Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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A nurse, while doing an assessment, shines a light into a patient’s left eye and notes a papillary constriction in the right eye. The nurse should properly document this response as:
  1. Accommodation
  2. Pupillary convergence
  3. A direct reaction
  4. A consensual reaction
Explanation
Answer - D - The nurse should properly document this response as a consensual reaction. Consensual pupil response occurs when the patient looks straight ahead and each eye is examined from the patient’s side with a penlight. A normal response is when the pupil opposite the one illuminated constricts simultaneously.
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