NR 328 Pediatric Nursing Week 7 Study Guide 2026 |Chamberlain
College
1. A child is diagnosed with Growth Hormone (GH) deficiency. Which is the most
appropriate time to administer the subcutaneous GH replacement injection?
A. Immediately before breakfast
B. Every other day in the morning
C. After the midday meal
D. At bedtime
Answer: D
Rationale: Growth hormone is naturally released in the highest concentrations during the
first 45 to 90 minutes after falling asleep; therefore, bedtime administration most closely
mimics the body’s natural rhythm.
2. Which clinical manifestation is most characteristic of a child with Type 1
Diabetes Mellitus?
A. Weight gain and increased energy
B. Bradycardia and hypertension
C. Reduced appetite and constipation
D. Excessive thirst and frequent urination
Answer: D
Rationale: The classic triad of symptoms for Type 1 Diabetes consists of polyuria (frequent
urination), polydipsia (excessive thirst), and polyphagia (excessive hunger).
,3. A nurse is teaching the parents of a child with Type 1 Diabetes about
hypoglycemia. Which symptom should be highlighted?
A. Sweating and tremors
B. Deep, rapid respirations
C. Fruity-smelling breath
D. Increased thirst and dry skin
Answer: A
Rationale: Hypoglycemia (low blood sugar) manifests as autonomic nervous system
arousal, causing shakiness, sweating, palpitations, and pallor.
4. In a child with Diabetic Ketoacidosis (DKA), which acid-base imbalance is
expected?
A. Respiratory alkalosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory acidosis
Answer: C
Rationale: DKA results in the accumulation of ketones, which are acidic, leading to a
decrease in serum pH and metabolic acidosis.
5. A 14-year-old with Type 1 Diabetes plans to participate in a soccer match.
What advice should the nurse provide?
A. Administer extra insulin before the game
B. Restrict fluid intake during the match
C. Eat a carbohydrate-rich snack before the activity
D. Check blood glucose every 4 hours after the game only
Answer: C
Rationale: Exercise lowers blood glucose levels. To prevent hypoglycemia, the child should
consume extra carbohydrates before and potentially during vigorous activity.
, 6. Which laboratory result is the most reliable indicator of long-term glucose
control in a pediatric patient?
A. Fasting blood glucose
B. Hemoglobin A1c
C. Postprandial glucose
D. Urine ketone levels
Answer: B
Rationale: Hemoglobin A1c reflects the average blood glucose level over the preceding 2 to
3 months.
7. A child with Central Diabetes Insipidus is prescribed Desmopressin (DDAVP).
What is the primary goal of this medication?
A. To decrease urinary output and prevent dehydration
B. To increase glucose uptake in cells
C. To stimulate the production of thyroid hormones
D. To reduce inflammation in the kidneys
Answer: A
Rationale: DDAVP is an antidiuretic hormone replacement that helps the kidneys conserve
water, thereby reducing the massive polyuria seen in Diabetes Insipidus.
8. A nurse is caring for a child with Congenital Hypothyroidism. What is a
common clinical finding in an untreated infant?
A. Hyperactivity and diarrhea
B. Tachycardia and thin skin
C. High-pitched cry and jitteriness
D. Protruding tongue and poor feeding
Answer: D
Rationale: Symptoms of congenital hypothyroidism include a large protruding tongue,
lethargy, poor feeding, constipation, and prolonged jaundice.
College
1. A child is diagnosed with Growth Hormone (GH) deficiency. Which is the most
appropriate time to administer the subcutaneous GH replacement injection?
A. Immediately before breakfast
B. Every other day in the morning
C. After the midday meal
D. At bedtime
Answer: D
Rationale: Growth hormone is naturally released in the highest concentrations during the
first 45 to 90 minutes after falling asleep; therefore, bedtime administration most closely
mimics the body’s natural rhythm.
2. Which clinical manifestation is most characteristic of a child with Type 1
Diabetes Mellitus?
A. Weight gain and increased energy
B. Bradycardia and hypertension
C. Reduced appetite and constipation
D. Excessive thirst and frequent urination
Answer: D
Rationale: The classic triad of symptoms for Type 1 Diabetes consists of polyuria (frequent
urination), polydipsia (excessive thirst), and polyphagia (excessive hunger).
,3. A nurse is teaching the parents of a child with Type 1 Diabetes about
hypoglycemia. Which symptom should be highlighted?
A. Sweating and tremors
B. Deep, rapid respirations
C. Fruity-smelling breath
D. Increased thirst and dry skin
Answer: A
Rationale: Hypoglycemia (low blood sugar) manifests as autonomic nervous system
arousal, causing shakiness, sweating, palpitations, and pallor.
4. In a child with Diabetic Ketoacidosis (DKA), which acid-base imbalance is
expected?
A. Respiratory alkalosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory acidosis
Answer: C
Rationale: DKA results in the accumulation of ketones, which are acidic, leading to a
decrease in serum pH and metabolic acidosis.
5. A 14-year-old with Type 1 Diabetes plans to participate in a soccer match.
What advice should the nurse provide?
A. Administer extra insulin before the game
B. Restrict fluid intake during the match
C. Eat a carbohydrate-rich snack before the activity
D. Check blood glucose every 4 hours after the game only
Answer: C
Rationale: Exercise lowers blood glucose levels. To prevent hypoglycemia, the child should
consume extra carbohydrates before and potentially during vigorous activity.
, 6. Which laboratory result is the most reliable indicator of long-term glucose
control in a pediatric patient?
A. Fasting blood glucose
B. Hemoglobin A1c
C. Postprandial glucose
D. Urine ketone levels
Answer: B
Rationale: Hemoglobin A1c reflects the average blood glucose level over the preceding 2 to
3 months.
7. A child with Central Diabetes Insipidus is prescribed Desmopressin (DDAVP).
What is the primary goal of this medication?
A. To decrease urinary output and prevent dehydration
B. To increase glucose uptake in cells
C. To stimulate the production of thyroid hormones
D. To reduce inflammation in the kidneys
Answer: A
Rationale: DDAVP is an antidiuretic hormone replacement that helps the kidneys conserve
water, thereby reducing the massive polyuria seen in Diabetes Insipidus.
8. A nurse is caring for a child with Congenital Hypothyroidism. What is a
common clinical finding in an untreated infant?
A. Hyperactivity and diarrhea
B. Tachycardia and thin skin
C. High-pitched cry and jitteriness
D. Protruding tongue and poor feeding
Answer: D
Rationale: Symptoms of congenital hypothyroidism include a large protruding tongue,
lethargy, poor feeding, constipation, and prolonged jaundice.
