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 B

Explanation

A. Kussmaul's respirations are rapid, deep, and labored breaths often seen in metabolic acidosis, which does not match the pattern described.
B. Cheyne-Stokes respirations are characterized by a pattern of deep and fast breathing followed by periods of apnea. This pattern is seen in patients with severe conditions like heart failure or brain injury.
C. Biot's respirations are irregular, but the cycle does not have a distinct pattern of fast, slow, and apnea periods.
D. Hyperventilation refers to an increased rate of breathing but does not involve the cycles of deep, slow, and apneic phases characteristic of Cheyne-Stokes.

A. 7 B. 12 C. 10 D. 15

Correct Answer is D

Explanation

A. A score of 7 would indicate a much lower level of consciousness and require urgent intervention.
B. A score of 12 would indicate some level of impairment, with the patient not fully alert or responsive.
C. A score of 10 would indicate some level of impairment, with the patient not fully alert or responsive.
D. A score of 15 on the Glasgow Coma Scale indicates full consciousness and normal neurological function. It is the highest possible score, reflecting a patient who is awake, aware, and able to follow commands.

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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

A critically ill patient has faster and deeper, then slower, respirations. These are followed by a period of no breathing for 21 seconds with continuation of this cycle. This respiratory pattern is

Correct Answer is B

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Correct Answer is D

Explanation

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