Chapter 27: The Child with an Endocrine or Metabolic Alteration

Chapter 27: The Child with an Endocrine or Metabolic Alteration

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. Which statement best describes the negative feedback system of the pituitary gland?

a.	The pituitary gland produces five hormones that are interdependent.
b.	Target organs stimulate the hypothalamus, which in turn produces hormones.
c.	The anterior pituitary stimulates the production of posterior pituitary hormones.
d.	The pituitary gland secretes hormones that stimulate target organs to produce specific hormones. As hormonal secretions of the target organs increase, the pituitary gland decreases the secretion of the stimulating hormone.

 

 

ANS:   D

 

	Feedback
A	There are six hormones secreted by the anterior pituitary; they are not interdependent.
B	The anterior pituitary gland stimulates target organs to produce specific hormones.
C	The anterior pituitary does not control production of posterior pituitary hormones.
D	The pituitary stimulates target organs to produce specific hormones. When enough hormone is produced, the target organ signals the pituitary to stop secretion of the stimulating hormone.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pg 878

OBJ:    Nursing Process Step: Assessment    MSC:   NCLEX: Physiological Integrity

 

2. Which is the priority outcome of mandatory newborn screening for hypothyroidism?

a.	Appropriate community referral for affected families
b.	Parental education about raising a special needs child
c.	Early identification of the disorder
d.	Facilitation of parent-child bonding

 

 

ANS:   C

 

	Feedback
A	Community referral is appropriate after a diagnosis is made.
B	With early identification and treatment with thyroid hormone replacement, mental retardation is prevented.
C	Early identification of hypothyroidism is basic to the prevention of mental retardation in the child.
D	Facilitation of parent-child bonding is a consideration for all newborn infants.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pg 887

OBJ:    Nursing Process Step: Evaluation

MSC:   NCLEX: Health Promotion and Maintenance

 

3. What is a nursing goal for a 12-year-old with Graves’ disease?

a.	Relief of constipation
b.	Allowing the adolescent to make decisions about taking her medication
c.	Verbal demonstration of an understanding about the medication regimen
d.	Development of alternative educational goals

 

 

ANS:   C

 

	Feedback
A	The adolescent with Graves’ disease is not constipated.
B	Making decisions about her medication is not appropriate for a 12-year-old child.
C	To adhere to the medication schedule, children need to understand that the medication must be taken two or three times per day.
D	The management of Graves’ disease does not interfere with school attendance and does not require alternative educational plans.

 

 

DIF:    Cognitive Level: Analysis                  REF:    Text Reference: pg 889

OBJ:    Nursing Process Step: Planning

MSC:   NCLEX: Health Promotion and Maintenance

 

4. Which of the following symptoms should be reported to the health care provider when a child is taking propylthiouracil?

a.	Nausea and vomiting
b.	Fever and sore throat
c.	Increased appetite and diarrhea
d.	Weight gain and mood swings

 

 

ANS:   B

 

	Feedback
A	Nausea and vomiting are not common side effects of propylthiouracil.
B	Propylthiouracil or methimazole is the treatment of choice for childhood hyperthyroidism. Fever and sore throat are clinical manifestations of neutropenia, a side effect of propylthiouracil.
C	Increased appetite and diarrhea are clinical manifestations of Graves’ disease.
D	Weight gain and mood swings are not considered side effects of propylthiouracil.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pg 890

OBJ:    Nursing Process Step: Implementation

MSC:   NCLEX: Health Promotion and Maintenance