Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. A mother reports that her 6-month-old infant is lethargic, sleeps 18 hours a day, and
snores. The nurse recognizes these signs are characteristic of which condition?
a. Hypothyroidism
b. Hyperthyroidism
c. Type 1 diabetes mellitus
d. Tay-Sachs disease
ANS: A
The infant with hypothyroidism will appear sluggish, and the tongue will be enlarged,
causing noisy respiration.
DIF: Cognitive Level: Analysis REF: 725 OBJ: 3
TOP: Hypothyroidism KEY: Nursing Process Step: Data
Collection
2. What is an important consideration for a school-age child taking DDAVP for diabetes
insipidus?
a. Observe for signs of water deprivation.
b. Restrict the child’s physical education program.
c. Arrange for the child to use the bathroom when needed.
d. Limit fluid intake other than during the lunch period.
ANS: C
The child with diabetes insipidus needs liberal access to bathrooms and water
fountains. Arrangements may have to be made with the school to allow access.
DIF: Cognitive Level: Application REF: 727 OBJ: 4
TOP: Diabetes Insipidus KEY: Nursing Process Step:
, Implementation
3. What condition does a nurse suspect when a child with type 1 diabetes mellitus has
hyperglycemia, diaphoresis, and headaches in the morning?
a. Dawn phenomenon
b. Somogyi phenomenon
c. Honeymoon effect
d. Ketoacidosis
ANS: B
The Somogyi phenomenon (rebound hyperglycemia) occurs when the blood glucose
level is lowered to the point at which the body’s counter-regulatory hormones are
released, producing the symptoms described.
DIF: Cognitive Level: Analysis REF: 735 OBJ: 11
TOP: Somogyi Phenomenon KEY: Nursing Process Step: Data Collection
4. What would be the most appropriate nursing response to a woman who says, “My sister
had a child with Tay-Sachs disease, and I want to know if I could have a child with this
condition”?
a. “The disease is rare. It is unlikely that you would have a child with Tay-Sachs
disease.”
b. “A screening test can be done to determine if you are a carrier of the gene.”
c. “The gene for Tay-Sachs disease is transmitted by the father.”
d. “The cause of Tay-Sachs disease is thought to be an autoimmune response to a
virus.”
ANS: B
Carriers can be identified by screening tests. Tay-Sachs disease has an autosomal
recessive pattern of transmission.
DIF: Cognitive Level: Comprehension REF: 724 OBJ: 2
TOP: Tay-Sachs Disease KEY: Nursing Process Step:
Implementation
5. A nurse is preparing to administer a long-acting insulin. Which insulin is considered long
MULTIPLE CHOICE
1. A mother reports that her 6-month-old infant is lethargic, sleeps 18 hours a day, and
snores. The nurse recognizes these signs are characteristic of which condition?
a. Hypothyroidism
b. Hyperthyroidism
c. Type 1 diabetes mellitus
d. Tay-Sachs disease
ANS: A
The infant with hypothyroidism will appear sluggish, and the tongue will be enlarged,
causing noisy respiration.
DIF: Cognitive Level: Analysis REF: 725 OBJ: 3
TOP: Hypothyroidism KEY: Nursing Process Step: Data
Collection
2. What is an important consideration for a school-age child taking DDAVP for diabetes
insipidus?
a. Observe for signs of water deprivation.
b. Restrict the child’s physical education program.
c. Arrange for the child to use the bathroom when needed.
d. Limit fluid intake other than during the lunch period.
ANS: C
The child with diabetes insipidus needs liberal access to bathrooms and water
fountains. Arrangements may have to be made with the school to allow access.
DIF: Cognitive Level: Application REF: 727 OBJ: 4
TOP: Diabetes Insipidus KEY: Nursing Process Step:
, Implementation
3. What condition does a nurse suspect when a child with type 1 diabetes mellitus has
hyperglycemia, diaphoresis, and headaches in the morning?
a. Dawn phenomenon
b. Somogyi phenomenon
c. Honeymoon effect
d. Ketoacidosis
ANS: B
The Somogyi phenomenon (rebound hyperglycemia) occurs when the blood glucose
level is lowered to the point at which the body’s counter-regulatory hormones are
released, producing the symptoms described.
DIF: Cognitive Level: Analysis REF: 735 OBJ: 11
TOP: Somogyi Phenomenon KEY: Nursing Process Step: Data Collection
4. What would be the most appropriate nursing response to a woman who says, “My sister
had a child with Tay-Sachs disease, and I want to know if I could have a child with this
condition”?
a. “The disease is rare. It is unlikely that you would have a child with Tay-Sachs
disease.”
b. “A screening test can be done to determine if you are a carrier of the gene.”
c. “The gene for Tay-Sachs disease is transmitted by the father.”
d. “The cause of Tay-Sachs disease is thought to be an autoimmune response to a
virus.”
ANS: B
Carriers can be identified by screening tests. Tay-Sachs disease has an autosomal
recessive pattern of transmission.
DIF: Cognitive Level: Comprehension REF: 724 OBJ: 2
TOP: Tay-Sachs Disease KEY: Nursing Process Step:
Implementation
5. A nurse is preparing to administer a long-acting insulin. Which insulin is considered long
