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Exam NCLEX-RN topic 5 question 45 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 45
Topic #: 5
[All NCLEX-RN Questions]

An 11-month-old infant is admitted with a possible diagnosis of pyloric stenosis. Which of the following best describes the characteristic clinical manifestations of pyloric stenosis?

  • A. Pain, especially when eating
  • B. Poor appetite and sucking reflex
  • C. Increased frequency and quantity of stools
  • D. Palpable olive-shaped mass in the epigastrium just right of the umbilical cord
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Suggested Answer: D 🗳️
(A) There is no evidence of pain in infants with pyloric stenosis whether eating or not. (B) There are both good appetite and feeding habits in these children. (C)
Because of regurgitation, there is usually decreased frequency and quantity of stools and also signs of dehydration and weight loss. (D) Along with upper abdominal distention, there is a characteristic palpable olive-shaped mass located to the right of the umbilicus.

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