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Endocrine disorder MCQs
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Endocrine disorder MCQs
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30 mg 50 = 1500 mg/day1500 mg/3 = 500 mg for one dose
DIF: Cognitive Level: Applying REF: MCS: 1469
TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
3. The health care provider has prescribed valproic acid (Depakene) 30 mg/kg/day divided bid
h a
for a child with a seizure disorder. The child weighs 77 lb. The nurse is preparing to administer
the 0900 dose. Calculate the dose the nurse should administer in milligrams. Record your answer
below in a whole number.
__________
ANS:
T a
525
The correct calculation is:
e b
77 lb/2.2 kg = 35 kg
b e
Dose of Depakene is 30 mg/kg/day divided bid
H a
30 mg 35 = 1050 mg
1050 mg/2 = 525 mg for one dose
Chapter 31.The Child with Endocrine Dysfunction
MULTIPLE CHOICE
1. Homeostasis in the body is maintained by what is collectively known as the neuroendocrine
system. What is the name of the nervous system that is involved?
a. Central
,b. Skeletal
c. Peripheral
d. Autonomic
ANS: D
The autonomic nervous system (composed of the sympathetic and parasympathetic systems)
controls involuntary functions. In combination with the endocrine system, it maintains
of the neuroendocrine system.
h a
homeostasis. The central, skeletal, and peripheral subdivisions of the nervous system are not part
DIF: Cognitive Level: Understanding REF: MCS: 1494
T a
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
2. A child with hypopituitarism is being started on growth hormone (GH) therapy. Nursing
considerations should be based on which knowledge?
e b
a. Therapy is most successful if it is started during adolescence.
b e
b. Replacement therapy requires daily subcutaneous injections.
c. Hormonal supplementation will be required throughout childs lifetime.
d. Treatment is considered successful if children attain full stature by adolescence.
ANS: B
H a
Additional support is required for children who require hormone replacement therapy, such as
preparation for daily subcutaneous injections and education for self-management during the
school-age years. Young children, obese children, and those who are severely GH deficient have
the best response to therapy. Replacement therapy is not needed after attaining final height. The
children are no longer GH deficient. When therapy is successful, children can attain their actual
or near-final adult height at a slower rate than their peers.
DIF: Cognitive Level: Analyzing REF: MCS: 1499 TOP: Nursing Process: Planning
MSC: Client Needs: Physiological Integrity
,3. A child with growth hormone (GH) deficiency is receiving GH therapy. When is the best time
for the GH to be administered?
a. At bedtime
b. After meals
c. Before meals
d. After arising in morning
ANS: A
h a
Injections are best given at bedtime to more closely approximate the physiologic release of GH.
of the hormone.
DIF: Cognitive Level: Applying REF: MCS: 1499
T a
After meals, before meals, and after arising in the morning do not parallel the physiologic release
e b
TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
4. What is a condition that can result if hypersecretion of growth hormone (GH) occurs after
epiphyseal closure?
a. Cretinism
b e
a
b. Dwarfism
c. Gigantism
d. Acromegaly
ANS: D H
Excess GH after closure of the epiphyseal plates results in acromegaly. Cretinism is associated
with hypothyroidism. Dwarfism is the condition of being abnormally small. Gigantism occurs
when there is hypersecretion of GH before the closure of the epiphyseal plates.
DIF: Cognitive Level: Understanding REF: MCS: 1501
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
, 5. Peripheral precocious puberty (PPP) differs from central precocious puberty (CPP) in which
manner?
a. PPP results from a central nervous system (CNS) insult.
b. PPP occurs more frequently in girls.
c. PPP may be viewed as a variation in sexual development.
d. PPP results from hormonal stimulation of the hypothalamic gonadotropin-
releasing hormone (Gn-RH).
ANS: C
h a
Ta
PPP may be viewed as a variation in sexual development. PPP results from hormone stimulation
other than the hypothalamic Gn-RH. Isolated manifestations of secondary sexual development
occur. PPP can be missed if these changes are viewed as variations in pubertal onset. CPP results
from CNS insult, occurs more frequently in girls, and results from hormonal stimulation of the
b
hypothalamic Gn-RH.
e e
DIF: Cognitive Level: Understanding REF: MCS: 1502
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
injected?
a. Thyrotropin
a b
6. A child will start treatment for central precocious puberty. What synthetic hormone will be
H
b. Gonadotropins
c. Somatotropic hormone
d. Luteinizing hormonereleasing hormone
ANS: D
Precocious puberty of central origin is treated with monthly subcutaneous injections of
luteinizing hormonereleasing hormone, which regulates pituitary secretions. Thyrotropin,
gonadotropins, and somatotropic hormone are not the appropriate therapies for precocious
puberty.
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