Practice Question
At which distance in centimeters would the nurse direct the patient to sit or stand during the assessment of extraocular movements?
Answer Choices:
Correct Answer:
60 cm
Rationale:
👁️ When assessing extraocular movements (EOMs), the nurse evaluates how well the eyes move together in all six cardinal fields of gaze.
👁️ The patient should be instructed to sit or stand about 60 cm (approximately 2 feet) away from the nurse to allow full eye movement without needing to turn the head.
👁️ The nurse holds a penlight or finger at this distance and moves it slowly in an H-pattern while the patient follows the object only with their eyes.
👁️ This method helps identify cranial nerve function (III, IV, and VI) and detect abnormalities such as nystagmus or strabismus.
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This question is from RN HESI Fundamentals exam which contains 25 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN HESI Exams
- Domain: Fundamentals of Nursing
- Answer Choices: 4