Practice Questions Exam 2 Flashcards
What is the difference between conductive hearing loss and sensorineural hearing loss?
Conductive Hearing Loss:
- Conductive hearing loss occurs when there is a problem with the outer or middle ear that interferes with sound transmission to the inner ear.
- Common causes of conductive hearing loss include ear infections, earwax buildup, perforated eardrum, fluid in the middle ear, or problems with the ossicles (small bones in the middle ear).
- Conductive hearing loss typically results in a reduction in the loudness of sounds but generally does not affect the clarity of speech.
Sensorineural Hearing Loss:
- Sensorineural hearing loss occurs when there is damage to the inner ear (cochlea) or the auditory nerve, which transmits sound signals from the cochlea to the brain.
- Causes of sensorineural hearing loss include aging, exposure to loud noise, genetic factors, head trauma, viral infections, and certain medications.
- Sensorineural hearing loss typically results in difficulty hearing faint sounds and understanding speech, even when it’s loud enough.
The nurse percussing an adult client’s sinuses will understand which assessment finding suggests sinusitis?
A. Dullness
B.Tympany
C.Tenderness
D.Resonance
C. Tenderness
A nurse is assessing a client who came to the clinic because of a sore throat. The nurse notes that the client’s tonsils are touching the uvula. How would the nurse document this finding?
a. “Patient’s tonsil area is redded with a grading scale of 1+”
b. “Patient’s tonsils are within normal limits”
c. “Patient’s tonsils area is redded and graded as 2+”
d. “Patient’s tonsils area is redded and graded as 3+”
d. “Patient’s tonsils area is redded and graded as 3+”
A client comes to the clinic concerned about a chonic nose bleed. Which area in the nose would the nurse assess?
a. inferior and middle turbinates
b. Nasal septum
c. Conchae
d. Keisselback
d. Keisselback
During an ear assessment, the nurse observes a white, pearly, opalescent tympanic membrane. What interpretation should the nurse make based on this finding?
a) Cerumen impaction
b) Normal variant
c) Chronic otitis media
d) Acute otitis media
B. normal variant
A 65-year-old patient presents to the clinic complaining of blurred vision and difficulty reading. The patient has a history of diabetes mellitus type 2. Which assessment technique would the nurse prioritize to assess the patient’s visual acuity?
A) Assessing pupillary response
B) Performing a visual field test
C) Using the Snellen chart
D) Conducting an ophthalmoscopic examination
D) Conducting an ophthalmoscopic examination
A 45-year-old patient presents to the clinic with complaints of sudden onset of severe ear pain, hearing loss, and a feeling of fullness in the affected ear. The nurse suspects acute otitis media. Which assessment technique should the nurse prioritize to confirm the diagnosis?
A) Otoscopic examination
B) Whisper test
C) Rinne test
D) Weber test
A) Otoscopic examination
Which assessment technique is appropriate for assessing visual acuity in a patient?
a) Palpating the eyeballs for tenderness
b) Inspecting the external structures of the eye
c) Testing the patient’s ability to read a Snellen chart
d) Measuring intraocular pressure with tonometry
c) Testing the patient’s ability to read a Snellen chart
- During a comprehensive eye assessment, which action by the nurse is essential for
evaluating the function of cranial nerve II (optic nerve)?
a) Assessing pupillary response to light
b) Performing visual field testing
c) Assessing extraocular movements
d) Examining the retina with an ophthalmoscope
b) Performing visual field testing
When examining the external structures of the eye, what assessment finding warrants further
investigation?
a) Symmetric placement of the eyelids
b) Absence of lacrimation during blinking
c) Presence of yellow discharge along the lash line
d) Equal alignment of the corneal light reflex
c) Presence of yellow discharge along the lash line
What action should the nurse take to assess accommodation in a patient?
a) Testing peripheral vision using confrontation
b) Shining a light into the pupil and observing constriction
c) Asking the patient to follow a moving object with their eyes
d) Bringing a near object into focus and observing pupil constriction
d) Bringing a near object into focus and observing pupil constriction
Which assessment finding suggests a potential corneal abrasion in a patient?
a) Clear, transparent cornea
b) Absence of tearing or discomfort
c) Presence of a foreign body sensation
d) Unequal pupil size
c) Presence of a foreign body sensation
What technique should the nurse use to assess visual fields in a patient with suspected
peripheral vision deficits?
a) Confrontation testing
b) Cover-uncover test
c) Pupil response to light
d) Visual acuity testing
a) Confrontation testing
Which assessment technique is most appropriate for evaluating the integrity of the tympanic
membrane?
a) Inspecting the external ear for symmetry
b) Palpating the auricle for tenderness
c) Performing Weber’s test
d) Using an otoscope to visualize the ear canal
d) Using an otoscope to visualize the ear canal
During an ear assessment, which finding suggests a potential otitis externa?
a) Presence of cerumen in the external auditory canal
b) Perforation of the tympanic membrane
c) Redness and swelling of the external ear canal
d) Presence of clear fluid behind the tympanic membrane
c) Redness and swelling of the external ear canal
