ATI RN
ATI Nurs 150 Pediatric Final Exam 0924 Cohort Questions
Extract:
A 1-year-old toddler with a large abdominal mass and pink-tinged urine
Question 1 of 5
A nurse is assessing a 1-year-old toddler notices a large abdominal mass and pink-tinged urine on the diaper. Which of the following disorders should the nurse suspect?
Correct Answer: A
Rationale: The correct answer is A: Wilms' tumor. The presence of a large abdominal mass and pink-tinged urine in a 1-year-old toddler is suggestive of Wilms' tumor, a common childhood kidney cancer. The mass in Wilms' tumor is usually firm and non-tender. Pink-tinged urine can be a sign of blood in the urine, which can occur due to the tumor's impact on the kidney. Intussusception (
B) is characterized by telescoping of the intestines and typically presents with colicky abdominal pain. Nephritic syndrome (
C) is an inflammatory kidney disorder that presents with hematuria, proteinuria, and hypertension. Pyloric stenosis (
D) is a gastric outlet obstruction that presents with projectile vomiting.
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