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. directly below the sternum. B. the left of the sternum at the third intercostal space. C. the left midclavicular line at the fifth intercostal space D. tightly above the left nipple.

Correct Answer is C

Explanation

A. The area directly below the sternum is not the location for the apical pulse.
B. The third intercostal space is too high for the apical pulse, which is best heard at the fifth intercostal space.
C. The left midclavicular line at the fifth intercostal space is the proper location for auscultating the apical pulse.
D. Placing the stethoscope above the left nipple does not ensure accurate assessment of the apical pulse.

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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

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Correct Answer is B

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Correct Answer is C

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