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Acute Care Nurse Practitioner Exam Prep

Category - Acute Care Nurse Practioner Practice Test

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The NP is taking care of a patient who is has been admitted with a diagnosis of “brain dead post traumatic injury.” The NP would expect all of the following clinical manifestations except:
  1. Absent papillary responses
  2. Slight eye movement during the caloric test.
  3. No corneal reflex present.
  4. Fixed eyes during the doll’s eyes test.
Explanation
Answer: B - The NP would expect to see no eye movement during the caloric test in a patient with a diagnosis of “brain dead.” During the caloric test, cold water is instilled into the ears. Normally, the eyes would move toward the ear where the water is instilled.
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