Exam (elaborations)
NSG6435 Wk 6 questions and answer
NSG6435 Wk 6 questions and answer
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NSG6435 Wk 6A 2-year-old client presents to the clinic with fever, dyspnea, diarrhea, vomiting, and weight
loss. The parents report an increase in abdominal size. On exam, a firm, smooth abdominal
mass and a left varicocele are palpated. What is the most likely diagnosis? - correct
answer-Wilms Tumor
A 5-year-old client with a history of crying with bowel movements, bright red streaks of blood
in the stool and withholding stools presents to the clinic. On exam, the anal mucosa shows
small tears with the client in the knee-to-chest position. What is the most likely diagnosis and
how is it treated? - correct answer-Anal fissures; treat with sitz bath and topical steroid
cream
A benign enlargement or dilation of testicular veins causing a painless scrotal mass of
varying size that feels like a "bag of worms" best describes what condition? - correct
answer-Varicocele
A benign, painless scrotal mass or cyst on the head of the epididymis or testicular adnexa
containing sperm best describes what condition? - correct answer-Spermatocele
The child that sits to void and urinates on the floor in front of the toilet unless he holds his
penis to direct the stream most likely has what condition? - correct answer-Hypospadias
The guardians of a 7-month-old client newly diagnosed with gastroesophageal reflux is
unsure of the proper way to care for the child. What information does the Provider share?
(select all that apply) - correct answer-Use thickening agents in the formula;
Administer the acid-suppression medications as prescribed
The parents of a 3-month-old client presents to the clinic complaining that their child appears
to be losing weight. Upon examination the it is noted that the client is irritable and weight
falls below the 5th percentile of children who are the same age and height. The provider
makes a diagnosis of Failure to Thrive (FTT). What is the most likely cause of FTT in this
patient? - correct answer-Congenital disorder
The provider suspects that a 7-month-old client has been diagnosed with Intussusception.
What exam finding is consistent with this disorder? - correct answer-A sausage-like mass in
the RUQ of the abdomen
The provider suspects that a 7-month-old client has Pyloric Stenosis. What physical exam
finding is consistent with this disorder? - correct answer-A distinct "olive" mass in the
epigastrium to the right of midline
The provider understands the most common type of enuresis in school-age children is: -
correct answer-Primary nocturnal enuresis
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