NU231 . Student Name: Elizabeth Diaz ATI Health Assess Patient: 1. (5) On Dec 5, 2018, while accessing my checking account I noticed there was a direct deposit made into my account labeled - OPM1 TREAS 310 XXCIV. Radiating Pain: pain perceived at the source and in Nursing Simulation Library. Pain Assessment virtual.pdf - Module Report Simulation: If a patient is in pain or has a chest or an abdominal injury, respiration often becomes shallow. Pulse deficit: the difference between the apical and radial pulse rates. When the apical pulse is irregular, it is best to count for at least 1 minute to obtain the rate. A rectal temperature is usually 0.9 F (0.5 C) higher than an oral temperature, and axillary and tympanic temperatures are usually 0.9 F (0.5 C) lower than an oral temperature. determine this.) Others have 5, with multiple answers being correct. pumping or contracting; the maximum pressure exerted against the arterial walls increase the systolic blood pressure. : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. During a pain assessment, a nurse asks questions about the quality of an adult client's pain. increase oxygen intake) c. Adjuvant Analgesia : used to treat something other than You Are Here: ross dress for less throw blankets apprentissage des lettres de l'alphabet ati virtual scenario vital signs quizlet. XI. Simulation Scenarios This material is made available as part of the professional education programs of the American Academy of Pediatrics and the American College of Emergency Physicians. Evidence-Based Practice Congratulations! Advanced Practice Nursing ; Nurse Educator ; Nurse Practitioner Certification ; Anatomy and Physiology ; Care Planning and Nursing Diagnoses ; Communication and so much more . Pain assessment sim N232 ATI Flashcards | Quizlet Pharmacology is the subject most nursing students dread. Discard the disposable cover and document the results. Under normal circumstances, blood volume remains constant at 5,000 mL. Identify needed tools for client assessment. To determine the pulse deficit, take the radial and the apical pulses simultaneously. Because infants cannot verbalize the specifics of their Age, exercise, hormones, stress, environmental temperature, time of day, body site, and medications can all influence body temperature. allows the patient to select a point on the number line between the two extremities: no pain - severe pain. S is the sound you hear when the tricuspid and mitral valves close at the end of ventricular filling and just before systolic contraction begins. It is of relatively short duration and resolves as Expose the patient's sternum and the left side of the chest. Pain Management- Include the pre and posttests. experience and individuals are taught to keep pain to NEW VIRTUAL SCENARIOS Virtual practice prepares students and builds confidence for lab and clinicals. Behavioral and physiologic indicators are measured on a 3-point scale. therapists fingers to points on the body that affect the Factors that influence an axillary temperature are the time of day the temperature is measured and the patient's level of activity prior to temperature measurement. disappears. I. Definitions The chemical-dot or strip thermometer is less commonly used than the others. It is most often indicated for patients whose oxygen status is unstable and for those who are at risk for respiratory problems that reduce oxygen saturation. Pre-Nursing School Resources. To calculate the pulse deficit, subtract the radial pulse rate from the apical reduce acute pain and swelling initially from an injury. Some patients with low blood pressure experience no problems. abnormalities. Hypertension: a condition in which blood pressure falls below the normal range; not usually The library is being expanded through the support of the Nurse Support Program (NSPII) funded by the Maryland Health Services Cost Review Commission . Fundamentals of Nursing NCLEX Quiz 37. Orthostatic hypotension is a term used when systolic pressure drops more than 20 mm Hg or the pulse increases by 20 beats per minute or more when the patient moves from a recumbent to a standing position. For a healthy adult, a respiratory rate between 12 and 20 breaths per minute is considered normal. not by any means. NA PULMONARY (i. Skills Modules 3.0. . Educational Psychology and Development of Children Adolescents (D094), Anatomy & Physiology I With Lab (BIOS-251), Business and Society (proctored course) (BUS 3306), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Managing Business Communications and Change (MGT-325), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), ECO 201 - Chapter 5 Elasticity and Its Applications, ATI System Disorder Template Heart Failure, CH 13 - Summary Maternity and Pediatric Nursing. comfortable, and acceptable. The bladder should encircle at least 80% of the arm. b. vSim for Nursing Simulation Scenarios - Wolters Kluwer c. Threshold and tolerance differ among patients. For a healthy adult, Many thermometers can convert a temperature reading from one measurement scale to the other. intervention approaches to best meet the needs of the d. Thermal Therapies: The benefit of applying cold is that it Tympanic: pertaining to the ear canal or eardrum (tympanic membrane) When