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 D

Explanation

A. Blepharitis: Inflammation of the eyelid margins, typically associated with itching, burning, and crusting, but not localized pustules.
B. Dacryocystitis: Inflammation of the lacrimal sac, causing swelling near the inner canthus, not on the lid margin.
C. Chalazion: A painless lump or cyst inside the eyelid, not typically painful, red, or swollen at the lid margin.
D. Hordeolum (Stye): A stye is a localized infection of a sebaceous gland at the eyelid margin, causing pain, redness, and swelling.

A. Decrease in tear production B. Unequal pupillary constriction in response to light C. Loss of the outer hair on the eyebrows attributable to a decrease in hair follicles D. Presence of arcus senilis observed around the cornea

Correct Answer is B

Explanation

A. Decrease in tear production: This is a common age-related change and is not considered abnormal.

B. Unequal pupillary constriction: Correct. Unequal pupillary constriction (anisocoria) is not normal and may indicate neurological issues.

C. Loss of outer eyebrow hair: This is a normal age-related change due to decreased hair follicles.

D. Arcus senilis: This is a common finding in older adults and is typically benign, caused by lipid deposits around the cornea.

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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

A patient comes into the clinic complaining of pain in her right eye. On examination, the nurse sees a pustule at the lid margin that is painful to touch, red, and swollen. The nurse recognizes that this is a:

Correct Answer is D

Explanation

The nurse is performing an eye assessment on an 80-year-old patient. Which of these findings is considered abnormal?

Correct Answer is B

Explanation

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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