Practice Question
The parents of a child who is diagnosed with Wilm's tumor ask the nurse why surgery is necessary before a biopsy is performed. Which information should the nurse provide?
Answer Choices:
Correct Answer:
Biopsy may rupture the encapsulated tumor and cause the cancer cells to spread.
Rationale:
🟢 Wilm’s tumor is an encapsulated renal malignancy, and performing a biopsy before surgery can rupture the capsule.
🟢 Rupture can lead to spillage of malignant cells into the peritoneal cavity, increasing the risk of tumor seeding and metastasis.
🟢 For this reason, surgical removal of the kidney (nephrectomy) is performed first to maintain the integrity of the tumor.
🟢 This surgical approach allows for accurate staging and diagnosis while minimizing the risk of spreading cancer cells during handling.
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This question is from RN Pediatrics with NGN-HESI 2025 October —Fall which contains 55 questions.
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From Exam
RN Pediatrics with NGN-HESI 2025 October —Fall
55 Questions
View Full Exam Start PracticingQuestion Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi Pediatrics
- Answer Choices: 4