Difficulty: Medium
Average Score: 62%
Simulated
Passage / Scenario
A 1-year-old toddler with a large abdominal mass and pink-tinged urineA nurse is assessing a 1-year-old toddler notices a large abdominal mass and pink-tinged urine on the diaper. Which of the following disorders should the nurse suspect?
Correct answer
A
Rationale
The correct answer is A: Wilms' tumor. The presence of a large abdominal mass and pink-tinged urine in a 1-year-old toddler is suggestive of Wilms' tumor, a common childhood kidney cancer. The mass in Wilms' tumor is usually firm and non-tender. Pink-tinged urine can be a sign of blood in the urine, which can occur due to the tumor's impact on the kidney. Intussusception (B) is characterized by telescoping of the intestines and typically presents with colicky abdominal pain. Nephritic syndrome (C) is an inflammatory kidney disorder that presents with hematuria, proteinuria, and hypertension. Pyloric stenosis (D) is a gastric outlet obstruction that presents with projectile vomiting.