MULTIPLE CHOICE

1. Parents of a toddler with hypopituitarism ask the nurse, “What can we expect with this condition?” The nurse should respond with which statement?

a. Growth is normal during the first 3 years of life.

b. Weight is usually more retarded than height.

c. Skeletal proportions are normal for age.

d. Most of these children have subnormal intelligence.

2. A child with hypopituitarism is being started on growth hormone (GH) therapy. Nursing considerations should be based on which knowledge?

a. Treatment is most successful if it is started during adolescence.

b. Treatment is considered successful if children attain full stature by adulthood.

c. Replacement therapy requires daily subcutaneous injections.

d. Replacement therapy will be required throughout the child’s lifetime.

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. On arising in the morning

4. An adolescent is being seen in the clinic for evaluation of acromegaly. The nurse understands that which occurs with acromegaly?

a. There is a lack of growth hormone (GH) being produced.

b. There is excess growth hormone (GH) after closure of the epiphyseal plates.

c. There is an excess of growth hormone (GH) before the closure of the epiphyseal plates.

d. There is a lack of thyroid hormone being produced.

5. A child will start treatment for precocious puberty. The nurse recognizes that this will involve the injection of which synthetic medication?

a. Thyrotropin

b. Gonadotropins

c. Somatotropic hormone

d. Luteinizing hormone–releasing hormone

6. The nurse is conducting a staff in-service on childhood endocrine disorders. Diabetes insipidus is a disorder of:

a. anterior pituitary.

b. posterior pituitary.

c. adrenal cortex.

d. adrenal medulla.

7. The nurse is caring for a preschool child with suspected diabetes insipidus. Which clinical manifestation should the nurse expect to observe?

a. Oliguria

b. Glycosuria

c. Nausea and vomiting

d. Polyuria and polydipsia

8. A nasal spray of desmopressin acetate (DDAVP) is used to treat which disorder?

a. Hypopituitarism

b. Diabetes insipidus

c. Acute adrenocortical insufficiency

d. Syndrome of inappropriate antidiuretic hormone

9. The nurse is admitting a toddler with the diagnosis of juvenile hypothyroidism. Which is a common clinical manifestation of this disorder?

a. Insomnia

b. Diarrhea

c. Dry skin

d. Accelerated growth

10. A goiter is an enlargement or hypertrophy of which gland?

a. Thyroid

b. Adrenal

c. Anterior pituitary

d. Posterior pituitary