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Homework answers / question archive / South University, Savannah NSG6435 Week 6 Quiz Question1)The provider suspects that a 7-month-old client has Pyloric Stenosis

South University, Savannah NSG6435 Week 6 Quiz Question1)The provider suspects that a 7-month-old client has Pyloric Stenosis

Nursing

South University, Savannah

NSG6435 Week 6 Quiz

Question1)The provider suspects that a 7-month-old client has Pyloric Stenosis. What physical exam finding is consistent with this disorder?

 

 

A cluster-of-grape like mass on the right side on rectal examination

 

 

A grapefruit-like mass on the left side on rectal examination

 

 

A sausage-like mass in the RUQ of the abdomen

 

 

A distinct “olive” mass in the epigastrium to the right of midline

 

 

 

 

 

 

 

Question 2                                                                                         

 

The provider suspects that a 7-month-old client has been diagnosed with Intussusception. What exam finding is consistent with this disorder?

 

A cluster-of-grape like mass on the right side on rectal examination

 

 

A grapefruit-like mass on the left side on rectal examination

 

 

A sausage-like mass in the RUQ of the abdomen

 

 

A distinct “olive” mass in the epigastrium to the right of midline

 

 

 

 

 

 

 

Question 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?

 

 

Anal fissures; treat with sitz bath and topical steroid cream

 

 

Anal fissures, treat with sitz baths and topical antibiotic ointment

 

Anal fissures; Tucks pads and analgesics

 

 

Anal fissures; referral to GI specialist for further evaluation

 

 

 

 

 

 

 

Question 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

 

 

Use thickening agents in the formula

 

 

Administer the acid-suppression medications as prescribed

 

 

Place prone when sleeping

 

 

Avoid exposure of the infant to tobacco smoke

 

 

 

 

 

 

 

Question 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?

 

 

Congenital disorder

 

 

Acquired disorder

 

 

Structural defect

 

 

Food Aversion

 

 

 

 

 

 

 

Question 6                                                                                         

 

The provider understands the most common type of enuresis in school-age children is:

 

Quaternary diurnal enuresis

 

 

Tertiary nocturnal encopresis

 

 

Secondary diurnal encopresis

 

 

Primary nocturnal enuresis

 

 

 

 

 

 

 

Question 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?

 

 

Neuroblastoma

 

 

Hydronephrosis

 

 

Multicystic kidney

 

Wilms Tumor

 

 

 

 

 

 

 

Question 8                                                                                         

 

A benign, painless scrotal mass or cyst on the head of the epididymis or testicular adnexa containing sperm best describes what condition?

 

 

Hydrocele.

 

 

 

Varicocele

 

 

 

Spermatocele

 

 

Omphalocele

 

 

 

 

Question 9                                                                                         

 

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?

 

Hydrocele

 

 

 

Varicocele

 

 

 

Spermatocele

 

 

Omphalocele

 

 

 

 

Question 10                                                                                            

 

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?

 

 

Hypospadias

 

 

Phimosis

 

 

Paraphimosis

 

 

Epispadias

 

 

 

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