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WorksheetsEndocrine Disorders
Total questions: 15
Worksheet time: 8mins
A child with growth hormone deficiency is starting recombinant GH therapy. Which teaching point is most important for the parents?
Administer GH in the morning before breakfast
Administer GH at bedtime
Give GH only on weekends
Store GH at room temperature
A nurse is caring for a child with diabetes insipidus. Which finding should the nurse expect?
Low urine specific gravity
Hyponatremia
Edema
Oliguria
A (conscious) child with type 1 diabetes has a blood glucose of 45 mg/dL. Which is the nurse's priority?
Administer a glucagon injection
Give 4 oz of orange juice
Recheck glucose in 30 minutes
Administer long-acting insulin
The nurse is teaching an adolescent with type 1 diabetes about sick-day management. Which statement indicates correct understanding?
'I should skip my insulin if I'm not eating much.'
'I should check my blood sugar every 3-4 hours.'
'I can stop checking for ketones if I feel better.'
'I should avoid fluids to prevent vomiting.'
A child with hyperpituitarism has excessive linear growth. What is the most likely cause?
Excess secretion of growth hormone
Lack of pituitary stimulation
Adrenal cortex underproduction
Hypothyroidism
A child with SIADH is admitted. Which laboratory finding is consistent with this condition?
High serum sodium
Low serum sodium
Low urine osmolality
Hyperglycemia
The nurse is caring for a newborn with congenital adrenal hyperplasia. Which finding requires immediate intervention?
Hyponatremia and hyperkalemia
Hypoglycemia after feeding
Mild jaundice
Soft anterior fontanelle
The nurse is teaching the parents of a child with DI about home care. Which statement indicates a need for further teaching?
'We will give desmopressin as prescribed.'
'We should restrict our child's fluid intake to prevent water intoxication.'
'We will monitor urine output closely.'
'We will notify the provider if our child shows signs of dehydration.'
A nurse is caring for an adolescent with type 1 diabetes who reports excessive thirst, frequent urination, and fruity breath. What is the priority action?
Administer rapid-acting insulin
Encourage the patient to drink water
Obtain a urine specimen for ketones
Monitor for hypoglycemia
A child with GH deficiency has been receiving therapy for 6 months. Which finding indicates treatment is effective?
Increased muscle mass
Growth rate of 5 inches/year
Increased appetite
Weight gain without height gain
A child with SIADH develops confusion and seizures. What is the nurse's priority?
Restrict fluids further
Administer prescribed hypertonic saline
Encourage oral salt intake
Monitor daily weight
The nurse is teaching an adolescent with type 1 diabetes about insulin administration. Which statement indicates understanding?
'I should rotate injection sites within the same area.'
'I should inject into the same spot every time.'
'I should massage the injection site after giving insulin.'
'I can skip insulin if my blood sugar is normal.'
A nurse is caring for a newborn with ambiguous genitalia. Which condition should the nurse anticipate testing for?
Congenital adrenal hyperplasia
Hypopituitarism
SIADH
Hyperthyroidism
A child with DI is receiving desmopressin. Which finding suggests the medication is effective?
Decreased urine output
Increased thirst
Weight loss
High serum sodium
The nurse is teaching parents of a child with CAH about medication. Which statement indicates correct understanding?
'We will give glucocorticoids as prescribed for life.'
'We can stop medication once puberty begins.'
'We will only give medication if our child is sick.'
'We will increase salt in the diet only during summer.'
