HEENT Review Questions And Answers Graded A

HEENT Review Questions And Answers Graded A When planning care for a client with an inner ear infection, the nurse will need to include interventions for which of the following potential problems? A) Rhinorrhea B ...

HEENT Review Questions And Answers Graded A When planning care for a client with an inner ear infection, the nurse will need to include interventions for which of the following potential problems? A) Rhinorrhea B) Vertigo C) Headache D) Fever Correct Answer: B) Vertigo Which action by the nurse is consistent with the Rinne test? A) The nurse uses a bulb insufflator attached to an otoscope to observe movement of the tympanic membrane. B) The nurse strikes the tuning fork and places it on the patient's mastoid process to measure bone conduction. C) The nurse activates the tuning fork and places it on the midline of the parietal bone in line with both ears. D) The nurse shields their mouth and whispers a simple sentence approximately 18 inches from the patient's ear. Correct Answer: B) The nurse strikes the tuning fork and places it on the patient's mastoid process to measure bone conduction Which terms refers to the progressive hearing loss associated with aging? A) Otalgia B) Presbycusis C) Sensorineural hearing loss D) Exostoses Correct Answer: B) Presbycusis Both middle and inner ear age-related changes result in hearing loss. Exostoses refers to small, hard, bony protrusions in the lower posterior bony portion of the ear canal. Otalgia refers to a sensation of fullness or pain in the ear. Sensorineural hearing loss is loss of hearing related to damage of the end organ for hearing and/or cranial nerve VIII The client is having a Weber test. During a Weber test, where should the tuning fork be placed? A) In the midline of the client's skull or in the center of the forehead. B) Under the bridge of the nose. C) On the mastoid process behind the ear. D) Near the external meatus of each ear. Correct Answer: A) In the midline of the client's skull or in the center of the forehead. During a pharmacology class the students are told that some drugs need to be closely monitored. What aspect should the nurse closely monitor for in clients who have been administered salicylates, loop diuretics, quinidine, quinine, or aminoglycosides? A) Reduced urinary output B) Impaired facial movement C) Tinnitus and sensorineural hearing loss D) Signs of hypotension Correct Answer: C) Tinnitus and sensorineural hearing loss Which characteristic feature of the tympanic membrane should a nurse anticipate finding in a client with acute otitis media? A) Gray, translucent, with no retraction B) Red, bulging, with an absent light reflex C) Pearly, translucent, with no bulging D) Yellowish, bulging, with fluid bubbles Correct Answer: B) Red, bulging, with an absent light reflex Transmission of sound waves in the inner ear is known as A) tympanic hearing B) perceptive hearing C) neuromotor hearing D) conductive hearing Correct Answer: B) perceptive hearing The transmission of sound waves in the inner ear is referred to as "perceptive" or "sensorineural hearing The nurse is planning to conduct the Weber test on an adult male client. To perform this test, the nurse should plan to A) strike a tuning fork and place it at the base of the client's mastoid process. B) whisper a word with two distinct syllables to the client. C) ask the client to close his eyes while standing with feet together. D) strike a tuning fork and place it on the center of the client's head or forehead Correct Answer: D) strike a tuning fork and place it on the center of the client's head or forehead A 52-year-old patient fails the Romberg test. The nurse explains that this might indicate a dysfunction in what part of the ear? A) The vestibular portion of the inner ear B) The bones of the middle ear C) The pinna D) The eustachian tubes Correct Answer: A) The vestibular portion of the inner ear A client diagnosed with otosclerosis is able to hear bone conduction longer than air conduction when the Rinne test is performed. How should the nurse classify this client's hearing? A) bilateral sensorineural hearing loss B) unilateral conductive hearing loss C) unilateral sensorineural hearing loss D) bilateral conductive hearing loss Correct Answer: B) unilateral conductive hearing loss With conductive hearing loss, bone conduction (BC) sound is heard longer than or equally as long as air conduction (AC) sound (BC ? AC). Causes of unilateral conductive hearing loss include otosclerosis. In unilateral sensorineural hearing loss, sound is heard in the good ear. There is no evidence that the hearing in both ears, or bilateral, is affected. A client with hearing loss by whisper test is further examined with a tuning fork, using the Weber and Rinne maneuvres. The abnormal results are as follows: bone conduction is greater than air on the left, and the client hears the tuning fork better on the left. Which of the following is most likely? A) Otosclerosis of the left ear B) Exposure to chronic loud noise of the right ear C) Otitis media of the right ear D) Perforation of the right eardrum Correct Answer: A) Otosclerosis of the left ear Which question asked by the nurse is assessing problems with tinnitus? A) Have you ever had drainage from your ears? B) In what situations is it hard for you to hear? C) Do you experience buzzing in your ears? D) Do you ever have problems with balance? Correct Answer: Do you experience buzzing in your ears? Which question asked by the nurse is assessing problems with vertigo? A) Have you ever had drainage from your ears? B) In what situations is it hard for you to hear? C) Do you experience buzzing in your ears? D) Do you ever have problems with balance? Correct Answer: D) Do you ever have problems with balance? A client presents at the clinic complaining of a loss of balance. What test should the nurse expect the physician to carry out on a client with a loss of balance? A) Romberg test B) Weber test C) Rinne test D) Audiometric test Correct Answer: A) Romberg test The nursing student hopefuls are taking a pre-nursing anatomy and physiology class. What will they learn is the anatomical feature that equalizes air pressure in the middle ear? A) Eustachian tube B) The malleus C) The pinna D) The meatus Correct Answer: A) Eustachian tube Which finding should a nurse recognize as normal when assessing the ears of an elderly client? A) Bulging tympanic membrane B) Decrease in cerumen production C) High-tone frequency loss D) Shortened earlobes Correct Answer: C) High-tone frequency loss A client complains, "I feel like the whole room is spinning around me, and it makes me nauseous sometimes." What term should the nurse use to document the client's symptom? A) Tinnitus B) Otalgia C) Vertigo D) Dizziness Correct Answer: C) Vertigo A mother of a small child calls the clinic and asks to schedule an appointment for ear tube removal. The call is transferred to the nurse. What is the nurse's best action? A) Ask healthcare provider about prescribing antibiotics before removal. B) Schedule first available office appointment. C) Schedule appointment at hospital for tubes to be removed surgically. D) Ask the mother how long the tubes have been in place Correct Answer: D) Ask the mother how long the tubes have been in place. When providing client education on hearing, the nurse should remind clients to utilize ear plugs when they are what? (Select all that apply.) A) Cleaning their homes B) Using lawnmowers C) At train stations D) At concerts E) Working with children Correct Answer: B) Using lawnmowers C) At train stations D) At concerts A patient comes to the clinic and reports pain when he touches his ear. With what is this finding most consistent? A) Acoustic neuroma B) Otitis externa C) Otitis media D) Meniere disease Correct Answer: B) Otitis externa Explain how we hear: Correct Answer: hear