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NCLEX Practice Quiz Pediatric Nursing for Metabolic & Endocrine Disorders

This NCLEX practice test will test your knowledge on pediatric nursing. This quiz concentrates on metabolic and endocrine disorders, such as diabetes, diabetic ketoacidosis, dehydration, and insulin administration etc. As a nurse, you need to know the basics for taking care of the pediatric patient. The pediatric patient is treated and cared for differently than the adult patient. This NCLEX is geared to helping you prepare for the exam and hits the highlights on what to study for NCLEX.

NCLEX Pediatric Nursing Quiz

This NCLEX practice test will test your knowledge on pediatric nursing on metabolic and endocrine disorders.

A 5 year old a has temperature of 103.6 'F and is brought into the emergency room by his mother. Which statement by the mother causes concern?*
- "I've tried to encourage fluid intake every hour."
- "I gave him a sponge bath to help witht he fever."
- "I administered Aspirin to help with the fever a few hours ago."
- "I re-took his temperature 30 minutes after I gave the medication and it was still high."
A 7 year old has been having vomiting with diarrhea for 3 days. How do you expect the child to present clinically?*
- Sunken eyeballs and bradycardia
- Tachycardia, dry mucous membranes, weight loss
- Bradycardia, dry mucous membranes, absence of tears
- None of the options are correct.
As the nurse, taking care of the patient who has been hospitalized for 3 days with dehydration, what abnormal finding would you report to the MD?*
- Weight change of 100 lbs to 92 lbs and urinary output of less than 1 ml/kg/hr
- 1-3 second skin turgor
- Weight change of 90 lbs to 93 lbs and dry mucous membranes
- Options A & C
A mother brings her child in the office for a follow-up appointment and voices concern that her child has started urinating more than normal and is constantly thirsty & hungry. As the RN, you suspect?*
- Tret's syndrome
- Phenylkentonuria
- Hypoglyemia
- Diabetes Mellitus
A 15 year old, who is type 1 diabetic, reports that she almost "passes out" during gym class. What information would you assess from the teenager?*
- How she takes her blood glucose after exercise.
- None of the options are correct.
- Her eating habits prior to gym class.
- What type of form she needs to have filled out so she can be excused from gym class.
You are going over insulin administration education with a patient's mother. Which statement by her raises concern?*
- "I always carry sugary items in case she has a hypoglemic attack."
- "I ordered her a Medic-Alert bracelet yesterday."
- "I will bring her in every 3 months for a glycosylate hemoglobin blood drawn."
- "When she is sick I will hold her insulin."
A child is ordered by the doctor for ketone and glucose urine testing. The patient is to collect it at home. How would you instruct the patient to collect the specimen?*
- Cleanse the area with betadine.
- Encourage the patient to consume at least 24 oz of water prior to the specimen collection.
- Demonstrate a clean catch techinque.
- Use the second voided urine for most accurate results.
A patient with a history is diabetes is exhibiting sweating and slurred speech. What do you suspect is the cause?*
- hypoglycemia
- hyperglycemia
- hypernaterima
- hyponaterima
You check a patient's blood glucose with a glucometer and find it to read 99. How would you interpet this result?*
- This is hyperglyemia and contact the doctor.
- This finding is normal and no further intervention is needed.
- This is hypoglyemia and encourage the patient to eat something with sugar.
- This is diabetic ketoacidosis and contact the doctor.
A child with diabetic ketoacidosis requires insulin. What lab valve do you need to monitor?*
- Magnesium level
- Potassium level
- Calcium level
- Sodium level

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