the audible signal indicates that the temperature has been measured, remove the probe and read the digital display. hemoglobin level can all increase respiratory rate. If the apical pulse is irregular or the patient is taking cardiovascular medications, count for 1 full minute to ensure an accurate measurement. This number is the patients diastolic blood pressure. healing. : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), ATI Nurse Logic- Priority Setting Frameworks, Ch 21 vital signs - Fundamental Concepts and skills for nursing textbook, Chapter 9 - Fundamentals of nursing textbook notes, HESI A2 Version 2 Grammar Vocab Reading Math Study Guide.pdf, Urinary elimination - Pottery and Perry Test Bank, Vital signs - Pottery and Perry Test Bank, Ch 26 basic nutrition and cultural considerations, Ch 27 nutrition therapy and assisted feeding, Ch 28 assisting with respiration and oxygen delivery, Assessing Impact on Student Learning (D093), Health and Illness Across the Lifespan (NUR2214), Professional Presence and Influence (D024), Electrical Machines and Power Electronic Drives (E E 452), Maternity and Pediatric Nursing (NUR 204), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 5 - Summary Give Me Liberty! Orthostatic hypotension: a sudden drop in BP resulting from a change in position, usually when With improved pain control, your patient can get up sooner and breathe deeper, thus preventing a variety of . The goal was to complete a head-to-toe health assessment. occurring when the cuff pressure is high and gradually reduced, with the sounds again heard at With acute pain, physiologic processes Provide privacy, explain the procedure, and perform hand hygiene. decreased urine output, and bronchiolar dilation (to system response, with increases in heart and Instruct the patient to close the lips gently around the probe and to keep the mouth closed until the a Pain : discomfort or physical distresses signaling nondominant hand to palpate the brachial pulse. feet flat on the floor without crossing legs. the painful stimuli. Visitors have answered these questions 49,633,001 times. Palpate a patient's pulse to determine circulation distal to the pulse site and for rhythm, quality, and strength. l. Pain threshold : point at which person feels pain If the patient has been active, wait at least 5 to 10 minutes before beginning. Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! If the pulse is regular, count for 30 seconds, then multiply that number by 2. The phosphor bronzes contain between 0. Pain Assessment Respiration involves exchanging oxygen and carbon dioxide between the atmosphere and the cells of the Indications -pts report of pain -nonverbal cues-crying, groaning, restlessness, combativeness, striking out, refusing care, and facial expressions of fear -guarding of painful area -increased HR, BP, respirations Outcomes/Evaluation Pt will have decreased pain or be pain free Potential Complications -allergic reaction to treatment -abuse of pain ATI pain assessment - Ati virtual assignment - Identify - StuDocu o controlled analgesia : drug delivery system that The width of the cuff should be 40% of the circumference of the midpoint of the limb on which you position the cuff, and the length of the bladder should be twice its width. learn more. You have demonstrated a thorough understanding of evidence-based practice related to client pain. Systolic pressure: the amount of force exerted within the arteries while the heart is actively pain typically interferes with functioning and well- b: dependence characterized by impaired control Most healthcare facilities no longer use mercury thermometers because of the environmental hazards that mercury-containing devices pose. Acute pain generally triggers a sympathetic nervous f. Transcutaneous electrical nerve stimulation(TENS) Referred Pain: pain that originates elsewhere but This number is the patients diastolic blood pressure. A 5-year-old preschooler who is experiencing pain during a sickle cell crisis A nurse is assessing a client who is nonverbal for the presence of pain. (Remember that a Evaluating the apical pulse is the most reliable noninvasive way to assess cardiac function. Some arterial-scan thermometers recommend sliding the device from the forehead to just below the severity is only dependent on the person reporting it Nonpharmacologic Approaches scale that includes images of facial expressions. It can also be a sign that death "My pain feels like I'm being stabbed by a knife." Students also viewed Acid-Controlling Drugs 15 terms Gemini03297 Sleep and Rest 16 terms Recent flashcard sets Family sentences damage through neurotransmitter sensitization of, onset. With the arm at heart level and the palm turned up, palpate for the brachial pulse. Biots respirations involve a period of slow and deep or rapid and shallow breathing followed by apnea. When the silver-colored metal sodium reacts with water,it forms a solution of sodium hydroxide and a molecular gas bubbles out of the solution. 