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Practice Question

A nurse documents that a client has a normal pupillary light reflex. The nurse should recognize that this reflex indicates which of the following?

Answer Choices:

Correct Answer:

Constriction of both pupils occurs in response to bright light

Rationale:

👁️A normal pupillary light reflex produces bilateral constriction (direct and consensual) to bright light, demonstrating intact CN II (afferent) and CN III (efferent) pathways.

👁️Light to one eye causes that eye’s pupil to constrict (direct response) and the opposite eye’s pupil to constrict (consensual response).

👁️This reflex confirms parasympathetic activation of the sphincter pupillae and midbrain integrity.

👁️Equal, round, and reactive pupils are documented as PERRL, a key neuro assessment datum.

👁️Abnormalities (e.g., anisocoria, afferent pupillary defect) prompt neurologic/ophthalmic evaluation.

Want to practice more questions like this?

This question is from Examplify NSG 137 Exam 2 which contains 36 questions.

More Questions from This Exam
 The electrical conduction of a single, normal heartbeat is initiated by the:

Answer Choices:

A. Atrio-ventricular (AV) node.
B. Left atrium.
C. Bundle of His.
D. Sino-atrial (SA) node.
While conducting a general, routine screening of the thorax and lungs, the nurse will observe the: Select all that apply.

Answer Choices:

A. Color of the face, lips, chest, and nails.
B. Shape and position of the anterior/posterior thorax.
C. Rate of the apical and radial pulses.
D. Breathing pattern for use of accessory muscles.
A client was recently diagnosed with a heart murmur and is asking the nurse for more information. How should the nurse describe to the client about what a heart murmur is?

Answer Choices:

A. A heart murmur is a high-pitched sound caused by a narrowing of a heart valve
B. A heart murmur is an extra sound heard from blood entering a rigid heart chamber
C. A heart murmur is a sound generated by inflammation around the heart muscle
D. A heart murmur indicates turbulent blood flow through a valve in the heart that may indicate narrowing or defects
From Exam
Examplify NSG 137 Exam 2

36 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: Examplify Exam(s)
  • Domain: Health Assessment
  • Answer Choices: 4
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