Online Nursing Practice Test about Ear Disorders (1-5)

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1. The nurse is providing instructions to a nursing assistant regarding care of an older client with hearing loss. The nurse tells the assistant that clients with a hearing loss:
a) are often distracted
b) have middle ear changes
c) respond to low-pitched tones
d) develop moist cerumen production

2. The nurse is performing an otoscopic examination on a client with mastoiditis. On examination of the tympanic membrane, which of the following would the nurse expect to observe?

a) a pink-colored tympanic membrane
b) a pearly colored tympanic membrane
c) a transparent and clear tympanic membrane
d) a red, dull, thick and immobile tympanic membrane



3. The client is diagnosed with a disorder involving the inner ear. Which of the following is the most common client complaint associated with a disorder involving this part of the ear?

a) pruritus
b) tinnitus
c) hearing loss
d) burning in the ear

4. The nurse is performing a voice test to assess hearing. Which of the following describes the accurate procedure for performing this test?

a) whisper a statement while the client blocks both ears
b) whisper a statement with the examiner's back facing the client
c) whisper a statement and ask the client to repeat it while blocking one ear
d) stand 4 feet away from the client to ensure that the client can hear at this distance

5. During a hearing assessment, the nurse notes that the sound lateralizes to the client's left ear with the Weber test. The nurse analyzes these results as:

a) a normal finding
b) the presence of nystagmus
c) a sensorineural or conductive loss
d) a conductive loss in the right ear





ANSWERS AND RATIONALE

1) C
- Presbycusis refers to the age-related irreversible degenerative changes of the inner ear that lead to decreased hearing ability. As a result of these changes, the older client has a decreased response to high-frequency sounds. Low-pitched voice tones are heard more easily and can be interpreted by the older client. Options A, B, and D are not accurate.

2) D
- Otoscopic examination in a client with mastoiditis reveals a red, dull, thick, and immobile tympanic membrane, with or without perforation. Postauricular lymph nodes are tender and enlarged. Clients also have a low-grade fever, malaise, anorexia, swelling behind the ear, and pain with minimal movement of the head.

3) B
- Tinnitus is the most common complaint of clients with otological disorders, especially disorders involving the inner ear. Symptoms of tinnitus range from mild ringing in the ear, which can go unnoticed during the day, to a loud roaring in the ear, which can interfere with the client’s thinking process and attention span. Options A, C, and D are not associated specifically with disorders of the inner ear.

4) C
- In the voice test, the examiner stands 1 to 2 feet away from the client and asks the client to block one external ear canal. The nurse whispers a statement and asks the client to repeat it. Each ear is tested separately.

5) C
- In the Weber tuning fork test, the nurse places the vibrating tuning fork in the middle of the client’s head, at the midline of the forehead, or above the upper lip over the teeth. Normally, the sound is heard equally in both ears by bone conduction. If the client has a sensorineural hearing loss in one ear, the sound is heard in the other ear. If the client has a conductive hearing loss in one ear, the sound is heard in that ear.


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