The parent of a 3-year-old with suspected Wilms tumor says, 'How could I have missed a lump this big?' Which is the nurse’s best response?

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Genitourinary Assessment in Pediatrics Questions

Question 1 of 5

The parent of a 3-year-old with suspected Wilms tumor says, 'How could I have missed a lump this big?' Which is the nurse’s best response?

A. Do not be hard on yourself; it’s easy to overlook something that has been growing for months. B. I understand you’re upset; earlier detection might have improved prognosis. C. It takes a trained professional to recognize such a lump. D. This tumor grows very rapidly, so it may not have been noticeable just a few days ago.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

Which child is at risk for developing glomerulonephritis?

A. A 3-year-old who had impetigo 1 week ago. B. A 5-year-old with five UTIs in the previous year. C. A 6-year-old with new-onset type 1 diabetes. D. A 10-year-old recovering from viral pneumonia.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

Which is true of a Wilms tumor? (Select all that apply.)

A. It is also referred to as neuroblastoma. B. It is most commonly seen between the ages of 2 and 5 years. C. It can occur on its own or be associated with congenital anomalies. D. It is a slow-growing tumor.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Which is an accurate description of a Kasai procedure?

A. A palliative procedure in which the bile duct is attached to a loop of bowel to assist with bile drainage. B. A curative procedure in which a connection is made between the bile duct and bowel. C. A curative procedure in which the bile duct is banded to prevent leakage. D. A palliative procedure in which the bile duct is banded.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

For a 14-month-old whose cleft palate was repaired 12 hours ago, which should be included in the plan of care? (Select all that apply.)

A. Allow the infant familiar comfort items (e.g., a favorite stuffed animal) and a 'sippy' cup (avoid pacifiers that create suction). B. Once liquids are tolerated, encourage a bland diet (e.g., soup, Jell-O, saltine crackers). C. Administer pain medication on a regular schedule (not just PRN). D. Use a Yankauer suction catheter to decrease aspiration risk.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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