Chapter 26: NURS 340 Preparation For The Nclex Questions and Answers,100% CORRECT
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Chapter 26: NURS 340
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Chapter 26: NURS 340
Chapter 26: NURS 340 Preparation For The Nclex Questions and Answers
Origin: Chapter 26, 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...
chapter 26 nurs 340 preparation for the nclex questions and answers
the nurse is obtaining a health history from parents whose 4 month old boy has congenital hypothyroidism what would the nurse most
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Chapter 26: NURS 340 Preparation For The Nclex Questions
and Answers
Origin: Chapter 26, 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.
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.
Origin: Chapter 26, 2
1. 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
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.
Origin: Chapter 26, 3
2. 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
Page 1
,D) Imbalanced nutrition, more than body requirements related to
excess weight 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.
Page 2
, Origin: Chapter 26, 4
3. 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
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.
Origin: Chapter 26, 5
4. 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?
A) Disabled family coping related to the child's disorder
B) Imbalanced nutrition, less than body requirements related to the
child's short stature
C) Noncompliance related to the need for lifelong hormone therapy
D) Deficient knowledge related to the administration
of estradiol Ans: D
Feedback:
Deficient knowledge related to the administration of estradiol is an
appropriate nursing diagnosis for this child. There are oral, transdermal,
topical, injectable, and vaginal preparations available. Disabled family
coping due to the child's disorder and noncompliance due to long-term
therapy are not likely diagnoses because of the simplicity and brevity of
the treatment for this disorder. Imbalanced nutrition evidenced by short
stature would be appropriate for a child with growth hormone deficiency.
Page 3
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