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ss Correct Answers | Graded A+| 2025 Latest Updated
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What is the normal response to the accommodation test?
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a. Convergence of the axis of the eyes and constriction of the pupils
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b. A direct light reflex and consensual light reflex
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c. Conjugate movement of the eyes in all 6 cardinal positions of gaze
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d. Symmetrical dilation of bilateral pupils: a. Convergence of the axis of the
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eyes and constriction of the pupils
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2. How will the nurse assess the peripheral vision of an adult patient who
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ss was admitted to the hospital with a possible stroke?
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a. Perform the Snellen alphabet test ss ss ss ss
b. Perform the diagnostic positions test
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c. Perform the corneal light reflex test
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d. Perform the confrontation test: d. Perform the confrontation test
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3. Which cranial nerves are being tested when the nurse has a patient
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perform the diagnostic positions test?
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a. Cranial nerves III, IV and VI ss ss ss ss ss
b. Cranial nerves II, III and IV ss ss ss ss ss
c. Cranial nerves IV, V and VI ss ss ss ss ss
d. Cranial nerves III, IV and V: a. Cranial nerves III, IV and VI
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4. What is the best nursing response when asymmetric corneal light
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ss reflex is observed in a 3 year old1 31/child?
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a. Look for other signs of Bell's palsy
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,5. What is the nursing priority for an African-American patient with
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ss small brown macules on the sclera?
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a. Refer the patient to an ophthalmologist for further testing.
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b. Notify the patient that he may have liver disease and should have it
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checked.
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c. Proceed with the examination as planned because this is a normal
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ss finding.
d. Instruct the patient to wear sunglasses when outdoors to prevent
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ss further macule formation.: c. Proceed with the examination as planned
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ss because this is a normal finding.
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,6. How will the nurse document assessment of the eyes in an adult patient
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that
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has drooping of the left eye lid with a smaller distance between the upper
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ss and lower lids on the left?
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a. Exophthalmos of the right eye ss ss ss ss
b. Ptosis of the left eye lid ss ss ss ss ss
c. Anisocoria of the left eye lid ss ss ss ss ss
d. Nystagmus of the left eye: b. Ptosis of the left eye lid
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7. What ss is ss the ss priority nursing
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ss observes that an elderly patient cannot move the eyes past the
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ss midline to the left when performing the diagnostic positions test?
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a. Perform the Snellen eye test and pupillary light reflex to further test
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ss cranial nerve II. ss ss
b. Document dysfunction of cranial nerves II and III and proceed
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ss with the assessment.
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c. Continue the assessment, because this is a normal finding in
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ss elderly pa- tients. ss ss
d. Refer patient for further testing due to possible dysfunction of
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ss cranial ss nerves III, IV and VI.: d. Refer patient for further testing due to
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possible dysfunction of cranial nerves III, IV and VI.
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8. What type of vision loss does the nurse expect in a patient that
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ss has ex- perienced an infarct involving the left cerebral optic tract
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ss (left hemispheric stroke)?
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a. Visual field loss in the right temporal and left nasal fields
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b. Visual field loss in the right nasal and left nasal fields
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c. Visual field loss in the right temporal and left temporal fields
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, a.
"It is unusual for a small child to have frequent ear infections unless
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ss some- thing else is wrong."
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b.
"We need to check the immune system of your son to determine why
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ss he is having so many ear infections."
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