The nurse in the family practice clinic is educating a newly graduated nurse on how to correctly use a penlight. The nurse creates the expected outcome: After the review session, the newly graduated nurse will verbalize appropriate penlight examination techniques.

For each statement below, click to specify whether it indicates the outcome was met or not met.

I will confirm the patient's pupil size with the scale on the side of the penlight.

When putting the penlight at the bridge of the nose, the eyes converge and constrict

I will check the patient's pupillary reflex by shining a light into their eyes.

When shining the penlight into the patient's eyes, their pupils should dilate

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}

New Nurse Statement	Met	Not Met
I will confirm the patient's pupil size with the scale on the side of the penlight.	✅
When putting the penlight at the bridge of the nose, the eyes converge and constrict	✅
I will check the patient's pupillary reflex by shining a light into their eyes.	✅
When shining the penlight into the patient's eyes, their pupils should dilate		✅

Rationale:

"I will confirm the patient's pupil size with the scale on the side of the penlight" (Met):

This is a correct use of the penlight to assess pupil size and document findings accurately.

"When putting the penlight at the bridge of the nose, the eyes converge and constrict" (Met):

This statement describes the normal accommodation reflex, where the eyes converge and pupils constrict when focusing on a near object.

"I will check the patient's pupillary reflex by shining a light into their eyes" (Met):

This correctly describes testing for the pupillary light reflex, where the pupil constricts in response to light.

"When shining the penlight into the patient's eyes, their pupils should dilate" (Not Met):

This is incorrect. The pupils should constrict in response to light, not dilate. Dilation occurs in response to low light or sympathetic stimulation.

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Free Nursing Study Resources

Correct Answer is ["B","D","E","H","I"]

Explanation

A. Low-fat diet: This reduces the risk of arterial insufficiency, making it incorrect as a risk factor.

B. Diabetes mellitus: Diabetes is a significant risk factor due to its effects on vascular health.

C. Decreased lipid levels: Lower lipid levels reduce arterial risk, making it incorrect as a risk factor.

D. Smoking: Smoking damages blood vessels and increases arterial insufficiency risk.

E. Heavy alcohol use: Excessive alcohol consumption contributes to hypertension and cardiovascular disease.

F. Physical activity: Physical activity reduces arterial risk, making it incorrect as a risk factor.

G. Hypertension: High blood pressure increases arterial insufficiency risk.

H. Male: Males have a higher risk of developing arterial insufficiency than females.

I. Obesity: Obesity increases the risk of atherosclerosis and arterial insufficiency.

A. Older adult taking anticoagulant medication B. Person who has been on bed rest for 4 days C. Person with a 30-year, 1 pack per day smoking habit D. Woman in her second month of pregnancy

Correct Answer is B

Explanation

A. Older adult taking anticoagulant medication: Anticoagulants reduce the risk of thrombosis.

B. Person who has been on bed rest for 4 days: Prolonged immobility reduces muscle contraction, leading to decreased venous return and increased risk of venous stasis and DVT.

C. Person with a 30-year smoking habit: Smoking is a risk factor for arterial disease rather than venous disease.

D. Woman in her second month of pregnancy: Pregnancy increases venous pressure but is more significant in the third trimester.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a patient regarding arterial insufficiency. The nurse knows the patient has a correct understanding of arterial risk factors by listing the following:

Correct Answer is ["B","D","E","H","I"]

Explanation

The nurse is reviewing the risk factors for venous disease. Which of these situations best describes a person at highest risk for the development of venous disease?

Correct Answer is B

Explanation

The nurse gave a client an instruction sheet for a colonoscopy. The client held the instructions approximately 18 inches from their face and read the description of the procedure aloud. The nurse recognizes that the client

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