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CHAPTER 26:Nursing Care of the Child With
an Alteration in Metabolism/Endocrine
Disorder Verified and Updated Questions
and Answers (100% Correct Answers)
1. The nurse is obtaining a health history from parents whose 4-month-old boy has
congenital hypothyroidism. What would the nurse most likely assess?
A) The child has above-normal growth for his age.
B) The child is active and playful.
C) The skin is pink and healthy looking.
D) It is difficult to keep the child awake.
Answer: Ans: D
Feedback: The parents may state, during the health history, that it is difficult to keep
the child awake. Physical examination would reveal that the child is below weight
and height, that his skin is pale and mottled, and that he is lethargic and irritable.
2. The nurse is caring for an 8-year-old girl with hyperpituitarism. What ordered
treatment will the nurse expect to perform?
A) Give desmopressin acetate intranasally
B) Inject octreotide acetate
C) Give 1 mg/kg/day of methimazole
D) Administer glipizide orally
Answer: Ans: B
Feedback: The nurse would give the child a subcutaneous injection of octreotide
acetate every 12 hours as directed. Desmopressin is a synthetic antidiuretic hormone
used to treat diabetes insipidus. Methimazole is an antithyroid drug used to treat
hyperthyroidism. Glipizide is a hypoglycemic drug that assists insulin production in
children with diabetes mellitus type 2.
, Inquire through: | Professional | Confidential Support
3. The nurse is developing a plan of care for a 7-year-old boy with diabetes insipidus.
What is the priority nursing diagnosis?
A) Deficient fluid volume related to dehydration
B) Excess fluid volume related to edema
C) Deficient knowledge related to fluid intake regimen
D) Imbalanced nutrition, more than body requirements related to excess weight
Answer: Ans: A
Feedback: The priority nursing diagnosis most likely would be deficient fluid volume
related to dehydration, due to a deficiency in the secretion of antidiuretic hormone
(ADH). Excess fluid would result from a disorder that leads to water retention, such
as syndrome of inappropriate antidiuretic hormone (SIADH). Deficient knowledge
related to fluid intake regimen is a nursing diagnosis for this child, but a secondary
one. Imbalanced nutrition, more than body requirements related to excess weight
would be inappropriate for this child since he probably has lost weight secondary to
the fluid loss.
4. The nurse is assessing a 9-year-old girl with a history of tuberculosis at age 6
years. She has been losing weight and has no appetite. The nurse suspects Addison
disease based on which assessment findings?
A) Arrested height and increased weight
B) Thin, fragile skin and multiple bruises
C) Hyperpigmentation and hypotension
D) Blurred vision and enuresis
Answer: Ans: C
Feedback: Hyperpigmentation and hypotension would point to Addison disease.
Arrested height and increased weight are typical of acquired hypothyroidism; this
girl has lost weight. Thin, fragile skin and multiple bruises are indicative of Cushing
syndrome. Blurred vision, headaches, and enuresis would be complaints of a child
with diabetes mellitus.
5. The nurse is caring for a 13-year-old girl with delayed puberty. Based on the
nurse's knowledge of this condition, the nurse would include which nursing
diagnosis in the child's plan of care?
CHAPTER 26:Nursing Care of the Child With
an Alteration in Metabolism/Endocrine
Disorder Verified and Updated Questions
and Answers (100% Correct Answers)
1. The nurse is obtaining a health history from parents whose 4-month-old boy has
congenital hypothyroidism. What would the nurse most likely assess?
A) The child has above-normal growth for his age.
B) The child is active and playful.
C) The skin is pink and healthy looking.
D) It is difficult to keep the child awake.
Answer: Ans: D
Feedback: The parents may state, during the health history, that it is difficult to keep
the child awake. Physical examination would reveal that the child is below weight
and height, that his skin is pale and mottled, and that he is lethargic and irritable.
2. The nurse is caring for an 8-year-old girl with hyperpituitarism. What ordered
treatment will the nurse expect to perform?
A) Give desmopressin acetate intranasally
B) Inject octreotide acetate
C) Give 1 mg/kg/day of methimazole
D) Administer glipizide orally
Answer: Ans: B
Feedback: The nurse would give the child a subcutaneous injection of octreotide
acetate every 12 hours as directed. Desmopressin is a synthetic antidiuretic hormone
used to treat diabetes insipidus. Methimazole is an antithyroid drug used to treat
hyperthyroidism. Glipizide is a hypoglycemic drug that assists insulin production in
children with diabetes mellitus type 2.
, Inquire through: | Professional | Confidential Support
3. The nurse is developing a plan of care for a 7-year-old boy with diabetes insipidus.
What is the priority nursing diagnosis?
A) Deficient fluid volume related to dehydration
B) Excess fluid volume related to edema
C) Deficient knowledge related to fluid intake regimen
D) Imbalanced nutrition, more than body requirements related to excess weight
Answer: Ans: A
Feedback: The priority nursing diagnosis most likely would be deficient fluid volume
related to dehydration, due to a deficiency in the secretion of antidiuretic hormone
(ADH). Excess fluid would result from a disorder that leads to water retention, such
as syndrome of inappropriate antidiuretic hormone (SIADH). Deficient knowledge
related to fluid intake regimen is a nursing diagnosis for this child, but a secondary
one. Imbalanced nutrition, more than body requirements related to excess weight
would be inappropriate for this child since he probably has lost weight secondary to
the fluid loss.
4. The nurse is assessing a 9-year-old girl with a history of tuberculosis at age 6
years. She has been losing weight and has no appetite. The nurse suspects Addison
disease based on which assessment findings?
A) Arrested height and increased weight
B) Thin, fragile skin and multiple bruises
C) Hyperpigmentation and hypotension
D) Blurred vision and enuresis
Answer: Ans: C
Feedback: Hyperpigmentation and hypotension would point to Addison disease.
Arrested height and increased weight are typical of acquired hypothyroidism; this
girl has lost weight. Thin, fragile skin and multiple bruises are indicative of Cushing
syndrome. Blurred vision, headaches, and enuresis would be complaints of a child
with diabetes mellitus.
5. The nurse is caring for a 13-year-old girl with delayed puberty. Based on the
nurse's knowledge of this condition, the nurse would include which nursing
diagnosis in the child's plan of care?
