Pediatric RN Endocrine System Assessment Test
Questions with Correctly Verified Answers
A nurse is caring for a pediatric client.
The nurse is aware that DM and DI can present similarly. for each finding, click to specify if the findings
are consistent with type 1 DM, type 2 DM, or DI. - Answer When recognizing cues, the nurse should first
identify that both diabetes insipidus and diabetes mellitus may present with polyuria and polydipsia.
also need to recognize the cues that differentiate type 1 diabetes mellitus (DM1) and type 2 diabetes
mellitus. The most common manifestations of DM1 and type 2 diabetes mellitus (DM2) are polyuria,
polydipsia, polyphagia, and weight loss. If the diagnosis is not caught early, the child may experience
vomiting, lethargy, altered level of consciousness, dehydration, and eventually acidosis. If the child
develops ketoacidosis, they will smell of ketones, and may experience abdominal pain, Kussmaul
breathing, and possibly coma. In children with DM2, a physical exam may also show acanthosis
nigricans, which is a dark rash on the neck and axillae.
A nurse is caring for a 10-year-old client in an emergency department.
Click to highlight the findings that require immediate follow up. - Answer thirsty all the time, increase
bathroom visits, temperature, lips are dry and skin turgor decreased, headaches, muscle cramping.
When analyzing cues, the nurse should identify frequent urination, excessive thirst, weight loss,
headaches, dry lips, decreased skin turgor, muscle cramping, and fever as manifestations of
dehydration, which can also be findings of a potential pituitary disorder, more specifically, diabetes
insipidus. These findings should be given to the provider.
A nurse is assessing a pediatric client and notes swelling to the base of the neck anteriorly, just below
the laryngeal prominence. which of the following conditions could the nurse idenify as a potential cause
for the swelling?
Goiter
suprasternal retractions
cervical bruits
JVD - Answer Goiter
A nurse is caring for a 1 year old client who has primary hypothyroidism. Which of the following factors
is most likely the underlying cause of primary hypothyroidism in pediatric clients? (sellect all that apply)
Questions with Correctly Verified Answers
A nurse is caring for a pediatric client.
The nurse is aware that DM and DI can present similarly. for each finding, click to specify if the findings
are consistent with type 1 DM, type 2 DM, or DI. - Answer When recognizing cues, the nurse should first
identify that both diabetes insipidus and diabetes mellitus may present with polyuria and polydipsia.
also need to recognize the cues that differentiate type 1 diabetes mellitus (DM1) and type 2 diabetes
mellitus. The most common manifestations of DM1 and type 2 diabetes mellitus (DM2) are polyuria,
polydipsia, polyphagia, and weight loss. If the diagnosis is not caught early, the child may experience
vomiting, lethargy, altered level of consciousness, dehydration, and eventually acidosis. If the child
develops ketoacidosis, they will smell of ketones, and may experience abdominal pain, Kussmaul
breathing, and possibly coma. In children with DM2, a physical exam may also show acanthosis
nigricans, which is a dark rash on the neck and axillae.
A nurse is caring for a 10-year-old client in an emergency department.
Click to highlight the findings that require immediate follow up. - Answer thirsty all the time, increase
bathroom visits, temperature, lips are dry and skin turgor decreased, headaches, muscle cramping.
When analyzing cues, the nurse should identify frequent urination, excessive thirst, weight loss,
headaches, dry lips, decreased skin turgor, muscle cramping, and fever as manifestations of
dehydration, which can also be findings of a potential pituitary disorder, more specifically, diabetes
insipidus. These findings should be given to the provider.
A nurse is assessing a pediatric client and notes swelling to the base of the neck anteriorly, just below
the laryngeal prominence. which of the following conditions could the nurse idenify as a potential cause
for the swelling?
Goiter
suprasternal retractions
cervical bruits
JVD - Answer Goiter
A nurse is caring for a 1 year old client who has primary hypothyroidism. Which of the following factors
is most likely the underlying cause of primary hypothyroidism in pediatric clients? (sellect all that apply)
