CAPSTONE Q & A
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ATI Peds Remediation
Capstone
• A nurse is assessing for strabismus in a pediatric client. Identify three (3)
clinical findings noted with strabismus.
• Abnormal corneal light reflex or cover test
• Misaligned eyes
• Frowning or squinting
• Identify three (3) points to discuss with new mothers who are breastfeeding
their newborn.
• Provides complete diet for infants up to 6 months
• Solids are introduced at 4-6 months
• Weaning can be accomplished when infant shows signs of readiness and are
able to drink from a cup
• What are defined gross motor skills for a 4-year-old client who is a preschooler?
• Skips and hops on one foot
• Throws ball overhead
• Catches ball reliably
• A nurse is preparing to administer the MMR immunization to a client. What are two
(2) contraindications for this vaccine?
• Pregnancy
• Allergy to eggs, gelatin, or neomycin
• Explain how methylphenidate hydrochloride works in children who have
Attention Deficit Hyperactivity Disorder (ADHD).
• It increases dopamine and norepinephrine levels
• It helps pt to focus
• Adverse effects: insomnia, anorexia, nervousness, anemia, hyper/ hypotension
• A nurse is preparing to administer ear drops to a 2-year-old child. How should
the nurse administer this medication?
• Younger than 3 pull pinna down and straight back
• Older than 3 pull pinna up and back
• A child had tympanoplasty tubes placed and the nurse is completing discharge
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CAPSTONE Q & A
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teaching for the family. List three (3) important points to include in the teaching.
• Limit activities for a few days after surgery
• Notify provider when tubes come out
• Avoid getting water in ear while tubes are in place
• Identify three (3) clinical manifestations of hydrocephalus in an infant.
• High pitched cry, lethargy
• Vomiting
• Bulging fontanels and/ or widening cranial suture lines
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CAPSTONE Q & A
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• The nurse is caring for a client with suspected bacterial meningitis. What is a
priority action for the nurse to initiate?
• Isolate client in droplet precautions
• Decrease environmental stimuli
• Provide comfort measures
• Seizure precautions
• What is a Patent Ductus Arteriosus? Identify two (2) clinical manifestations of
patent ductus arteriosus (PDA)
• Condition in which the normal fetal circulation conduit between the pulmonary
artery and the aorta fails to close and results in increased pulmonary blood flow
(lefttoright shunt)
• Murmur (machine hum)
• Wide pulse pressure, Bounding pulses
• Name two (2) manifestations of infective endocarditis in children.
• Fever and malaise
• New murmur
• Myalgias and arthralgias
• Headache
• Diaphoresis and weight loss
• A nurse is providing education to an adolescent client with diabetes and his
parents regarding 'Sick Day Rules' while sick. What information should the
nurse provide?
• Monitor blood glucose and urinary ketone levels every3 hr
• Continue to take insulin or oral antidiabetic agents. However, dosages can differ
• Encourage sugar-free, noncaffeinated liquids to prevent dehydration
• Meet carbohydrate needs by eating soft foods if possible. If not, consume liquids
that are equal to the usual carbohydrate content
• Rest
• A nurse has been assigned to care for a child with hemophilia who is
experiencing acute hemarthrosis. What are two (2) expected findings for this
client? What are two
(2) nursing interventions that can be initiated for this client?