What clinical manifestation associated with a Wilms tumor is the reason most children are initially brought in to be seen by a provider?
Severe fatigue.
Palpable mass on the abdomen.
Seizures.
Hematuria.
The Correct Answer is B
Choice A reason: Severe fatigue is a symptom that can be associated with many conditions and is not specific to Wilms tumor.
Choice B reason: This is the correct choice. A palpable abdominal mass is often the first sign of a Wilms tumor that prompts medical evaluation.
Choice C reason: Seizures are not typically associated with Wilms tumor.
Choice D reason: Hematuria can occur with Wilms tumor, but it is not as common as the presentation of an abdominal mass.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Asymmetrical gluteal folds may indicate DDH due to uneven positioning of the hips.
Choice B reason: A positive Babinski test is normal in infants and is not specifically associated with DDH.
Choice C reason: A one-sided limp is not observable in newborns, as they are not yet walking.
Choice D reason: A positive Kernig sign is indicative of meningitis, not DDH, and is not relevant to the assessment of hip development.
Correct Answer is C
Explanation
Choice A reason: A recent streptococcal infection is not a symptom of Kawasaki disease.
Choice B reason: Kawasaki disease typically presents with a high fever, not a low-grade fever.
Choice C reason: This is the correct choice. Dry, peeling skin and a patchy rash are common symptoms of Kawasaki disease.
Choice D reason: Conjunctivitis in Kawasaki disease typically does not have exudates.
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