When assessing the pupillary light reflex or PERRL (pupils, round, reactive to light), the nurse should use which technique?
Shine a light across the pupil from the side, and observe for direct and consensual pupillary constriction.
Ask the patient to follow the penlight in eight directions, and observe for bilateral pupil constriction.
Shine a penlight from directly in front of the patient, and inspect for pupillary constriction.
Ask the patient to focus on a distant object. Then ask the patient to follow the penlight to approximately 7 cm from the nose.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"}}
Explanation
Each category must have at least 1 response option selected
|
Finding |
Normal |
Abnormal |
|
Tympany to percussion over the intestines |
✅ |
|
|
Loose, watery stool |
✅ |
|
|
Suprapubic tenderness |
✅ |
|
|
A non-palpable spleen |
✅ |
|
|
Aortic pulsation in the epigastric area |
✅ |
|
|
Decreased bowel sounds |
✅ |
Rationale:
Tympany to percussion over the intestines (Normal):
Tympany is expected due to the presence of gas in the intestines.
Loose, watery stool (Abnormal):
This is indicative of diarrhea, which may point to gastrointestinal upset or infection.
Suprapubic tenderness (Abnormal):
Tenderness in this area may indicate bladder infection, inflammation, or pelvic issues.
A non-palpable spleen (Normal):
The spleen is generally not palpable in healthy individuals unless it is enlarged (splenomegaly).
Aortic pulsation in the epigastric area (Normal):
Mild pulsations may be felt in thin or normal-weight individuals. However, a widened or strong pulsation could suggest an abdominal aortic aneurysm.
Decreased bowel sounds (Abnormal):
Hypoactive or absent bowel sounds may indicate decreased intestinal motility, such as in ileus or peritonitis.
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