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    Hesi lpn exit proctored examQuestion 100
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    Hesi lpn exit proctored exam

    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?

    Explanation & Rationale

    A. Consensual pupillary constriction present: This refers to both pupils constricting when light is shone in one eye, not accommodation. B. Peripheral vision intact: Not related to this assessment; peripheral vision testing uses confrontation method. C. Nystagmus present with pupillary focus: Nystagmus is involuntary eye movement, unrelated to accommodation response. D. Pupils reactive to accommodation: This describes normal constriction when focusing on near objects after focusing on distant ones.

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