2024 PN NCLEX Questions Nursing Practice Question

A nurse assisting with data collection regarding the client's eyes notes that the pupils get larger when the client looks at an object in the distance and become smaller when the client looks at a nearby object. How does the nurse document this finding?

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Correct Answer: D

Rationale: The observation of pupils enlarging when focusing on distant objects and constricting for near objects reflects the process of accommodation, which is the eye's ability to adjust focus.

- **Myopia (A)** refers to nearsightedness, where distant objects appear blurry, not related to pupil size changes with focus.
- **Hyperopia (B)** is farsightedness, where near objects are difficult to see clearly; again, this does not pertain to pupil size variations.
- **Photophobia (C)** is sensitivity to light, which does not describe the pupil's response to different focal distances.

Thus, the documentation should reflect the normal accommodation response observed.