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 ["A","B","D"]

Explanation

A persistent cough can indicate lung cancer or other types of cancer affecting the respiratory system, making it a warning sign that should be noted.
B. Difficulty swallowing, or dysphagia, can be indicative of cancer in the esophagus, throat, or mouth, and should raise concern when observed.
C. Changes in pulse rate are typically not direct indicators of cancer; however, they could result from underlying conditions related to cancer treatment or progression.
D. An obvious change in a mole, especially in size, shape, or color, is a well-known warning sign of skin cancer, specifically melanoma.
E. Vesicular breath sounds are normal breath sounds, not linked to cancer.
F. Hyperactive bowel sounds could indicate a gastrointestinal issue but are not specific to cancer.

A. inspection of the extremities. B. auscultation of the lungs. C. percussion of the flank areas of the back. D. auscultation of bowel sounds.

Correct Answer is C

Explanation

A. While extremity inspection is important, it is not as directly related to assessing back pain as evaluating the back itself.

B. Auscultating the lungs is essential in respiratory assessments but is not the priority when examining a patient with back pain.
C. Percussion of the flank areas is a key part of the physical examination for back pain, particularly if there are concerns of kidney involvement or other internal issues causing discomfort.
D. Bowel sounds are not directly related to back pain unless gastrointestinal issues are suspected.

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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

Naxlex Comprehensive Predictor Exams

When educating a patient about the warning signs of cancer, the nurse includes which of the following? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

A very pertinent part of the physical examination on a patient with back pain is

Correct Answer is C

Explanation

The nurse would refrain from applying a blood pressure cuff on the affected arm of a patient who has a(n): (Select all that apply)

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The normal pattern of breathing is described as

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