Exam 10: Head, Eyes, Ears, Nose, and Throat

A nurse reads in the history that a patient has a new onset of acute otitis media. Based on this information, how does the nurse expect this patient's tympanic membrane to appear?

A nurse is assessing a patient who was hit at the base of the skull with a blunt instrument causing a skull fracture. What assessment finding does this nurse anticipate during the inspection?

During the Rinne test, a nurse determines that the patient hears the tuning fork held on the mastoid process for 15 seconds and hears the tuning fork held in front of the ear for 30 seconds. The same results are found in both ears. Based on this finding, what is the most appropriate response of the nurse?

Nurses inquire about lifestyle behaviors in those patients with specific risk factors for cataracts. Which characteristics are associated with risk factors for cataracts? (Select all that apply.)

During an eye examination of an Asian patient, a nurse notices an involuntary rhythmical, horizontal movement of the patient's eyes. How does a nurse document this finding?

When inspecting a patient's posterior wall of the pharynx and tonsils, a nurse documents which finding as abnormal?

How does the nurse test the function of the patient's spinal accessory nerve (CN XI)?

When palpating the right lobe of the patient's thyroid gland using the anterior approach, the nurse feels the tissue between which two structures?

A patient reports a history of snorting cocaine and is concerned about his bloody nasal drainage. What does the nurse expect to see on inspection of his nose?

A patient complains of sore throat, pain with swallowing, fever, and chills. The nurse suspects tonsillitis and plans to palpate the anterior cervical lymph nodes. Where does the nurse place his fingers to palpate these nodes?

A nurse examines a patient's auditory canal and tympanic membrane with an otoscope and observes which finding as normal?

How does a nurse recognize normal accommodation?

To assess jaw movement of an adult patient, the nurse uses which technique?

A nurse observes a student using the whisper test to screen a patient with hearing loss. Which behavior by the student requires a corrective comment from the nurse?

What technique does a nurse use when palpating the right lobe of a patient's thyroid gland using the anterior approach?

A patient is admitted with edema of the occipital lobe following a head injury. The nurse correlates which finding with damage to this area?

While taking a history, the nurse notices that the patient's family member repeats most of the questions to the patient in a loud voice. Based on this information, what finding does the nurse anticipate when assessing this patient's hearing using an audioscope?

A patient complains of a lesion in his nose. Which technique does a nurse use to inspect the nasal mucosa?

An adult patient comes to the clinic complaining of right ear pain. What technique does the nurse use to inspect this patient's auditory canal?

A nurse's presentation to patients on risk factors for oral cancer includes which fact?