Adult Health Exam #3 WITH 150 Questions: Essential Questions, Expert-Verified Answers, and In-Depth Rationales for Guaranteed Success 2026ELITE EXIT EXAM PREP – 100% ACCURACY & SUCCESS GUARANTEE THE MASTER KEY: FULL EXAM REPOSITORY & DETAIL

A client recently diagnosed with Ménière's disease is struggling with tinnitus. How does the nurse provide support to this client? A. Provide further assessment. B. Suggest a quiet environment. C. Suggest temporary removal of a hearing aid. D. Refer the client to the American Tinnitus Association. Correct Answer: D Rationale: The American Tinnitus Association provides resources and support for individuals struggling with tinnitus. While a quiet environment may help some clients, professional support and guidance from an organization specializing in tinnitus management can be more effective. An older adult client reports ear pain. To differentiate the cause, which clinical manifestation is more indicative of otitis media? A. Dry, flaky cerumen B. Pain on movement of the tragus C. Ringing in the ears D. Vertigo Correct Answer: D Rationale: Vertigo is a key symptom of otitis media, as inflammation in the middle ear can affect balance and equilibrium. Pain on tragus movement is more indicative of otitis externa, and dry cerumen does not suggest an infection. An older adult client reports nausea during removal of impacted cerumen from the ear canal. What does the nurse do next? A. Administer an antiemetic. B. Call the health care provider. C. Stop irrigation immediately. D. Use less water to irrigate. Correct Answer: C Rationale: The vagus nerve (cranial nerve X) can be stimulated during ear irrigation, causing nausea and even syncope. Stopping the procedure immediately prevents further adverse effects. Which type of drug therapy does the nurse anticipate giving to a client with Ménière's disease to decrease endolymph volume? A. Antihistamines B. Antipyretics C. Diuretics D. Nicotinic acid Correct Answer: C Rationale: Diuretics, such as hydrochlorothiazide, are often prescribed to reduce fluid buildup in the inner ear, thereby decreasing vertigo episodes associated with Ménière’s disease. A client is in the immediate postoperative period after tympanoplasty. How does the nurse position the client? A. On the affected side B. Supine, with eyes toward the ceiling C. With the head elevated 60 degrees D. With the affected ear facing up Correct Answer: D Rationale: Positioning the client with the affected ear facing up prevents pressure on the surgical site and promotes healing by preventing fluid accumulation. The nurse is reviewing postoperative instructions with a client undergoing stapedectomy. Which statement by the client indicates a need for further teaching? A. "I may have problems with vertigo after the surgery." B. "I should not drink from a straw for several weeks." C. "I will have to take antibiotics after the surgery." D. "I will be able to hear as soon as my dressing is removed." Correct Answer: D Rationale: Hearing improvement after a stapedectomy may take several weeks due to postsurgical swelling. Immediate hearing restoration is unlikely, and this statement reflects a misunderstanding of the expected recovery process. A client is having a stapedectomy. Which form of postoperative communication is most effective for the nurse to use? A. Gesturing B. Sign language C. Speaking D. Writing Correct Answer: D Rationale: Writing is the most reliable form of communication immediately after surgery, as the client may have temporary hearing loss and should avoid activities that increase pressure in the ear. The nurse is caring for a client who is admitted with mastoiditis. Which assessment data obtained by the nurse requires the most immediate action? A. The eardrum is red, thick-appearing, and immobile. B. The lymph nodes are swollen and painful to touch. C. The client reports a headache and a stiff neck. D. The client's oral temperature is 100.1° F (37.8° C). Correct Answer: C Rationale: A headache and stiff neck may indicate meningitis, a serious complication of mastoiditis that requires immediate medical intervention. The nurse has just received change-of-shift report about these clients. Which client needs to be assessed first? A. Client with Ménière's disease who is reporting severe nausea and is requesting an antiemetic B. Client who has had removal of an acoustic neuroma and has complete hearing loss on the surgical side C. Client with labyrinthitis who has a temperature of 102.4° F (39.1° C) and a headache D. Client who has acute otitis media and is reporting drainage from the affected ear Correct Answer: C Rationale: A high fever and headache in a client with labyrinthitis may indicate a serious infection, such as bacterial meningitis. This condition is a medical emergency and requires immediate intervention. Which clients are at high risk for developing hearing problems? (Select all that apply.) A. Airline mechanic B. Client with Down syndrome C. Drummer in a rock band D. Teenager listening to music using ear buds E. Telephone operator Correct Answer: A, B, C, D Rationale: Airline mechanics, drummers, and teenagers using earbuds are at risk for noiseinduced hearing loss due to prolonged exposure to loud sounds. Clients with Down syndrome have an increased risk of hearing problems due to structural abnormalities of the ear canal and Eustachian tube, which can lead to frequent fluid buildup and infections. The nurse is assessing a client with recent changes in hearing. After taking a medication history, which drugs does the nurse identify as possible causes of the client's hearing change? (Select all that apply.) A. Acetaminophen (Tylenol) B. Beta blockers C. Erythromycin D. Ibuprofen (Advil) E. Insulin F. Furosemide (Lasix) Correct Answer: C, D, F Rationale: Erythromycin (macrolide antibiotic), ibuprofen (NSAID), and furosemide (loop diuretic) are known ototoxic medications that can cause temporary or permanent changes in hearing or cause tinnitus. A client is scheduled for a bone marrow aspiration. What does the nurse do before taking the client to the treatment room for the biopsy? A. Clean the biopsy site with an antiseptic or povidone-iodine (Betadine). B. Hold the client's hand and ask about concerns. C. Review the client's platelet (thrombocyte) count. D. Verify that the client has given informed consent. Correct Answer: D Rationale: Verifying that informed consent has been obtained is a critical legal and safety step that the nurse must perform before any invasive procedure begins. The nurse is assessing an adult client's endurance in performing activities of daily living (ADLs). What question does the nurse ask the client? A. "Can you prepare your own meals?" B. "Has your weight changed by 5 pounds or more this year?" C. "How is your energy level compared with last year?" D. "What medications do you take daily, weekly, and monthly?" Correct Answer: C Rationale: Comparing energy levels over time directly assesses the client's systemic endurance and fatigue levels when performing regular activities. The nurse is assessing a client for hematologic function risks and seeks to determine whether there is a risk that cannot be reduced or eliminated. Which clinical health history question does the nurse ask to obtain this information? A. "Do you seem to have excessive bleeding or bruising?" B. "Does anyone in your family bleed a lot?" C. "Tell me what you eat in a day." D. "Where do you work?" Correct Answer: B Rationale: Asking about family history targets genetic or inherited risk factors (like hemophilia or other bleeding disorders) which are non-modifiable and cannot be reduced or eliminated.