HEENT Flashcards

1
Q

A patient comes in with headache and dizziness. What type of data is this?

A. Objective
B. Medical
C. Subjective

A

C. Subjective

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2
Q

Lumps or swelling is an example of?

A. Objective
B. Medical
C. Subjective

A

C. Subjective

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3
Q

What term is used to describe the expected shape and size of the head?

A. Normocephalic
B. Normoactive
C. Brachycephaly

A

Normosaphalic

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4
Q

What should the nurse inspect for in the temporal area?

A. Size and shape
B. Movement of the tendons while chewing
C. Crepitus

A

C. Crepitus

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5
Q

When palpating the cervical lymph nodes, the nurse notices that she can feel the nodes. What could this mean?

A. This is normal
B. The patient has strep throat
C. Some type of pathology

A

C. Some type of pathology

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6
Q

While assessing a patient’s thyroid, the nurse understands that she should

A. Be able to see the thyroid
B. See the nodules
C. Know that non-palpable thyroid is acceptable

A

C. Know that non-palpable thyroid is acceptable

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7
Q

When assessing the thyroid gland the nurse should

A. Auscultate for bruits with the diaphragm
B. Only palpate the thyroid from a posterior position
C. Auscultate for bruits with the bell

A

C. Auscultate for bruits with the bell

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8
Q

What is myopia?

A. Nearsightedness
B. Farsightedness
C. A factor of aging

A

A. Nearsightedness

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9
Q

What is presbyopia?

A. Nearsightedness
B. Farsightedness
C. A factor of aging

A

Both B and C

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10
Q

What is nystagmus?

A. Infection
B. Farsightedness
C. Involuntary, rapid, rhythmic eye movement.
D. Voluntary, controlled, eye movement

A

C. Involuntary, rapid, rhythmic eye movement.

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11
Q

Which way should the nurse clean a patient’s eye?

A
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12
Q

What is constriction and conversion?

A. Fixation
B. Light reactivity
C. Accommodation

A

C. Accommodation

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13
Q

How should an artificial eye be cleaned?

A. Once a year with bleach
B. Everyday with antibacterial soap
C. As needed with mild soap and rinsed with saline

A

C. As needed with mild soap and rinsed with saline

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14
Q

How often does a patient with an artificial eye need to see an eye doctor?

A. Annually
B. Once every 6 months
C. Once a month

A

A. Annually

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15
Q

What is the medical term for ringing of the ears?

A. Earache
B. Tinnitus
C. Vertigo

A

B. Tinnitus

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16
Q

What objective data is gathered during a physical exam of the outer ear?

A. Tinnitus
B. Dizziness
C. External auditory meatus

A

C. External auditory meatus

17
Q

What is the otoscopic examination?

A. Gathering subjective data
B. Examining the tympanic membrane
C. Assessing the client’s ability to hear

A

B. Examining the tympanic membrane

18
Q

What is the weber test?

A. Placing a stricken tuning fork above the patient’s head to assess hearing abnormalities
B. Used to assess air conduction by placing a tuning fork by the ear canal
C. Placing a tuning fork on the mastoid bone to assess for bone conduction

A

A. Placing a stricken tuning fork above the patient’s head to assess hearing abnormalities

19
Q

What is the Rinne test for obstruction?

A. Placing a stricken tuning fork above the patient’s head to assess hearing abnormalities
B. Used to assess air conduction by placing a tuning fork by the ear canal
C. Placing a tuning fork on the mastoid bone to assess for bone conduction

A

B. Used to assess air conduction by placing a tuning fork by the ear canal

20
Q

What is the Rinne test for aging?

A. Placing a stricken tuning fork above the patient’s head to assess hearing abnormalities
B. Used to assess air conduction by placing a tuning fork by the ear canal
C. Placing a tuning fork on the mastoid bone to assess for bone conduction

A

C. Placing a tuning fork on the mastoid bone to assess for bone conduction

21
Q

What are the levels of the auditory system?

A. Peripheral, brainstem, cerebral cortex
B. Peripheral, medulla oblongata, cochlear nerve
C. Base, uncoiled cochlea, cochlear nerve

A

A. Peripheral, brainstem, cerebral cortex

22
Q

What does sensorineural mean?

A. Conductive
B. Brainstem
C. Perceptive/ bone hearing loss

A

C. Perceptive/ bone hearing loss

23
Q

The patient should keep their hearing aids on at all times. T/F

A

False. Turn off while unused

24
Q

How should the nurse instruct the patient to use their hearing aids?

A. Use the lowest setting that allows hearing without feedback
B. Submerge the hearing aid in water to clean
C. Keep the hearing aid in the ear at all times

A

A. Use the lowest setting that allows hearing without feedback

25
Q

How would the nurse irrigate the ear of an adult patient?

A. Pull the ear down and back and irrigate warm solution
B. Pull the ear up and back and irrigate outward to inward
C. Pull the ear up and back and irrigate inward to outward

A

C. Pull the ear up and back and irrigate inward to outward

Make sure to warm the solution and inspect for perforated membrane

26
Q

What does epistaxis mean?

A. Discharge
B. Sinus pain
C. Nosebleeds

A

C. Nosebleeds

27
Q

What does dysphagia mean?

A. Toothache
B. Difficulty swallowing
C. Altered taste

A

B. Difficulty swallowing

28
Q

What does a red beefy tongue indicate?

A. Fungal infection
B. B12 deficiency
C. Bacterial infection

A

B. B12 deficiency

29
Q

What does a white tongue indicate?

A. Fungal infection
B. B12 deficiency
C. Bacterial infection

A

A. Fungal infection

30
Q

What should patient’s with special needs (diabetes, chemotherapy) be given in lieu of brushing the teeth?

A. Listerine
B. Hydrogen peroxide
C. Only floss
B. CHG mouth rinse

A

B. CHG mouth rinse

31
Q

What could poorly fitting dentures cause?

A. Inflamed gums
B. Bad breath
C. Stomatitis

A

C. Stomatitis

32
Q

What could be expected in an aging patient?

A. Decreased visual acuity
B. Increased peripheral vision
C. Ability to see close objected is increased

A

A. Decreased visual acuity

33
Q

What is presbyopia?

A. Loss of hearing
B. Loss of ability to see close objects
C. Inability to see far objects

A

B. Loss of ability to see close objects

34
Q

What is presbycusis?

A. Inability to hear low tones
B. Inability to hear high tones
C. Increased cerumen

A

B. Inability to hear high tones

35
Q

Which tool is used to assess visual acuity?

A. Tuning fork
B. Pen light
C. Snellen eye chart

A

C. Snellen eye chart

36
Q

What could cause nasal cannula cause?

A. Inflammation of the nares
B. Inability to breath independently
C. Skin breakdown around the ears

A

C. Skin breakdown around the ears

The tubing goes up and around the ears

37
Q

What is exophthalmos?

A. Atrophy
B. Hypertrophy
C. Bounding
D. Bulging

A

D. Bulging