When examining a patient's pupils with a light, the nurse notes that both pupils constrict, regardless of which eye is stimulated by the light. The nurse should document that the pupils exhibit:

dilation reflex.

brisk reflex,

accommodation.

consensual reflex

Answer and Explanation

The Correct Answer is D

A.   The dilation reflex refers to pupils dilating in response to dim light, not constricting.
B.   A brisk reflex is an expected response, but it does not describe the bilateral pupil constriction when light is shone in one eye.
C.   Accommodation refers to the process of the eyes adjusting focus for near vision, not pupil constriction in response to light.

D.   Consensual reflex is when both pupils constrict in response to light shined in either one of the eyes, indicating normal neurological function.

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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.

A. the eyes move in a normal coordinated manner. B. the pupils dilate when focusing on the object. C. there is blinking while trying to focus on the object. D. the pupils constrict focusing on the object.

Correct Answer is A

Explanation

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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When examining a patient's pupils with a light, the nurse notes that both pupils constrict, regardless of which eye is stimulated by the light. The nurse should document that the pupils exhibit:

Nursing Test Bank

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