When checking extraocular movements, the nurse asks the patient to follow an object as it is moved into different positions and watch to see if

the eyes move in a normal coordinated manner.

the pupils dilate when focusing on the object.

there is blinking while trying to focus on the object.

the pupils constrict focusing on the object.

Answer and Explanation

The Correct Answer is A

A.   Checking for normal, coordinated eye movement is key when assessing extraocular movements, which should be smooth and symmetric.
B.   Pupillary dilation occurs under specific circumstances, such as low light, not necessarily when focusing on an object.
C.   Blinking is a normal reflex but not a primary indicator when assessing extraocular movements.
D.   Pupillary constriction is a separate function of the pupillary light reflex and not directly associated with extraocular movements.

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Correct Answer is D

Explanation

Rationale
A. Pumping the cuff until no sound is heard may cause inaccurate readings and is not a proper technique.
B. Stopping midway can result in missing sounds or causing an inaccurate measurement.

C. The bell of the stethoscope should be used for low-pitched sounds, but the key is to continue listening to identify the full Korotkoff sound range, especially in the presence of an auscultatory gap.
D. It is important to continue listening until the cuff is deflated to ensure the accurate measurement of both systolic and diastolic pressures, particularly in patients with an auscultatory gap.

A. date of previous diagnostic tests B. where the patient is living C. treatment for previous illnesses D. any allergies to medications

Correct Answer is D

Explanation

A. The date of previous diagnostic tests may be important, but it is secondary to immediate safety concerns like allergies.
B. Information about the patient's living situation can be useful for discharge planning but is not the most urgent piece of information.
C. Previous treatment for illnesses is important but does not supersede immediate health threats like allergies.
D. Knowing any allergies to medications is critical to avoid potentially harmful reactions. This is a priority when beginning care, as it informs medication administration and treatment options.

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When checking extraocular movements, the nurse asks the patient to follow an object as it is moved into different positions and watch to see if

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Naxlex Comprehensive Predictor Exams

Older adult patients with hypertension may have an auscultatory gap in their Korotkoff sounds. It is important when taking their blood pressure measurement to:

Correct Answer is D

Explanation

When performing an initial assessment on a patient, which piece of information is of highest priority?

Correct Answer is D

Explanation

An older adult American Indian patient has been admitted to the hospital with abdominal pain. Along with performing a physical assessment, the nurse should also perform a:

A 45-year-old patient who is alert and oriented has a blood pressure of 98/66 mm Hg, radial pulse of 76 beats/min (irregular), and respirations of 18 breaths/min (regular). The best nursing intervention is to:

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The nurse would record a pulse as bradycardic if the rate were:

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