Practice Question
The RN is caring for a patient accompanied by his mom in the Emergency Room with a chief complaint of unilateral abdominal mass and hematuria. The RN most likely suspects
Answer Choices:
Correct Answer:
This may be Wilm's Tumor and the nurse should percuss to assess for tympany.
Rationale:
🟩 Wilms tumor (nephroblastoma) presents with a painless unilateral abdominal mass and hematuria.
🟩 These tumors are encapsulated, and palpation can rupture the tumor, increasing the risk of seeding and metastasis.
🟩 Nurses must avoid all palpation, percussion, or deep abdominal pressure when Wilms tumor is suspected.
🟩 Immediate imaging and oncology/urology referral are the appropriate next steps.
❌ Incorrect Options
🟩 Cystic fibrosis resonance – Not associated with abdominal masses or hematuria.
🟩 Percuss for tympany – Dangerous; Wilms tumor must NOT be palpated.
🟩 Likely benign, discharge – Incorrect and unsafe; Wilms tumor is serious.
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This question is from Pediatric Nursing Assessment and Care Exam Congenital, Respiratory, Cardiac, and Renal Disorders” which contains 28 questions.
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From Exam
Pediatric Nursing Assessment and Care Exam Congenital, Respiratory, Cardiac, and Renal Disorders”
28 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: 👶🏼Pediatrics
- Answer Choices: 4