Questions New Update Solutions
/. A nurse is assessing a client for hearing loss. Which of the following findings should
the nurse identify as an indiction of a possible hearing loss? (SATA)
A. Speaks in soft tones
B. Reports ringing in the ears
C. Asks for questions to be repeated
D. Withdraws from social activities
E. Reports feeling dizzy at times
F. Describes sounds as being muffled - Answer-C. Asks for questions to be repeated
D. Withdraws from social activities
F. Describes sounds as being muffled
/.A nurse is preparing an in-service for a group of staff members about types of tests
used to diagnose sensory impairments. Which of the following information should the
nurse include?
A. An electromyography (EMG) test is performed by placing small electrodes on the
scalp
B. A fluorescein angiography test diagnoses dysfunction of the cochlea
C. A bone oscillator test measures how efficiently sound waves re transmitted through
the ossicles
D. An Amsler grid test is performed by looking at the internal eye using a slit lamp. -
Answer-C. A bone oscillator test measures how efficiently sound waves re transmitted
through the ossicles
/.A nurse is teaching a group of older adult clients about the sensory system. The nurse
should include that the aging process is most likely to cause which of the following
changes?
A. Decreased sense of touch
B. Hearing loss
C. Impaired ability to smell
D. Reduced taste - Answer-B. Hearing loss
/.A charge nurse is discussing hearing tests with a newly licensed nurse. Which of the
following information should the charge nurse include?
A. The audiometer test measure the brain's electrical activity in response to sounds
, B. A tuning fork is placed against the client's mastoid bone during the Rinne test
C. The otoacoustic stimulation (OAE) test of the most commonly performed hearing test
D. Small electrodes are placed behind the client's ears during an electromyography test
- Answer-B. A tuning fork is placed against the client's mastoid bone during the Rinne
test
/.A nurse is reviewing the medical record of a client who reports recents anosmia. The
nurse should identify which of the following conditions as a risk factor for developing
anosmia?
A. Gastroesophageal reflux disease
B. Herniated lumbar disc
C. Wernicke's aphasia
D. Alzheimer's disease - Answer-D. Alzheimer's disease
/.A nurse is assessing a client whose family is concerned that the client has developed
dementia. Which of the following findings should the nurse identify as a manifestation of
dementia?
A. Rapid-onset memory loss
B. Hyperglycemia
C. Hypevigilance
D. Difficulty problem-solving - Answer-D. Difficulty problem-solving
/.A nurse is preparing to administer medications to a client. Which of the following
classifications of medications should the nurse identify as being ototoxic? (SATA)
A. Loop diuretics
B. Benzodiazepines
C. NSAIDS
D. Antihistamines
E. Aminoglycoside antibiotics - Answer-A. Loop diuretics
C. NSAIDS
E. Aminoglycoside antibiotics
/.A nurse is caring for a middle adult client who asks about expected age-related
changes. Which of the following sensory changes should the nurse include as an age-
related change?
A. Presbyopia
B. Diplopia
C. Myopia
D. Astigmatism - Answer-A. Presbyopia
/.A nurse is preparing to perform a cranial nerve assessment on a client. Which of the
following actions should the nurse take to assess cranial nerve II?