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Practice Question

The practical nurse (PN) determines that a client's pupils constrict as they change focus from a far object to a near object. How should the PN document this finding?

Answer Choices:

Correct Answer:

Pupils reactive to accommodation.

Rationale:

🟢 This finding confirms that the pupils constrict when shifting focus from a distant object to a near object, a normal neurological reflex.

🟢 It indicates that cranial nerve II (optic) and cranial nerve III (oculomotor) are functioning properly.

🟢 The ability of the pupils to accommodate is part of a triad response: convergence, accommodation of the lens, and pupil constriction.

🟢 This documentation is essential when assessing visual reflexes and for ruling out neurological impairment.

🟢 It supports that midbrain integrity is preserved, as the reflex is mediated there.

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This question is from Hesi PN Exit~2024 Exam 2 which contains 72 questions.

More Questions from This Exam
The practical nurse (PN) is caring for a client who has a prescription for loratadine by mouth daily as needed. Which sign indicates to the PN that there is a need to administer the medication?

Answer Choices:

A. Ulceration on the corner of the upper lip.
B. Ecchymosis and petechiae on the legs
C. Red welts widespread over the chest.
D. Red papules and pustules on the face.
At a prenatal visit, a primigravida client confides to the practical nurse (PN) that her partner is abusive. Which information should the PN provide?

Answer Choices:

A. Safety plan to keep in a purse at all times.
B. Paperwork needed to file a restraining order.
C. Visit summary documenting the report of abuse.
D. Contact information for a women's shelter.
In assessing a 2-year-old boy with croup, the practical nurse (PN) finds that he has become increasingly irritable and has developed tachypnea and resting stridor. Which intervention is best for the PN to implement?

Answer Choices:

A. Instruct the mother to play with the child for stimulation and distraction.
B. Administer a dose of acetaminophen as needed.
C. Monitor the child's oxygen saturation level via pulse oximetry.
D. Encourage the child to drink adequate amounts of fluids.
From Exam
Hesi PN Exit~2024 Exam 2

72 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN HESI Exit Exam(s)
  • Domain: LPN HESI Exit-2024
  • Answer Choices: 4
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