Question 1

An assessment of a 23-year-old patient reveals the following: an auricle that is tender and reddish-blue in color with small vesicles.Additional information the nurse would need to know includes which of the following?

Accepted Answer

A)  Any change in the ability to hear
B)  Any recent drainage from the ear
C)  Recent history of trauma to the ear
D)  Any prolonged exposure to extreme cold

Question 2

Which of the following would be true regarding otoscopic examination of a newborn?

Accepted Answer

A)  Immobility of the drum is a normal finding.
B)  An injected membrane would indicate infection.
C)  The normal membrane may appear thick and opaque.
D)  The appearance of the membrane is identical to that of an adult.

Question 3

While performing the otoscopic exam of a 3-year-old boy who has been pulling on his left ear,the nurse finds that his left tympanic membrane is bright red and the light reflex is not visible.The most likely cause is:

Accepted Answer

A)  fungal infection.
B)  acute otitis media.
C)  rupture of the drum.
D)  blood behind the drum.

Question 4

The nurse is assessing a 16-year-old patient with head injuries from a recent motor vehicle accident.Which of the following statements indicates the most important reason for assessing for any drainage from the canal?

Accepted Answer

A)  If the drum has ruptured,there will be purulent drainage.
B)  Bloody or clear watery drainage can indicate a basal skull fracture.
C)  The auditory canal many be occluded from increased cerumen.
D)  There may be occlusion of the canal caused by foreign bodies from the accident.

Question 5

The nurse is testing the hearing of a 78-year-old man and keeps in mind the changes in hearing that occur with aging,such as: (Select all that apply. )

Accepted Answer

A)  Hearing loss related to aging begins in the mid 40s.
B)  The progression is slow.
C)  The aging person has low-frequency tone loss.
D)  The aging person may find it harder to hear consonants than vowels.
E)  Sounds may be garbled and difficult to localize.F) Hearing loss reflects nerve degeneration of the middle ear.

Question 6

During an assessment of a 20-year-old Asian patient,the nurse notices that he has dry,flaky cerumen in his canal.What is the significance of this finding?

Accepted Answer

A)  This is probably the result of lesions from eczema in his ear.
B)  This represents poor hygiene.
C)  This is a normal finding and no further follow-up is necessary.
D)  This could be indicative of change in cilia;the nurse should assess for conductive hearing loss.

Question 7

When performing an otoscopic examination of a 5-year-old child with a history of chronic ear infections,the nurse sees that his right tympanic membrane is amber-yellow in color and there are air bubbles behind the tympanic membrane.The child reports occasional hearing loss and a popping sound with swallowing.The preliminary analysis based on this information is that:

Accepted Answer

A)  this is most likely a serous otitis media.
B)  the child has an acute purulent otitis media.
C)  there is evidence of a resolving cholesteatoma.
D)  the child is experiencing the early stages of perforation.

Question 8

The mother of a 2-year-old is concerned about the upcoming placement of tympanostomy tubes in her son's ears.The nurse would include which of the following in the teaching plan?

Accepted Answer

A)  The tubes are placed in the inner ear.
B)  The tubes are used in children with sensorineural loss.
C)  The tubes are permanently inserted during a surgical procedure.
D)  The purpose of the tubes is to decrease the pressure and allow for drainage.

Question 9

A colleague is assessing an 80-year-old patient who has ear pain and asks him to hold his nose and swallow.The nurse knows that which of the following is true concerning this technique?

Accepted Answer

A)  This should not be used in an 80-year-old patient.
B)  This technique is helpful in assessing for otitis media.
C)  This is especially useful in assessing a patient with an upper respiratory infection.
D)  This will cause the eardrum to bulge slightly and make landmarks more visible.

Question 10

During an otoscopic examination,the nurse notes an area of black and white dots on the tympanic membrane and ear canal wall.What does this finding suggest?

Accepted Answer

A)  Malignancy
B)  Viral infection
C)  Blood in the middle ear
D)  Yeast or fungal infection

Question 11

The portion of the ear that consists of movable cartilage and skin is called the:

Accepted Answer

A)  auricle.
B)  concha.
C)  outer meatus.
D)  mastoid process.

Question 12

During a hearing assessment the nurse finds that sound lateralizes to the patient's left ear with the Weber test.What can the nurse conclude from this?

Accepted Answer

A)  The patient has a conductive hearing loss in the right ear.
B)  Lateralization is a normal finding with the Weber test.
C)  The patient could have either a sensorineural or a conductive loss.
D)  A mistake has occurred;the test must be repeated.

Question 13

A 17-year-old student is a swimmer on her high school's swim team.She has had three bouts of otitis externa so far this season and wants to know what to do to prevent it.The nurse instructs her to:

Accepted Answer

A)  use a cotton-tipped swab to dry the ear canals thoroughly after each swim.
B)  use rubbing alcohol or 2% acetic acid eardrops after every swim.
C)  irrigate the ears with warm water and a bulb syringe after each swim.
D)  rinse the ears with a warmed solution of mineral oil and hydrogen peroxide.

