A 2-mo-old male infant has a left flank mass discovered incidentally by the mother; radiological imaging reveals a left renal mass. Of the following, the MOST likely diagnosis is

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Question 1 of 5

A 2-mo-old male infant has a left flank mass discovered incidentally by the mother; radiological imaging reveals a left renal mass. Of the following, the MOST likely diagnosis is

Correct Answer: A

Rationale: Nephroblastoma (Wilms tumor) is the most common renal malignancy in infants.

Question 2 of 5

The nurse is conducting teaching for an adolescent being discharged to home after a renal transplant. The adolescent needs further teaching if which statement is made?

Correct Answer: B

Rationale: The statement "I am glad I only have to take the immunosuppressant medication for two weeks" indicates a misunderstanding about the long-term nature of immunosuppressant therapy following a renal transplant. In reality, individuals who undergo a renal transplant need to take immunosuppressant medications for the rest of their lives to prevent rejection of the donor kidney. Failure to adhere to this medication regimen can result in rejection of the transplanted kidney. Therefore, this statement indicates a need for further teaching to ensure the adolescent understands the importance of lifelong immunosuppressant therapy.

Question 3 of 5

The nurse is discussing development and play activities with the parent of a 2-month-old. Recommendations should include giving a first rattle at about which age?

Correct Answer: A

Rationale: At 2 months old, infants start to demonstrate more control over their arm movements and are becoming more aware of objects around them. They may also start to grasp objects intentionally. Giving a first rattle at this age can help stimulate their senses, promote sensory exploration, and encourage their fine motor skills development. This early exposure to different textures, shapes, and sounds can also aid in their cognitive and sensory development, making it an appropriate choice for a parent looking to support their baby's early growth and learning.

Question 4 of 5

The American Academy of Pediatrics recommends the use of validated standardized developmental screening tools at three of the health maintenance visits, these are at

Correct Answer: C

Rationale: Developmental screenings are recommended at 9, 18, and 30 months.

Question 5 of 5

About 500 children have just been exposed to radiation from a nuclear power plant accident. The most appropriate first step in your treatment of these children should be to

Correct Answer: A

Rationale: Potassium iodide can protect the thyroid from radioactive iodine exposure, which is a critical first step in radiation exposure.

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