Nclex-Rn Practice Questions-Care Of The Child - Endocrine Disorders Part 1
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Question 1 |
When explaining the causes of hypothyroidism to the parents of a newly diagnosed infant, a nurse should recognize that further education is needed when the parents ask which question?
A | “Hypothyroidism can be only temporary, right?” |
B | “Are you saying that hypothyroidism is caused by a problem in the way the thyroid gland develops?” |
C | “Do you mean that hypothyroidism may be caused by a problem in the way the body makes thyroxine?” |
D | “Hypothyroidism can be treated by exposing our baby to a special light, right?” |
Question 2 |
The parents of a child diagnosed with diabetes ask the nurse about maintaining metabolic control during a minor illness with loss of appetite. What is the best response by the nurse?
A | “Decrease the child’s insulin by half the usual dose during the course of the illness.” |
B | “Call your physician to arrange hospitalization.” |
C | “Give increased amounts of clear liquids to prevent dehydration.” |
D | “Substitute calorie-containing liquids for uneaten solid food.” |
Question 3 |
What is the best intervention by a nurse to increase an adolescent’s compliance with treatment for diabetes mellitus?
A | Provide for a special diet in the high school cafeteria. |
B | Clarify the adolescent’s values to promote involvement in care. |
C | Identify energy requirements for participation in sports activities. |
D | Educate the adolescent about long-term consequences of poor metabolic control. |
Question 4 |
The parent of a child with diabetes asks a nurse why blood glucose monitoring is needed. What is the best response by the nurse?
A | “This is an easier method of testing.” |
B | “This is a less expensive method of testing.” |
C | “This allows children the ability to better manage their diabetes.” |
D | “This gives children a greater sense of control over their diabetes.” |
Question 5 |
The nurse is assessing a child recently admitted with diabetes who has developed ketoacidosis. Which statement is the most accurate?
A | This is a normal outcome of diabetes. |
B | This is a life-threatening situation. |
C | This is a situation that can easily be treated at home. |
D | This is a situation best treated in the pediatrician’s office. |
Question 6 |
The nurse is teaching the parents of a child newly diagnosed with diabetes to identify the signs and symptoms of hypoglycemia. Which response by the parents indicates the teaching has been effective?
A | “Irritability, shakiness, hunger, headache, and dizziness are signs to look for.” |
B | “Drowsiness, lethargy, and decreased urine output need to be reported.” |
C | “Abdominal pain, nausea and vomiting, and constipation are the most common findings.” |
D | “We will report immediately any signs of urinary frequency.” |
Question 7 |
A child has experienced symptoms of hypoglycemia and has eaten sugar cubes. The priority intervention by the nurse would be to have the client ingest which of the following?
A | Fruit juices |
B | Six glasses of water |
C | Foods that are high in protein |
D | Complex carbohydrates and protein |
Question 8 |
An adolescent with diabetes tells the community nurse that he has recently started drinking alcohol on the weekends. What is the most appropriate intervention by the nurse?
A | Recommend referral to counseling. |
B | Make the adolescent promise to stop drinking. |
C | Discuss with the adolescent why he has started drinking. |
D | Teach the adolescent about the effects of alcohol on diabetes. |
Question 9 |
When children are more physically active, which change in the management of the child with diabetes should the nurse expect?
A | Increased food intake |
B | Decreased food intake |
C | Decreased risk of insulin shock |
D | Increased risk of hyperglycemia |
Question 10 |
When counseling parents of a neonate with congenital hypothyroidism, the nurse should encourage which behavior?
A | Seeking professional genetic counseling |
B | Retracing the family tree for others born with this condition |
C | Talking to relatives who have gone through a similar experience |
D | Seeking alternative therapies for this condition |
Question 11 |
The nurse is helping an adolescent deal with diabetes. What is the most important factor about the adolescent for the nurse to consider in her approach?
A | Wanting to be an individual |
B | Needing to be like peers |
C | Being preoccupied with future plans |
D | Teaching peers that this is a serious disease |
Question 12 |
A nurse is assessing a child with juvenile hypothyroidism. The nurse documents which assessment finding?
A | Accelerated growth |
B | Diarrhea |
C | Dry skin |
D | Insomnia |
Question 13 |
A nurse should recognize that exophthalmos (protruding eyeballs) may occur in children with which condition?
A | Hypothyroidism |
B | Hyperthyroidism |
C | Hypoparathyroidism |
D | Hyperparathyroidism |
Question 14 |
When teaching parents about signs that indicate levothyroxine (Synthroid) overdose, which comment from a parent indicates the need for further teaching?
A | “Irritability is a sign of overdose.” |
B | “If my baby’s heartbeat is fast, I should count it.” |
C | “If my baby loses weight, I should be concerned.” |
D | “I shouldn’t worry if my baby does not sleep very much.” |
Question 15 |
The nurse is providing instruction to a single parent about administering levothyroxine (Synthroid) to her neonate. What is the most important information for the nurse to provide?
A | The drug has a bitter taste. |
B | The pill shouldn’t be crushed. |
C | Never put the medication in formula or juice. |
D | If a dose is missed, double the dose the next day. |
Question 16 |
An infant with hypothyroidism is receiving oral thyroid hormone. The nurse is most concerned about which assessment findings?
