Question 1

A patient undergoing a Weber test says that the sound is louder in her left ear.What should this result indicate?

Accepted Answer

A)  Normal hearing 
B)  Nerve damage from listening to loud music 
C)  Blocked ear canal in the right ear 
D)  Conductive hearing loss in the left ear 
A)  Normal hearing 
B)  Nerve damage from listening to loud music 
C)  Blocked ear canal in the right ear 
D)  Conductive hearing loss in the left ear

Question 2

A nurse is assisting with a caloric test and notes that the specific patient response that indicates a hearing disorder is a problem in the labyrinth.Which response did the nurse witness?

Accepted Answer

A)  Blinking 
B)  Grimacing 
C)  Headache 
D)  Nystagmus 
A)  Blinking 
B)  Grimacing 
C)  Headache 
D)  Nystagmus

Question 3

When planning care for a patient who cannot perceive or interpret sounds, a nurse takes into consideration that the patient may have a(n)______ hearing loss.

Accepted Answer

The answer of When planning care for a patient who...

Question 4

Which patient problem would the nurse prioritize for a patient having ear surgery?

Accepted Answer

A)  Altered self-concept 
B)  Potential injury 
C)  Knowledge deficit 
D)  Inability to communicate effectively 
A)  Altered self-concept 
B)  Potential injury 
C)  Knowledge deficit 
D)  Inability to communicate effectively

Question 5

What information should a nurse relay to a patient when providing education about protecting vision?

Accepted Answer

A)  After 40 years of age, eye examinations should be performed every 2 years. 
B)  Crusted eyelids on awakening are caused by decreased tear production. 
C)  Floaters are a sign of eye infection. 
D)  Blurred vision without pain is temporary eye strain. 
A)  After 40 years of age, eye examinations should be performed every 2 years. 
B)  Crusted eyelids on awakening are caused by decreased tear production. 
C)  Floaters are a sign of eye infection. 
D)  Blurred vision without pain is temporary eye strain.

Question 6

Which instruction should a nurse include when providing patient teaching information for a patient who will be self-administering ear drops for an ear infection?

Accepted Answer

A)  Tip the affected ear up and keep it in that position for several minutes after instilling the medication. 
B)  Keep the medication in the refrigerator to preserve it.Instill the medication with the affected ear tilted upward. 
C)  Touch the dropper to the opening of the ear canal to ensure that the drops are correctly instilled. 
D)  Warm the ear drops and then tilt the head downward. 
A)  Tip the affected ear up and keep it in that position for several minutes after instilling the medication. 
B)  Keep the medication in the refrigerator to preserve it.Instill the medication with the affected ear tilted upward. 
C)  Touch the dropper to the opening of the ear canal to ensure that the drops are correctly instilled. 
D)  Warm the ear drops and then tilt the head downward.

Question 7

What nursing action should be implemented when irrigating a patient's ear?

Accepted Answer

A)  Straighten the ear canal and irrigate with a large-tipped bulb syringe. 
B)  Direct the solution to the middle of the canal to avoid damaging the ear. 
C)  Use a body temperature solution and have the patient hold a basin under the ear while directing the solution toward the top of the canal. 
D)  Repeat the irrigation with hotter water. 
A)  Straighten the ear canal and irrigate with a large-tipped bulb syringe. 
B)  Direct the solution to the middle of the canal to avoid damaging the ear. 
C)  Use a body temperature solution and have the patient hold a basin under the ear while directing the solution toward the top of the canal. 
D)  Repeat the irrigation with hotter water.

Question 8

When a patient has a suspected vestibular disorder, the physician orders an electronystagmography test.Which instruction should the nurse include when educating the patient about this test?

Accepted Answer

A)  Use tea or coffee on the morning of test. 
B)  Electrodes will be placed on the scalp. 
C)  Air will be blown into the external ear. 
D)  The patient should have nothing to eat or drink (NPO)3 hours before the test. 
A)  Use tea or coffee on the morning of test. 
B)  Electrodes will be placed on the scalp. 
C)  Air will be blown into the external ear. 
D)  The patient should have nothing to eat or drink (NPO)3 hours before the test.

Question 9

A 75-year-old patient has normal age-related changes in his ear.What change should not be considered a normal change in the aging patient?

Accepted Answer

A)  Dry and wrinkled skin on the auricle 
B)  Otitis externa 
C)  Dry cerumen 
D)  Hair in the ear canal 
A)  Dry and wrinkled skin on the auricle 
B)  Otitis externa 
C)  Dry cerumen 
D)  Hair in the ear canal

Question 10

A nurse assessing the results of a Rinne test sees the notation of BC > AC.How should the nurse translate this result?

Accepted Answer

A)  Conductive hearing loss 
B)  Sensorineural hearing loss 
C)  Normal hearing 
D)  Cochlear defect 
A)  Conductive hearing loss 
B)  Sensorineural hearing loss 
C)  Normal hearing 
D)  Cochlear defect

Question 11

Which implementation is appropriate in the care plan for a visually impaired person?

Accepted Answer

A)  Leaving the bed in the highest position 
B)  Keeping the door closed 
C)  Announcing your presence when you enter and leave the room 
D)  Leaving the radio on all the time to help the patient know the time of day 
A)  Leaving the bed in the highest position 
B)  Keeping the door closed 
C)  Announcing your presence when you enter and leave the room 
D)  Leaving the radio on all the time to help the patient know the time of day

Question 12

A newly diagnosed patient with macular degeneration flings her book at the television set and furiously says, "I can't read this blasted book, and I can't see what is on the stupid TV!" How should the nurse define this behavior?