Question 14

In an individual with otitis externa,which of the following signs would the nurse expect to find on assessment?

Accepted Answer

A)  Rhinorrhea
B)  Periorbital edema
C)  Pain over the maxillary sinuses
D)  Enlarged superficial cervical nodes

Exam 15: Ears

During an otoscopic examination,the nurse notes an area of black and white dots on the tympanic membrane and ear canal wall.What does this finding suggest?

Correct Answer
verified

The nurse is testing the hearing of a 78-year-old man and keeps in mind the changes in hearing that occur with aging,such as: (Select all that apply. )

Correct Answer
verified

A 17-year-old student is a swimmer on her high school's swim team.She has had three bouts of otitis externa so far this season and wants to know what to do to prevent it.The nurse instructs her to:

Correct Answer
verified

The nurse is assessing a 16-year-old patient with head injuries from a recent motor vehicle accident.Which of the following statements indicates the most important reason for assessing for any drainage from the canal?

Correct Answer
verified

The portion of the ear that consists of movable cartilage and skin is called the:

Correct Answer
verified

Which of the following would be true regarding otoscopic examination of a newborn?

Correct Answer
verified

An assessment of a 23-year-old patient reveals the following: an auricle that is tender and reddish-blue in color with small vesicles.Additional information the nurse would need to know includes which of the following?

Correct Answer
verified

The mother of a 2-year-old is concerned about the upcoming placement of tympanostomy tubes in her son's ears.The nurse would include which of the following in the teaching plan?

Correct Answer
verified

A colleague is assessing an 80-year-old patient who has ear pain and asks him to hold his nose and swallow.The nurse knows that which of the following is true concerning this technique?

Correct Answer
verified

While performing the otoscopic exam of a 3-year-old boy who has been pulling on his left ear,the nurse finds that his left tympanic membrane is bright red and the light reflex is not visible.The most likely cause is:

Correct Answer
verified

In an individual with otitis externa,which of the following signs would the nurse expect to find on assessment?

Correct Answer
verified

During an assessment of a 20-year-old Asian patient,the nurse notices that he has dry,flaky cerumen in his canal.What is the significance of this finding?

Correct Answer
verified

Correct Answer
verified

During a hearing assessment the nurse finds that sound lateralizes to the patient's left ear with the Weber test.What can the nurse conclude from this?

Correct Answer
verified

Exam 15: Ears

During an otoscopic examination,the nurse notes an area of black and white dots on the tympanic membrane and ear canal wall.What does this finding suggest?

Correct AnswerverifiedShow Answer

The nurse is testing the hearing of a 78-year-old man and keeps in mind the changes in hearing that occur with aging,such as: (Select all that apply. )

Correct AnswerverifiedShow Answer

A 17-year-old student is a swimmer on her high school's swim team.She has had three bouts of otitis externa so far this season and wants to know what to do to prevent it.The nurse instructs her to:

Correct AnswerverifiedShow Answer

The nurse is assessing a 16-year-old patient with head injuries from a recent motor vehicle accident.Which of the following statements indicates the most important reason for assessing for any drainage from the canal?

Correct AnswerverifiedShow Answer

The portion of the ear that consists of movable cartilage and skin is called the:

Correct AnswerverifiedShow Answer

Which of the following would be true regarding otoscopic examination of a newborn?

Correct AnswerverifiedShow Answer

An assessment of a 23-year-old patient reveals the following: an auricle that is tender and reddish-blue in color with small vesicles.Additional information the nurse would need to know includes which of the following?

Correct AnswerverifiedShow Answer

The mother of a 2-year-old is concerned about the upcoming placement of tympanostomy tubes in her son's ears.The nurse would include which of the following in the teaching plan?

Correct AnswerverifiedShow Answer

A colleague is assessing an 80-year-old patient who has ear pain and asks him to hold his nose and swallow.The nurse knows that which of the following is true concerning this technique?

Correct AnswerverifiedShow Answer

While performing the otoscopic exam of a 3-year-old boy who has been pulling on his left ear,the nurse finds that his left tympanic membrane is bright red and the light reflex is not visible.The most likely cause is:

Correct AnswerverifiedShow Answer

In an individual with otitis externa,which of the following signs would the nurse expect to find on assessment?

Correct AnswerverifiedShow Answer

During an assessment of a 20-year-old Asian patient,the nurse notices that he has dry,flaky cerumen in his canal.What is the significance of this finding?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

During a hearing assessment the nurse finds that sound lateralizes to the patient's left ear with the Weber test.What can the nurse conclude from this?

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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