A preschooler with suspected Wilms tumor would most likely present with which finding?

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Study for the CMS Practical Nursing (PN) Pediatrics Test. Master pediatric nursing with multiple choice questions, hints, and detailed explanations. Prepare with confidence!

Multiple Choice

A preschooler with suspected Wilms tumor would most likely present with which finding?

Explanation:
Wilms tumor most commonly presents as a large, painless abdominal mass in the flank. This mass is typically firm and unilateral, and it may cross the midline as it grows. Hypertension can occur because the tumor can produce renin, but the hallmark and most likely presenting sign in a preschooler is the abdominal flank mass. Decreased hemoglobin is not a primary presenting feature, and nocturnal urinary frequency isn’t typical for Wilms tumor.

Wilms tumor most commonly presents as a large, painless abdominal mass in the flank. This mass is typically firm and unilateral, and it may cross the midline as it grows. Hypertension can occur because the tumor can produce renin, but the hallmark and most likely presenting sign in a preschooler is the abdominal flank mass. Decreased hemoglobin is not a primary presenting feature, and nocturnal urinary frequency isn’t typical for Wilms tumor.

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