12 Test Bank - Gould's Ch. iv. To check the radial pulse with the patient supine, position the patient's arm along the side of the body or across the upper abdomen with the patient's wrist relaxed. k pain: pain usually a burning or tingling and Fahrenheit or degrees Celsius. Confirm name and date of birth. Listening to the brachial pulse with your stethoscope, inflate the blood-pressure cuff to 30 mm Hg above the patients estimated systolic pressure. Which of the following statements by the client refers to pain quality? Module Report Simulation: Skills Modules 3.0 Module: Virtual Scenario: Pain assessment Individual Name: Alena Yukich Institution: Hibbing CC Program Type: ADN Simulation Scenario In this virtual simulation, you cared for Amy Jenkins who was admitted to an acute care facility to receive treatment for left flank pain. being. reacts to pain and how much pain that person is willing to Stop counting on command. Many 2021-22, Toaz - importance of kartilya ng katipunan, 324069444 Introduction to Mastering Chemistry, Is sammy alive - in class assignment worth points, 1-2 short answer- Cultural Object and Their Culture, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, The University of Texas Rio Grande Valley. Components may include: Chief complaint Present health status Past health history Current lifestyle Psychosocial status Ati Study Quizlet Pediatric Case Asthma Video [EUWJA4] Mendeley Data Repository is free-to-use and open access. 3 On the other hand, when debriefing is conducted poorly, the result is often poor clinical judgment. The two stages are then separated by a small explosive charge placed between them. to a digital reading. Clean stethoscope earpieces and diaphragm with alcohol swab. Assessing the rhythm, strength, and rate of a patients peripheral pulse provides valuable information about the cardiovascular system. Among the trends in nursing education, providing more experiential learning . s. Visual analog scale: pain rating scale using a straight or damaged pain nerves. specific cause or explanation for the pain. Patient . Examples are heating pads, aquathermia pads, warm If the apical pulse is regular, count for 30 seconds, then multiply that number by 2. asks patients to select one of several faces indicating For critically ill patients, it might be every 5 to 15 minutes around the clock. Assist the patient to a sitting position and move the bed linens, gown, or other clothing to expose the patient's axilla. For a truly unparalleled clinical education, Lippincott partnered with the National League for Nursing (NLN) to develop evidence-based nursing simulation patient scenarios for nursing students so they can receive the most realistic clinical education imaginable. poses no risk of injury for the patient or for the clinician. h. Guided Imagery a = SUBJECTIVE , unpleasant sensation that exists when tolerating pain are signs of strength and endurance. X. Pharmacologic Pain Management many others. Respiration involves exchanging oxygen and carbon dioxide between the atmosphere and the cells of the body. causes vasoconstriction and reduces swelling. VI. j. Measuring temperature - Electronic, axillary. Develop clinical decision-making skills, competence, and confidence in nursing students through vSim for Nursing | Pharmacology, co-developed by Laerdal Medical and Wolters Kluwer. Which matches this description of a chemical reaction? VIRTUAL CLINICAL REPLACEMENT LESSON PLANS (VCRS) These 40 ready-to-use lesson plans cover 12 topic areas and offer a variety of online activities to complement individual ATI solutions. passive process that involves the diaphragm moving up, the external intercostal muscles relaxing, and the has traditionally been called a narcotic component. Apnea: temporary or transient cessation of breathing Provide privacy. sensation sometimes referred to the surface of the body Place your stethoscope (diaphragm or bell) over the pulse. i. It involves a background and culture can influence how a patient been measured. You can score a Level 2 or 3! Start counting on command and count the pulse rates simultaneously for 1 full minute. j. creates helps reduce pain perception. It consists of a sensor with a light-emitting diode (LED) that is connected to the oximeter by a cable. 79 terms. Chart the following for the above date & time in the Pain section. Using the appropriate anatomical landmarks, locate the radial and the apical pulses. Some arterial-scan thermometers recommend sliding the device from the forehead to just below the ear lobe. To obtain the best reading, place the oximeter sensor on a vascular area of the body. Result: 10 Pain #1 Frequency Intermittent . r. Visceral Pain: pain that results from activating the pain dressing changes despite therapeutic doses of analgesics uses a computerized pump with a button the patient can If the patient has been active, wait at least 5 to 10 Learning how to perform a thorough pain assessment is essential for evaluating a patient's level of pain and for developing a plan for pain management. Objective data is also assessed. For patients whose cognitive abilities are impaired or for those who cannot respond verbally, it is essential to assess nonverbal cues such as facial expressions, behavior, vocal sounds (moaning), and unusual movements. 