ELITE COMPREHENSIVE
ADVANCED ENT NURSING ASSESSMENT
Infections and Ototoxicity Vestibular
Dysfunction Review|| Final Spring Exam
QUESTIONS AND ANSWERS|| GRADE A+
A nurse is teaching a client about ear hygiene and health. What client statement
indicates a need for further teaching?
a. A soft cotton swab is alright to clean my ears with.
b. I make sure my ears are dry after I go swimming.
c. I use good earplugs when I practice with the band.
d. Keeping my diabetes under control helps my ears.
✓ ANS: A - Clients should be taught not to put anything larger than their
fingertip into their ears. Using a cotton swab, although soft, can cause
damage to the ears and cerumen buildup. The other statements are
accurate.
The student nurse is performing a Weber tuning fork test. What technique is most
1
appropriate?
Page
, a. Holding the vibrating tuning fork 10 to 12 inches from the clients ear
b. Placing the vibrating fork in the middle of the clients head
c. Starting by placing the vibrating fork on the mastoid process
d. Tapping the vibrating tuning fork against the bridge of the nose
✓ ANS: B - The Weber tuning fork test includes placing the vibrating
tuning fork in the middle of the clients head and asking in which ear
the client hears the vibrations louder. The other techniques are
incorrect.
The clients chart indicates a sensorineural hearing loss. What assessment question
does the nurse ask to determine the possible cause?
a. Do you feel like something is in your ear?
b. Do you have frequent ear infections?
c. Have you been exposed to loud noises?
d. Have you been told your ear bones don't move?
✓ ANS: C - Sensorineural hearing loss can occur from damage to the
cochlea, the eighth cranial nerve, or the brain. Exposure to loud
music is one etiology. The other questions relate to conductive
hearing loss.
The nurse works with clients who have hearing problems. Which action by a client best
indicates goals for an important diagnosis have been met?
a. Babysitting the grandchildren several times a week
2
b. Having an adaptive hearing device for the television
Page
c. Being active in community events and volunteer work
ADVANCED ENT NURSING ASSESSMENT
Infections and Ototoxicity Vestibular
Dysfunction Review|| Final Spring Exam
QUESTIONS AND ANSWERS|| GRADE A+
A nurse is teaching a client about ear hygiene and health. What client statement
indicates a need for further teaching?
a. A soft cotton swab is alright to clean my ears with.
b. I make sure my ears are dry after I go swimming.
c. I use good earplugs when I practice with the band.
d. Keeping my diabetes under control helps my ears.
✓ ANS: A - Clients should be taught not to put anything larger than their
fingertip into their ears. Using a cotton swab, although soft, can cause
damage to the ears and cerumen buildup. The other statements are
accurate.
The student nurse is performing a Weber tuning fork test. What technique is most
1
appropriate?
Page
, a. Holding the vibrating tuning fork 10 to 12 inches from the clients ear
b. Placing the vibrating fork in the middle of the clients head
c. Starting by placing the vibrating fork on the mastoid process
d. Tapping the vibrating tuning fork against the bridge of the nose
✓ ANS: B - The Weber tuning fork test includes placing the vibrating
tuning fork in the middle of the clients head and asking in which ear
the client hears the vibrations louder. The other techniques are
incorrect.
The clients chart indicates a sensorineural hearing loss. What assessment question
does the nurse ask to determine the possible cause?
a. Do you feel like something is in your ear?
b. Do you have frequent ear infections?
c. Have you been exposed to loud noises?
d. Have you been told your ear bones don't move?
✓ ANS: C - Sensorineural hearing loss can occur from damage to the
cochlea, the eighth cranial nerve, or the brain. Exposure to loud
music is one etiology. The other questions relate to conductive
hearing loss.
The nurse works with clients who have hearing problems. Which action by a client best
indicates goals for an important diagnosis have been met?
a. Babysitting the grandchildren several times a week
2
b. Having an adaptive hearing device for the television
Page
c. Being active in community events and volunteer work
