NCLEX-PN Practice Q 66

---

The nurse is assessing an infant with Hirschsprung’s disease. The nurse can expect the infant to:

  

     A. Fixed plantar flexion (equinus) of the ankle

     B. Sonorous seal-bark cough

     C. Strawberry tongue

     D. Abdominal distention

    

    

Correct Answer: D. Abdominal distention

---

Option D: Hirschsprung’s disease (aganglionic megacolon) is a condition where certain nerve cells in the wall of the colon do not form properly, which results in the blockage of the intestine. Symptoms in infants will show an absence of bowel movement in the first 48 hours and abdominal distention.

---

Option A: Fixed plantar flexion (equinus) of the ankle is a classic sign of clubfoot.

Option B: A sonorous seal-bark cough in an infant is a sign of croup or transesophageal atresia.

Option C: A strawberry tongue is indicative of Kawasaki disease.

---