Bring a penlight from the side of the client's face and briefly shine the light on the pupil.

Hold a forefinger, a pencil, or another straight object about 10 to 15 cm (4” to 6”) from the bridge of the client's nose.

Hold a finger about 6” to 8” from the bridge of the client's nose.

Darken the room.

Ask the client to look straight ahead.

Ask the client to first look at a close object, then at a distant object, then back at the close object.