A | Tachycardia, irritability, and diaphoresis |
B | Bradycardia, excessive sleepiness, and dry scaly skin |
C | Bradycardia, irritability, and cool extremities |
D | Tachycardia, cool extremities, and irritability |
Question 17 |
The nurse is teaching the parents of a neonate newly diagnosed with hypothyroidism about the condition. What is the most important information for the nurse to provide?
A | “A large goiter in a neonate doesn’t present a problem.” |
B | “Preterm neonates usually aren’t affected by hypothyroidism.” |
C | “Usually, the neonate exhibits obvious signs of hypothyroidism.” |
D | “The severity of the disorder depends on the amount of thyroid tissue present.” |
Question 18 |
The nurse is assessing an infant with a suspected diagnosis of hypothyroidism. The nurse would assess the infant for which sign?
A | Diarrhea |
B | Lethargy |
C | Severe jaundice |
D | Tachycardia |
Question 19 |
A nurse is assessing a toddler with hypothyroidism. During the assessment, the nurse is most concerned when the toddler presents with which finding?
A | Low hemoglobin and hematocrit |
B | Cyanosis |
C | Bone and muscle dystrophy |
D | Mental retardation |
Question 20 |
A nurse is observing an infant with thyroid hormone deficiency. Which signs would the nurse commonly observe?
A | Tachycardia, profuse perspiration, and diarrhea |
B | Lethargy, feeding difficulties, and constipation |
C | Hypertonia, small fontanels, and moist skin |
D | Dermatitis, dry skin, and round face |
Question 21 |
What is the most important statement for the nurse to include when explaining the diagnostic evaluation of neonates for congenital hypothyroidism?
A | “Tests are mandatory in all states.” |
B | “An arterial blood test is preferred.” |
C | “Tests shouldn’t be performed until after discharge.” |
D | “Blood tests should be done after the first month of life.” |
Question 22 |
A child with diabetes type 1 tells the nurse he feels shaky. The nurse assesses the child’s skin to be pale and sweaty. What is the most important intervention by the nurse?
A | Give supplemental insulin. |
B | Have the child eat a glucose tablet. |
C | Administer glucagon subcutaneously. |
D | Offer the child a complex carbohydrate snack. |
Question 23 |
The nurse has just admitted a 2-year-old child with a diagnosis of diabetes mellitus. Which cardinal sign would support the diagnosis?
A | Nausea |
B | Seizure |
C | Hyperactivity |
D | Frequent urination |
Question 24 |
The nurse asks the mother of a neonate at her 2-week office visit how the baby is doing. Which statement should the nurse be most concerned about?
A | “My baby is unusually quiet and good.” |
B | “My baby seems to be a yellowish color.” |
C | “After feedings, my baby pulls her legs up and cries.” |
D | “My baby seems to really look at my face during feeding time.” |
Question 25 |
A nurse is teaching parents about therapeutic management of their neonate diagnosed with congenital hypothyroidism. Which response by a parent would indicate the need for further teaching?
A | “My baby will need regular measurements of his thyroxine (T4) levels.” |
B | “Treatment involves lifelong thyroid hormone replacement therapy.” |
C | “Treatment should begin as soon as possible after diagnosis is made.” |
D | “As my baby grows, his thyroid gland will mature and he won’t need medications.” |
Question 26 |
The nurse is counseling the parents of a neonate with congenital hypothyroidism. The parents tell the nurse that they are concerned about the severity of the intellectual deficit. The nurse explains that the deficit is related to which factor?
A | Duration of condition before treatment |
B | Degree of hypothermia |
C | Cranial malformations |
D | Thyroxine (T4) level at diagnosis |
Question 27 |
While receiving teaching about giving insulin injections, an adolescent questions the nurse about the reuse of disposable needles and syringes. What is the best response by the nurse?
A | “This is an unsafe practice.” |
B | “This is acceptable for up to 7 days.” |
C | “This is acceptable for only 48 hours.” |
D | “This is acceptable only if the family has very limited resources.” |
Question 28 |
Which guideline would be appropriate for the nurse to implement when teaching an 11-year-old child who was recently diagnosed with diabetes about insulin injections?
A | The parents don’t need to be involved in learning this procedure. |
B | Self-injection techniques aren’t usually taught until the child reaches age 16. |
C | At age 11, the child should be old enough to give most of his own injections. |
D | Self-injection techniques should be taught only when the child can reach all injection sites. |
Question 29 |
A parent asks the nurse what criteria are used to measure good metabolic control in a child with diabetes mellitus. What is the best response by the nurse?
A | “Fewer than eight episodes of severe hyperglycemia in a month” |
B | “Infrequent occurrences of mild hypoglycemic reactions” |
C | “Hemoglobin A values less than 12%” |
D | “Growth below the 15th percentile” |
Question 30 |
The nurse suspects a client of having diabetic ketoacidosis. Which blood glucose value would be observed with this condition?
A | 50 mg/dl |
B | 90 mg/dl |
C | 150 mg/dl |
D | 300 mg/dl |
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