The nurse is testing a patient's visual accommodation, which refers to which action?
Pupillary dilation when looking at a far object
Pupillary constriction when looking at a near object
Changes in peripheral vision in response to light
Involuntary blinking in the presence of bright light
The Correct Answer is B
A. Pupillary dilation when looking at a far object: While dilation occurs with distance, the question specifically refers to near vision.
B. Pupillary constriction when looking at a near object: Accommodation is the process by which the eyes adjust to focus on near objects, which includes pupillary constriction and lens thickening.
C. Changes in peripheral vision: This describes visual field testing, not accommodation.
D. Involuntary blinking in bright light: This describes the corneal reflex, not accommodation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}
Explanation
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.
Correct Answer is A
Explanation
A. Shine a light across the pupil from the side: To assess the pupillary light reflex, the nurse should shine a light across the pupil from the side and observe for both direct and consensual constriction (the constriction of both pupils when one is exposed to light).
B. Follow the penlight: This tests for accommodation (focusing on near objects) rather than the pupillary light reflex.
C. Shine a penlight directly in front: This method doesn’t assess both direct and consensual constriction properly.
D. Focus on a distant object: This assesses accommodation, not the pupillary light reflex.
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