Chapter 27 Caring for the Child With an Endocrinological or Metabolic Condition

Chapter 27  Caring for the Child With an Endocrinological or Metabolic Condition

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The student studying endocrine disorders learns that which gland controls overall physiologic homeostasis?
A.
Anterior pituitary
B.
Hypothalamus
C.
Parathyroid
D.
Posterior pituitary

ANS: B
Although all endocrine glands have a role in homeostasis, the job of the hypothalamus is to communicate the messages of the central autonomic nervous system to the organs/glands of the endocrine system, thus maintaining homeostasis throughout the body.

Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Physiological Adaptation
Integrated Process: Teaching/Learning
Difficulty: Easy

PTS: 1

2. The student nurse knows that which gland produces the hormone triiodothyronine?
A.
Adrenal
B.
Hypothalamus
C.
Parathyroid
D.
Thyroid

ANS: C
Triiodothyronine (T3) is produced by the parathyroid gland.

Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Physiological Adaptation
Integrated Process: Teaching/Learning
Difficulty: Easy

PTS: 1

3. Which organ or gland is directed by the hypothalamus to release adrenocorticotropic hormone (ACTH)?
A.
Anterior pituitary gland
B.
Liver
C.
Pancreas
D.
Thyroid gland

ANS: A
The anterior pituitary gland releases ACTH in response to the hypothalamus.

Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Physiological Adaptation
Integrated Process: Teaching/Learning
Difficulty: Easy

PTS: 1

4. A parent with his 7-year-old son at the pediatric clinic expresses concern that the child is too short. The nurse measures the child and finds him to be 100 cm (39.3 inches) tall. Which statement by the nurse is most appropriate?
A.
“Children are often ‘too short’ until they reach puberty.”
B.
“He’s shorter than average, but it’s not significant.”
C.
“Let’s discuss some options for promoting growth.”
D.
“Your child is of average height for a 7-year-old.”

ANS: C
This child’s height is well below the 5th percentile for age, so he could have hypopituitarism leading to growth hormone deficiency. The nurse should acknowledge the fact and begin discussions about the condition gently and objectively. The other answers are not appropriate.

Cognitive Level: Analysis/Analyzing
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Physiological Adaptation
Integrated Process: Communication and Documentation
Difficulty: Difficult

PTS: 1

5. The parent of a child with hypopituitarism asks why this condition occurs. Which response by the nurse is the most appropriate?
A.
“Infection in the brain is the most common cause.”
B.
“It’s usually a brain tumor near the pituitary gland.”
C.
“There are many possible causes, and often we don’t know.”
D.
“Usually this is due to damage to the brain from trauma.”

ANS: C
The cause of hypopituitarism is often unknown, but there are many possibilities. CNS tumor is the most common, accounting for 47%. Trauma accounts for about 3% of the cases of this condition. Infection is an uncommon cause (1%).

Cognitive Level: Comprehension/Understanding
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Physiological Adaptation
Integrated Process: Teaching/Learning
Difficulty: Moderate

PTS: 1