NSG 6435 week 6 quiz
1. 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
2. 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
3. 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
4. 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
5. 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
6. The provider understands the most common type of enuresis in school-
age children is: Correct answer- Primary nocturnal enuresis
7. A 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
1. 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
2. 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
3. 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
4. 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
5. 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
6. The provider understands the most common type of enuresis in school-
age children is: Correct answer- Primary nocturnal enuresis
7. A 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