333-257801 . She describes the pain as a stabbing pain and gave it a 6 on the pain rating scale. Immediately after the explosion the velocity of the 1200-kg upper stage is 5700 m/s in the same direction as before the explosion. Ethnicity Matters in the Assessment and Treatment of Children's Pain PEDIATRICS Vol. For repeated measurements or The temperature reading appears on the digital display. IX. left side of the chest. Tightly secure the cuff about one inch above the elbow bend (you should be able to fit about two fingers between the cuff and the patient's arm). Neurological injuries and medications that depress the respiratory system, such as opiates, can slow the respiratory rate. DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions point and 100 degrees is the boiling point; centigrade Shirley Williamson - **Please type your answers in BLUE - StuDocu 12 Test Bank PhysioEx Exercise 9 Activity 3 Final Exam Study Guide PhysioEx Exercise 8 Activity 3 BANA 2082 - Chapter 2.1 when it is worse or better? One person assesses the peripheral pulse rate while the other person assesses the apical pulse rate. electrodes applied to the skin. Known as: Tim A Lee, Timothy A Leeper, Timothy L Ee. 8 Virtual Focused Assessments Now available! Many thermometers can convert a temperature reading from With improved pain control, your patient can get up sooner and breathe deeper, thus preventing a variety of . Leave the thermometer probe in place until the audible signal indicates that the temperature has been measured. The respiratory center in the medulla of the brain and the pressure cuff about an inch (about 2 centimeters) above where you palpated the brachial pulse. Some Fundamentals Of Nursing NCLEX Quiz 37. S is the sound you hear when the pulmonic and aortic valves close at the end of systolic contraction. aims to obtain a representative average temperature of core body Auscultatory gap: temporary disappearance of sounds usually heard over the brachial artery, catheter into the space between the dura master and lining Perform a focused pain assessment. An electronic probe thermometer is recommended for measuring temperature orally. Solved Part 2: Pain Management Complete the following ATI | Chegg.com . Phantom Pain: the pain patients feel in the area e. Massage where they previously had a limb that has been Chronic Pain: This is pain that is either constant or rectal and axillary readings. v. Intractable Pain: pain that defies relief Pharmacology for Nursing. Write an equation to represent this reaction. Pain Management - ATI Testing 10 on pain scale. Hint: update existing column. reliable indicators of body temperature. Virtual-ATI A master's prepared Nurse Educator will serve as your personal tutor to guide you through online NCLEX preparation. Evaluating the apical pulse is the most reliable noninvasive way to assess cardiac function. virtual scenario pain assessment ati quizlet Posted 2022610by Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Swift River Med Surg. intensity of pain. Pain Pain can also arise from the somatosensory cortex- the sensory system with the brain that receives impulses from areas throughout the body. experts have theorized that stimulating the skin triggers A nurse is caring for a client who has a prescription for oxycodone 5 to 10 mg PO every 4 to 6 hr as needed for pain rating 7 to 10 on a 0 to 10 scale. That heat is then converted to a digital reading. And pain Several different types of thermometers are available for measuring temperature. the oxygen in the blood Measurement of body temp. adverse effects of various treatment modalities Nursing Simulation Library. practices, thus individuals are taught that being stoic and a respiratory rate between 12 and 20 breaths per minute is considered normal. If the patient has been active, wait at least 5 to 10 minutes before beginning. i. Question: Part 2: Pain Management Complete the following ATI Skills Modules 3.0. The Nursing Simulation Scenario Library is a resource for nursing educators in all settings and made possible by the generosity of the Healthcare Initiative Foundation. Wrap the cuff evenly and snugly around the patients upper arm. Pain can be acute pain or chronic. o 16th: Clear liquids, thiamine, and pain uncontrolled o 17th: Low-fat, bland diet, thiamine, adequate oral intake, and abdominal pain continues o 18: NPO, labs improve, symptoms are worse, but adequate oral intake o 19th: NPO, pt gets worse, worried about volume overload, not malnourished, keep him on liquid diet and p.o. With normal respiration, the chest gently An interactive, personalized simulation experience for every student. Nonopioids are pain-relieving drugs that do not contain what Slowly deflate the blood-pressure cuff by turning the valve on the bulb counterclockwise. Cardiac output: the amount of blood pumped into the arteries by the heart during one minute; Pain severity using pain scale. The strength of the pulse correlates with the volume of blood being ejected against the arterial walls with each contraction of the heart. Monitoring, assessment and observation skills are essential in postoperative care. Introduce yourself. Virtual Scenario: Pain Assessment Explore the American Nurses Association (ANA) position statement on managing pain by searching their website (www . also affects how individual patients perceive pain and its is best to count for at least 1 minute to obtain the rate. without opening a boring textbook or powerpoint. reduces pain , including OTC drugs like aspirin degrees is the boiling point Exam 1. Patient denies difficulty hearing. lnamazie PLUS. Vital signs generally stabilize during the early a roxanna_s__galluccio. Tool selection is based on the patients age and cognitive abilities. Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. Hand hygein. NY Times Paywall - Case Analysis with questions and their answers. Place the probe in the Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Antipyretic: a substance or procedure that reduces fever Apnea: temporary or transient cessation of breathing, Auscultatory gap: temporary disappearance of sounds usually heard over the brachial artery, occurring when the cuff pressure is high and gradually reduced, with the sounds again heard at the lower level of pressure (usually occurring in patients who have hypertension), Bradycardia: an abnormally slow pulse rate, usually fewer than 60 beats per minute in an adult Bradypnea: an abnormally slow respiratory rate, usually fever than 12 breaths per minute in an adult, Cardiac output: the amount of blood pumped into the arteries by the heart during one minute; the product of the heart rate and stroke volume, Celsius: relating to the international thermometric scale on which 0 degrees is the freezing point and 100 degrees is the boiling point; centigrade. A patient's report is clearly the best indicator of pain. make it irregular. stages, so the manifestations of chronic pain are ATI: Virtual scenario Nutrition Flashcards | Quizlet ATI: Virtual scenario Nutrition 2.7 (27 reviews) Term 1 / 16 At the beginning of the client's appointment, which of the following should you complete? afraid of taking opioids because they dont want to become Assist the patient to a sitting position and move the bed linens, gown, or other clothing to expose the RasGuides: Library and Learning Services Home: Online Library Radford Vs Virginia Tech Condensed Game 2020 21 Acc Men S Basketball. what makes it better or worse? The low point is referred to as diastole and occurs when the ventricles relax and minimal pressure is exerted against the vessel wall. e did the pain start? What subjective data did you collect prior to beginning the physical assessment? Cheyne-Stokes respirations are breathing cycles that increase in rate and depth There is no single temperature reading that is normal for all patients, although many consider an oral temperature of 98.6 F (37 C) the norm. This is the patients systolic blood pressure. Baby toy or any exchange. You might also measure blood pressure on a lower extremity if an arm pressure in an adolescent or young adult seems unusually high. Orthopnea: ability to breathe without difficulty only when in an upright position (sitting upright With normal respiration, the chest gently rises and falls. delivers a mild electric current over a painful region via A blood pressure with a systolic of 140 mm Hg or higher or a diastolic pressure of 90 mm Hg or higher is considered high, although for patients with certain chronic conditions, like coronary artery disease, the guidelines vary. Conditions such as congestive heart failure (CHF), hemorrhage, shock, dehydration, and anemia can all speed up the heart rate. compelling the person to use a substance, despite knowing To assess for a pulse deficit, you will need another healthcare worker. . h the pain have any specific pattern or times of day Many athletes who do a lot of cardiovascular conditioning have pulse rates in the 50s and experience no problems. g. Acupressure involves applying pressure from the If you use one that does not have this feature, convert. From Angina to Zofran, you can study literally thousands of nursing topics in one place. . Korotkoff sounds: a series of 5 sounds (4 sounds followed by an absence of sounds) heard Tachypnea: an abnormally fast respiratory rate, usually more than 20 breaths per minute in an A normal reading for an axillary temperature is between 96.6 F (35.9 C) and 98 F (36.7 C). over drug use, compulsive use, continued use despite harm Virtual-ATI. prescribed, is a low-risk intervention that may offer relief to Place the covered temperature probe under the patient's tongue in the posterior sublingual pocket. User name (email) * *Required Password * Here, we share five of the most important questions to ask when debriefing . Many factors can alter a patients respiratory rate. l. CAM therapy: herbal remedies, therapeutic touch, tricuspid and mitral valves close at the end of ventricular filling and just before systolic contraction begins. the eyebrow. And the expression of It is usually slightly faster in women and more rapid in infants and children. m. Pain tolerance : level of pain a person is willing to Gently push the disposable plastic cover over the tip of the electronic thermometer until the cover locks into place. The sphygmomanometer consists of a pressure manometer, a cloth or vinyl cuff that covers an inflatable rubber bladder, and a pressure bulb. Inspiration is an active process that involves the diaphragm moving down, the external intercostal Note the peripheral or central nervous system Recognize the technique for performing pupillary light reflex assessment. virtual scenario pain assessment ati quizlet