When performing the corneal light reflex assessment, the nurse notes that the light is reflected at 2 o'clock in each eye. The nurse should:

Stops any movement, and appears to listen for the sound

Consider this a normal finding.

Shows no obvious response to the noise.

Shows a startle and acoustic blink reflex.

Answer and Explanation

The Correct Answer is B

A. Stops any movement, and appears to listen for the sound: This does not relate to the corneal light reflex test.

B. Consider this a normal finding: Symmetric light reflection at the same clock position in both eyes indicates normal alignment of the eyes.

C. Shows no obvious response to the noise: This response is unrelated to the corneal light reflex test.

D. Shows a startle and acoustic blink reflex: This describes a normal response to a loud noise, not the corneal light reflex test.

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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.

A. Liver enlargement B. Spleen enlargement C. Ovarian infection D. Kidney inflammation

Correct Answer is D

Explanation

A. Liver enlargement: Pain from liver enlargement is typically felt in the right upper quadrant, not along the costovertebral angle.

B. Spleen enlargement: Splenic pain is usually located in the left upper quadrant, not in the costovertebral area.

C. Ovarian infection: Pain from ovarian infection is typically felt in the lower abdomen or pelvis, not the back.

D. Kidney inflammation: Pain along the costovertebral angles often indicates kidney inflammation or infection, such as pyelonephritis.

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When performing the corneal light reflex assessment, the nurse notes that the light is reflected at 2 o'clock in each eye. The nurse should:

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Naxlex Comprehensive Predictor Exams

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

A patient is reporting sharp pain along the costovertebral angles. What does this symptom most often indicate?

Correct Answer is D

Explanation

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