1. A patient with otosclerosis reports a gradual loss of hearing that started in one ear. The
nurse understands that this condition is characterized by:
A. Destruction and replacement of normal bone in the ossicles, especially the stapes.
B. A buildup of fluid in the middle ear due to Eustachian tube dysfunction.
C. Damage to the cochlear hair cells from long-term exposure to loud noises.
D. A collection of skin tissue in the middle ear, known as a cholesteatoma.
2. A nurse is providing education to a patient taking an aminoglycoside antibiotic. The
nurse should warn the patient about the potential for which type of hearing loss?
A. Conductive hearing loss
B. Sensorineural hearing loss
C. Mixed hearing loss
D. Traumatic hearing loss
3. A 68-year-old patient reports difficulty hearing high-pitched sounds and understanding
conversations in a crowded room. The nurse recognizes this as a common manifestation
of:
A. Otosclerosis
B. Otitis media
C. Presbycusis
D. Meniere disease
, 4. A patient presents with a sudden onset of severe vertigo, unilateral low-tone hearing loss,
and a feeling of fullness in the ear. The nurse suspects which condition?
A. Otitis media
B. Otosclerosis
C. Meniere disease
D. Presbycusis
5. A mother brings her child to the clinic, complaining of the child being irritable and
tugging on their ear. An otoscope exam reveals a red, bulging eardrum. The nurse
understands this is a sign of:
A. Chronic otitis media
B. Acute otitis media
C. Meniere disease
D. Otosclerosis
6. A patient with chronic otitis media presents with purulent ear drainage and pain. The
nurse understands that a key distinguishing feature of chronic otitis media is:
A. The sudden onset of symptoms.
B. Its resolution within 4 days.
C. The presence of irreversible damage to the eardrum and ossicles.
D. The absence of pain.
7. Which of the following is a key cause of otitis media?
A. Ototoxicity from medication use
B. Degeneration of cochlear hair cells
C. Eustachian tube dysfunction
D. The formation of spongelike bone on the ossicles