ATI Pediatric Practice Exam 3 (final)
a nurse is reviewing sick-day management with a parent of a child who has type 1
DM. which of the following should the nurse include in the teaching (SATA)
a. monitor blood glucose levels every 3 hours
b. discontinue taking insulin until feeling better
c. drink 8 oz of fruit juice every hour
d. test urine for ketones
e. call the provider if blood glucose is greater than 2540 mg\/dL
(ANS – A D E
a nurse is teaching a child who has type 1 DM about self care. which of the
following statements by the child indicates understanding of the teaching?
a. I should skip breakfast when I am not hungry
b. I should increase by insulin with exercise
c. I should drink a glass of milk when I am feeling irritable
d. I should draw up the NPH insulin into the syringe before the regular insulin
(ANS – C
a nurse is caring for a child who has type 1 DM. which of the following are
manifestations of diabetic keotacidosis (SATA)
a. blood glucose 58
b. weight gain
c. dehydration
d. mental confusion
e. fruit breath
(ANS – C D E<\/p>\n\n\n\n
a nurse is teaching a school-age child who has DM about insulin administration.
which of the following should the nurse include in the teaching?
a. you should inject the needle at a 30 degree angle
b. you should combine your glargine and regular insulin in the same syringe
c. you should aspirate for blood before injecting the insulin
d. you should give four or five injections in one area before switching sites
(ANS – D
a nurse is teaching an adolescent who has DM about manifestations of
hypoglycemia. which of the following findings should the nurse include in the
teaching (SATA)
a. increased urination
b. hunger
c. signs of dehydration
d. irritability
e. sweating
f. kussmaul respirations
(ANS – B D E
a nurse is caring for a child who has short stature. which of the following
diagnostic tests should be completed to confirm growth hormone (GH) deficiency?
(SATA)
a. CT scan of the head
b. bone age scan
c. GH stimulation test D. serum IGF-1<\/p>\n\n\n\n
d. DNA testing
(ANS – A B C D
A nurse is teaching the parent of a child who has growh hormone deficiency.
Which of the following are complications of untreated groth hormone deficiency?
(SATA)
a. delayed sexual development
b. premature aging
c. advanced bone age
d. short stature
e. increased epiphyseal closure
(ANS – A B D
a parent of a school-age child who has GH deficiency asks the nurse how long the
child will need to take injections for growth delay. which of the following
responses should the nurse make
a. injections are usually continued until age 10 for girls and age 12 for boys
b. injections continue until your child reaches the fifth percentile on the growth
chart
c. injections should be continued until there is evidence of epiphyseal closure
d. the injections will need to be administered throughout your child’s entire life
(ANS – C
a nurse is assessing a child who has short stature. which of the following findings
would indicate a growth hormone deficiency
a. proportional height to weight
b. heigh proportionally greater than weight
c. weight proportionally greater than height
d. BMI greater than height\/weight ratio
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