Accepted Answer

A)  Anger stage of grieving 
B)  Poor impulse control 
C)  Ineffective management of a therapeutic regimen 
D)  Psychotic reaction to loss 
A)  Anger stage of grieving 
B)  Poor impulse control 
C)  Ineffective management of a therapeutic regimen 
D)  Psychotic reaction to loss

Question 13

An 85-year-old patient has had age-related changes in the cochlea.What is the most appropriate nursing action for the nurse to implement?

Accepted Answer

A)  Speak slowly. 
B)  Provide assistance with ambulation. 
C)  Speak in a lower tone. 
D)  Communicate with the patient in writing. 
A)  Speak slowly. 
B)  Provide assistance with ambulation. 
C)  Speak in a lower tone. 
D)  Communicate with the patient in writing.

Question 14

A nurse uses a diagram to show the physiologic sequence of hearing.After entering the external ear, the sound is then conducted through the: ______ (Arrange the options in sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

Accepted Answer

A) tympanic membrane 
B) sensory receptors 
C) oval window 
D) acoustic nerve to the brain 
E) malleus, incus, and stapes 
A) tympanic membrane 
B) sensory receptors 
C) oval window 
D) acoustic nerve to the brain 
E) malleus, incus, and stapes

Question 15

What is an appropriate nursing action to implement when performing eye irrigation?

Accepted Answer

A)  Ask the patient to tip up her head and run the irrigation fluid over her open eye. 
B)  Direct the irrigating fluid from the inner canthus to the outer canthus. 
C)  Not allow the patient to blink. 
D)  Place the irrigating syringe directly onto the corner of the eye and allow the fluid to move across the eye. 
A)  Ask the patient to tip up her head and run the irrigation fluid over her open eye. 
B)  Direct the irrigating fluid from the inner canthus to the outer canthus. 
C)  Not allow the patient to blink. 
D)  Place the irrigating syringe directly onto the corner of the eye and allow the fluid to move across the eye.

Question 16

What significant instruction should a nurse include to a patient being discharged after ear surgery?

Accepted Answer

A)  Use stool softeners with caution. 
B)  Assume your usual activities. 
C)  Avoid blowing your nose. 
D)  Shampoo your hair with baby shampoo. 
A)  Use stool softeners with caution. 
B)  Assume your usual activities. 
C)  Avoid blowing your nose. 
D)  Shampoo your hair with baby shampoo.

Question 17

Which is the most appropriate concern when considering the impact of a hearing deficit when planning care for a child who has been diagnosed with a hearing impairment?

Accepted Answer

A)  Potential injury 
B)  Decreased socialization 
C)  Knowledge deficit 
D)  Anxiety 
A)  Potential injury 
B)  Decreased socialization 
C)  Knowledge deficit 
D)  Anxiety

Question 18

When asked about his vision, a patient says that the last time he had it tested, his vision was recorded as 20/50.What does this mean?

Accepted Answer

A)  He can read at 20 feet what a person with normal vision can read at 50 feet. 
B)  He can read at 50 feet what a person with normal vision can read at 20 feet. 
C)  He needs to be 50 feet from objects to see them. 
D)  He can see objects the best between 20 and 50 feet. 
A)  He can read at 20 feet what a person with normal vision can read at 50 feet. 
B)  He can read at 50 feet what a person with normal vision can read at 20 feet. 
C)  He needs to be 50 feet from objects to see them. 
D)  He can see objects the best between 20 and 50 feet.

Exam 58: Special Senses Introduction

A patient undergoing a Weber test says that the sound is louder in her left ear.What should this result indicate?

A nurse is assisting with a caloric test and notes that the specific patient response that indicates a hearing disorder is a problem in the labyrinth.Which response did the nurse witness?

When planning care for a patient who cannot perceive or interpret sounds, a nurse takes into consideration that the patient may have a(n)______ hearing loss.

Which patient problem would the nurse prioritize for a patient having ear surgery?

What information should a nurse relay to a patient when providing education about protecting vision?

Which instruction should a nurse include when providing patient teaching information for a patient who will be self-administering ear drops for an ear infection?

What nursing action should be implemented when irrigating a patient's ear?

When a patient has a suspected vestibular disorder, the physician orders an electronystagmography test.Which instruction should the nurse include when educating the patient about this test?

A 75-year-old patient has normal age-related changes in his ear.What change should not be considered a normal change in the aging patient?

A nurse assessing the results of a Rinne test sees the notation of BC > AC.How should the nurse translate this result?

Which implementation is appropriate in the care plan for a visually impaired person?

A newly diagnosed patient with macular degeneration flings her book at the television set and furiously says, "I can't read this blasted book, and I can't see what is on the stupid TV!" How should the nurse define this behavior?

An 85-year-old patient has had age-related changes in the cochlea.What is the most appropriate nursing action for the nurse to implement?

A nurse uses a diagram to show the physiologic sequence of hearing.After entering the external ear, the sound is then conducted through the: ______ (Arrange the options in sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

What is an appropriate nursing action to implement when performing eye irrigation?

What significant instruction should a nurse include to a patient being discharged after ear surgery?

Which is the most appropriate concern when considering the impact of a hearing deficit when planning care for a child who has been diagnosed with a hearing impairment?

When asked about his vision, a patient says that the last time he had it tested, his vision was recorded as 20/50.What does this mean?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Eye and Vision Disorders

Ear and Hearing Disorders

Psychobiological Disorders

Substance Abuse