 1 DM. Which statement by the client indicates the need for additional teaching?

The mother of the lZ-year—old with type 1 DM asks the nurse whether changes in the daily routine are needed during her child’s 4-week attendance at summer camp. Which is the best response by the nurse?

The child with type 1 DM presents in the school nurse’s office an hour before the lunch period reporting disorientation. Which information is most important for the nurse to obtain?

The nurse is evaluating the long-term success of a child’s control of type 1 DM. Which laboratory test results should the nurse monitor?

The nurse is explaining the reason for counting the child’s grams of carbohydrate intake to the mother of the child who has type 1 DM. Which statement is most accurate?

The parent of the overweight l2-year-old is diagnosed with type 2 DM. The child, who is at risk for developing type 2 DM, is prescribed metformin. What should be the nurse’s understanding of the use of metformin in high-risk children?

The nurse is assessing the 3-year-old child. Which finding would alert the nurse to further explore for signs of hypopituitarism?

The nurse is interviewing the parents of the 3-year- old newly diagnosed with hypothyroidism. Which question is most important for the nurse to ask?

The nurse is assessing the 4-year-old child diagnosed with precocious puberty. Which physical assessment findings should the nurse expect?

The 5-year-old with type 1 DM develops hypo- glycemia during a preschool class. Which simple carbohydrate should the nurse give now?

The 6-year—old child is diagnosed with pheochromocytoma. Which assessment finding should lead the nurse to conclude that this child is in crisis?

The parents of the 7-year—old child with type 1 DM are planning to drive 1200 miles for a vacation at the beach. They question the nurse about insulin storage for the trip. Which response by the nurse is most accurate?

The 9-year-old child with a history of type 1 DM for the past 6 years is diagnosed with DKA and will soon be arriving at the hospital. Which intervention should the nurse plan to initiate upon the child’s arrival?

The parents and their 9-year-old child with type 1 DM have been given instructions about diabetes. Which statement, if made by the child, best indicates to the nurse that the client understood the teaching?

The 10-year-old child is undergoing testing to diagnose possible Cushing’s syndrome. The nurse should plan to prepare the child and parents for which initial tests?

The 10-year-old is scheduled for a CT of the abdomen to identify a possible cause of acute adrenocortical insufficiency. Which HCP prescription would require clarification before it is implemented by the nurse?

The 10-year-old with precocious puberty is being teased by classmates. Which approach should the school nurse use to assist the child in communicating with peers?

The 10-year—old child with a 6-year history of type 1 DM has been seen in a clinic for enuresis over the past 2 weeks. Which conclusion by the nurse regarding the likely cause of the enuresis is correct?

The 12-month-old had normal height and weight at birth. The child is now below the third percentile in height and weight. Which conclusion by the nurse is correct?

The 12-year-old being treated for GH deficiency is angry and refusing to go to school because everyone the same age is taller. The child is belligerent toward the mother, who gives the daily GH injection. Which initial intervention should be attempted by the nurse?

The child’s parents inform the nurse about how they care for their 12-year—old child with type 1 DM, including sick day management, treating hyper- glycemia, and managing ketosis- In which situation might the parents be able to safely manage the child’s care at home?

The new nurse is providing teaching to the 12-year-old who is experiencing exophthalmia. Which instruction demonstrates to the supervising nurse that the new nurse lacks understanding of current practices?

The nurse is assessing recent Hgb A,C values for the 12-year-old client. The most recent value is 8.9%, and the last three blood glucose results for the past 24 hours are 110 mg/dL, 138 mg/dL, and 130 mg/dL. What is the nurse’s best interpretation of these values?

The nurse is caring for the 14-year-old child with Addison’s disease. Which is an associated problem that the nurse should address?