NursingPlex
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    ATI health assessment proctored exam

    The nurse is testing a patient's visual accommodation. How is accommodation assessed?

    Explanation & Rationale

    A. Changes in peripheral vision in response to bright light: This assessment relates more to visual field testing and does not evaluate accommodation. Accommodation specifically involves the ability of the eye to focus on near objects. B. Pupillary dilation when looking at a near object: Pupillary dilation occurs when focusing on distant objects due to decreased light and increased depth of focus, not during accommodation. C. Pupillary constriction when looking at a near object: This is the correct assessment for visual accommodation. When a person looks at a near object, the pupils constrict to enhance focus and reduce light entry, aiding in clearer vision of nearby objects. This reaction is part of the accommodation reflex, which also involves changes in lens shape. D. Involuntary blinking in the presence of bright light: This response is known as the photo pupillary reflex, which involves blinking in reaction to bright light but does not assess accommodation. Accommodation specifically evaluates the eye's ability to focus on objects at different distances.

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