NURS 600 Exam 2 | Study Questions and verified
Answers complete Solutions | A+ Graded | 2026
Updates | 100% correct – St. Thomas University
Decreased or complete inability to hear. Involving the middle or inner ear. - ANSWER-
Hearing loss
Hearing loss may have 2 components: _______ and _____ - ANSWER- conductive and/or
sensorineural
______ hearing loss increases with age. - ANSWER- Sensorineural
Obstruction of sound transfer through external or middle ear space. - ANSWER- Conductive
Hearing Loss
Damage to the cochlea and/or fibers of the 8th cranial nerve. - ANSWER- Sensorineural
Hearing Loss
Combination of sensorineural and conductive hearing loss. - ANSWER- Mixed Hearing Loss
Hearing loss that is a disease of the auditory pathways and is far less common than other forms
of hearing loss. - ANSWER- Central Hearing Loss
Central hearing loss may be caused by: (5) - ANSWER- CVA, Alzheimer's, Neoplasm, MS,
Degenerative Disorders
Most common cause of conductive hearing loss is: - ANSWER- Cerumen impaction
Age related hearing loss. - ANSWER- presbycusis
otosclerosis - ANSWER- Hardening of the bony tissue of the middle ear
typanosclerosis - ANSWER- Hardening of the eardrum from calcium plaques.
cholesteatoma - ANSWER- Cystlike mass composed of epithelial cells and cholesterol
occurring in the middle ear. Possibly associated with recurrent otitis media.
Referring for audiological examination if the patient fails at one frequency:
______ dB for younger adults
,______ dB for older adults - ANSWER- 25 dB for younger adults
40 dB for older adults
USPSTF hearing recommendations for screening in 50+ individuals who are asymptomatic. -
ANSWER- Insufficient evidence
The only recommended routine screening test occurs in: - ANSWER- Newborns at birth
tinnitus - ANSWER- "Ringing in the ears." Perception of a sound when there is no sound.
Chronic, benign, annoying, ringing/buzzing/hissing, high pitched screeching or whistling in one
or both ears. Can be constant or intermittent and presents with a normal otoscope exam. -
ANSWER- tinnitus
Tinnitus may also present with ____.
Tinnitus increases with ___. - ANSWER- Nystagmus
Age
Potential causes of tinnitus: - ANSWER- Vestibular Schwannoma, Otosclerosis, Presbycusis,
Toxins, Noise Traumas
Diagnostic work up in an individual with tinnitus should include: (8) - ANSWER- Audiology
Exam, ESR, Glucose, TSH, Lyme Disease, RPR, CBC, MRI/CT
Meniere's disease - ANSWER- Peripheral sensory disorder of the labyrinth (semicircular canal
system) and cochlea of the inner ear.
Meniere's disease is most common in____ and between ages ____ - ANSWER- Females
Ages 30-60
Increased endolymphatic volume and pressure. There is marked edema of the labyrinth
membrane. - ANSWER- Meniere's Disease
Meniere's Disease may be associated with: (5) - ANSWER- Stress, Allergies, High Salt intake,
blunt trauma, viral infections
BPPV (benign paroxysmal positional vertigo) - ANSWER- Loose crystals in the inner ear (semi
circular canals) cause severe vertigo when they become dislodged.
Hallpike maneuver - ANSWER- Diagnoses BPPV.
, In the early phase of Meniere's Disease, there are intermittent attacks that last _____. Sudden
onset of N/V generally present. Nystagmus may be present. - ANSWER- 20 minutes to 3
hours.
4 Symptoms of Meniere's Disease (may or may not occur simultaneously):
1.
2.
3.
4. - ANSWER- 1. Dizziness (spinning)
2. Low frequency sensorineural hearing loss (unilateral)
3. Tinnitus
4. Fullness in affected ear
Patient's with Meniere's disease often complain of this sensation in the affected ear. - ANSWER-
Fullness.
Otoscope exam with Meniere's disease will be: - ANSWER- Normal
Meniere's Disease workup includes: - ANSWER- Audiology exam, TSH, RPR, MRI, Lyme,
Glucose level
acoustic neuroma - ANSWER- Benign tumor on the auditory nerve (8th cranial nerve) that
causes vertigo, tinnitus, and hearing loss.
Meniere's Disease diagnostic criteria: (3) - ANSWER- 2 episodes of:
1. Vertigo lasting >20 minutes
2. Audiology documented hearing loss
3. Tinnitus/ fullness
In the later stages of Meniere's Disease, vertigo is generally accompanied by: - ANSWER-
Constant hearing loss
Meniere's Disease:
Webber Test results:
Rinne Rest results: - ANSWER- Webber: Sound lateralizes to affected ear
Answers complete Solutions | A+ Graded | 2026
Updates | 100% correct – St. Thomas University
Decreased or complete inability to hear. Involving the middle or inner ear. - ANSWER-
Hearing loss
Hearing loss may have 2 components: _______ and _____ - ANSWER- conductive and/or
sensorineural
______ hearing loss increases with age. - ANSWER- Sensorineural
Obstruction of sound transfer through external or middle ear space. - ANSWER- Conductive
Hearing Loss
Damage to the cochlea and/or fibers of the 8th cranial nerve. - ANSWER- Sensorineural
Hearing Loss
Combination of sensorineural and conductive hearing loss. - ANSWER- Mixed Hearing Loss
Hearing loss that is a disease of the auditory pathways and is far less common than other forms
of hearing loss. - ANSWER- Central Hearing Loss
Central hearing loss may be caused by: (5) - ANSWER- CVA, Alzheimer's, Neoplasm, MS,
Degenerative Disorders
Most common cause of conductive hearing loss is: - ANSWER- Cerumen impaction
Age related hearing loss. - ANSWER- presbycusis
otosclerosis - ANSWER- Hardening of the bony tissue of the middle ear
typanosclerosis - ANSWER- Hardening of the eardrum from calcium plaques.
cholesteatoma - ANSWER- Cystlike mass composed of epithelial cells and cholesterol
occurring in the middle ear. Possibly associated with recurrent otitis media.
Referring for audiological examination if the patient fails at one frequency:
______ dB for younger adults
,______ dB for older adults - ANSWER- 25 dB for younger adults
40 dB for older adults
USPSTF hearing recommendations for screening in 50+ individuals who are asymptomatic. -
ANSWER- Insufficient evidence
The only recommended routine screening test occurs in: - ANSWER- Newborns at birth
tinnitus - ANSWER- "Ringing in the ears." Perception of a sound when there is no sound.
Chronic, benign, annoying, ringing/buzzing/hissing, high pitched screeching or whistling in one
or both ears. Can be constant or intermittent and presents with a normal otoscope exam. -
ANSWER- tinnitus
Tinnitus may also present with ____.
Tinnitus increases with ___. - ANSWER- Nystagmus
Age
Potential causes of tinnitus: - ANSWER- Vestibular Schwannoma, Otosclerosis, Presbycusis,
Toxins, Noise Traumas
Diagnostic work up in an individual with tinnitus should include: (8) - ANSWER- Audiology
Exam, ESR, Glucose, TSH, Lyme Disease, RPR, CBC, MRI/CT
Meniere's disease - ANSWER- Peripheral sensory disorder of the labyrinth (semicircular canal
system) and cochlea of the inner ear.
Meniere's disease is most common in____ and between ages ____ - ANSWER- Females
Ages 30-60
Increased endolymphatic volume and pressure. There is marked edema of the labyrinth
membrane. - ANSWER- Meniere's Disease
Meniere's Disease may be associated with: (5) - ANSWER- Stress, Allergies, High Salt intake,
blunt trauma, viral infections
BPPV (benign paroxysmal positional vertigo) - ANSWER- Loose crystals in the inner ear (semi
circular canals) cause severe vertigo when they become dislodged.
Hallpike maneuver - ANSWER- Diagnoses BPPV.
, In the early phase of Meniere's Disease, there are intermittent attacks that last _____. Sudden
onset of N/V generally present. Nystagmus may be present. - ANSWER- 20 minutes to 3
hours.
4 Symptoms of Meniere's Disease (may or may not occur simultaneously):
1.
2.
3.
4. - ANSWER- 1. Dizziness (spinning)
2. Low frequency sensorineural hearing loss (unilateral)
3. Tinnitus
4. Fullness in affected ear
Patient's with Meniere's disease often complain of this sensation in the affected ear. - ANSWER-
Fullness.
Otoscope exam with Meniere's disease will be: - ANSWER- Normal
Meniere's Disease workup includes: - ANSWER- Audiology exam, TSH, RPR, MRI, Lyme,
Glucose level
acoustic neuroma - ANSWER- Benign tumor on the auditory nerve (8th cranial nerve) that
causes vertigo, tinnitus, and hearing loss.
Meniere's Disease diagnostic criteria: (3) - ANSWER- 2 episodes of:
1. Vertigo lasting >20 minutes
2. Audiology documented hearing loss
3. Tinnitus/ fullness
In the later stages of Meniere's Disease, vertigo is generally accompanied by: - ANSWER-
Constant hearing loss
Meniere's Disease:
Webber Test results:
Rinne Rest results: - ANSWER- Webber: Sound lateralizes to affected ear
