HEENT Review Questions And Answers Graded A
When planning care for a client with an inner ear infection, the nurse will need to
include interventions for which of the following potential problems?
A) Rhinorrhea
B) Vertigo
C) Headache
D) Fever Correct Answer: B) Vertigo
Which action by the nurse is consistent with the Rinne test?
A) The nurse uses a bulb insufflator attached to an otoscope to observe movement
of the tympanic membrane.
B) The nurse strikes the tuning fork and places it on the patient's mastoid process
to measure bone conduction.
C) The nurse activates the tuning fork and places it on the midline of the parietal
bone in line with both ears.
D) The nurse shields their mouth and whispers a simple sentence approximately 18
inches from the patient's ear. Correct Answer: B) The nurse strikes the tuning fork
and places it on the patient's mastoid process to measure bone conduction
Which terms refers to the progressive hearing loss associated with aging?
A) Otalgia
B) Presbycusis
C) Sensorineural hearing loss
D) Exostoses Correct Answer: B) Presbycusis
Both middle and inner ear age-related changes result in hearing loss. Exostoses
refers to small, hard, bony protrusions in the lower posterior bony portion of the
ear canal. Otalgia refers to a sensation of fullness or pain in the ear. Sensorineural
hearing loss is loss of hearing related to damage of the end organ for hearing
and/or cranial nerve VIII
The client is having a Weber test. During a Weber test, where should the tuning
fork be placed?
,A) In the midline of the client's skull or in the center of the forehead.
B) Under the bridge of the nose.
C) On the mastoid process behind the ear.
D) Near the external meatus of each ear. Correct Answer: A) In the midline of the
client's skull or in the center of the forehead.
During a pharmacology class the students are told that some drugs need to be
closely monitored. What aspect should the nurse closely monitor for in clients who
have been administered salicylates, loop diuretics, quinidine, quinine, or
aminoglycosides?
A) Reduced urinary output
B) Impaired facial movement
C) Tinnitus and sensorineural hearing loss
D) Signs of hypotension Correct Answer: C) Tinnitus and sensorineural hearing
loss
Which characteristic feature of the tympanic membrane should a nurse anticipate
finding in a client with acute otitis media?
A) Gray, translucent, with no retraction
B) Red, bulging, with an absent light reflex
C) Pearly, translucent, with no bulging
D) Yellowish, bulging, with fluid bubbles Correct Answer: B) Red, bulging, with
an absent light reflex
Transmission of sound waves in the inner ear is known as
A) tympanic hearing
B) perceptive hearing
C) neuromotor hearing
D) conductive hearing Correct Answer: B) perceptive hearing
The transmission of sound waves in the inner ear is referred to as "perceptive" or
"sensorineural hearing
The nurse is planning to conduct the Weber test on an adult male client. To
perform this test, the nurse should plan to
A) strike a tuning fork and place it at the base of the client's mastoid process.
, B) whisper a word with two distinct syllables to the client.
C) ask the client to close his eyes while standing with feet together.
D) strike a tuning fork and place it on the center of the client's head or forehead
Correct Answer: D) strike a tuning fork and place it on the center of the client's
head or forehead
A 52-year-old patient fails the Romberg test. The nurse explains that this might
indicate a dysfunction in what part of the ear?
A) The vestibular portion of the inner ear
B) The bones of the middle ear
C) The pinna
D) The eustachian tubes Correct Answer: A) The vestibular portion of the inner
ear
A client diagnosed with otosclerosis is able to hear bone conduction longer than air
conduction when the Rinne test is performed. How should the nurse classify this
client's hearing?
A) bilateral sensorineural hearing loss
B) unilateral conductive hearing loss
C) unilateral sensorineural hearing loss
D) bilateral conductive hearing loss Correct Answer: B) unilateral conductive
hearing loss
With conductive hearing loss, bone conduction (BC) sound is heard longer than or
equally as long as air conduction (AC) sound (BC ? AC). Causes of unilateral
conductive hearing loss include otosclerosis. In unilateral sensorineural hearing
loss, sound is heard in the good ear. There is no evidence that the hearing in both
ears, or bilateral, is affected.
A client with hearing loss by whisper test is further examined with a tuning fork,
using the Weber and Rinne maneuvres. The abnormal results are as follows: bone
conduction is greater than air on the left, and the client hears the tuning fork better
on the left. Which of the following is most likely?
A) Otosclerosis of the left ear
B) Exposure to chronic loud noise of the right ear
C) Otitis media of the right ear
D) Perforation of the right eardrum Correct Answer: A) Otosclerosis of the left ear
When planning care for a client with an inner ear infection, the nurse will need to
include interventions for which of the following potential problems?
A) Rhinorrhea
B) Vertigo
C) Headache
D) Fever Correct Answer: B) Vertigo
Which action by the nurse is consistent with the Rinne test?
A) The nurse uses a bulb insufflator attached to an otoscope to observe movement
of the tympanic membrane.
B) The nurse strikes the tuning fork and places it on the patient's mastoid process
to measure bone conduction.
C) The nurse activates the tuning fork and places it on the midline of the parietal
bone in line with both ears.
D) The nurse shields their mouth and whispers a simple sentence approximately 18
inches from the patient's ear. Correct Answer: B) The nurse strikes the tuning fork
and places it on the patient's mastoid process to measure bone conduction
Which terms refers to the progressive hearing loss associated with aging?
A) Otalgia
B) Presbycusis
C) Sensorineural hearing loss
D) Exostoses Correct Answer: B) Presbycusis
Both middle and inner ear age-related changes result in hearing loss. Exostoses
refers to small, hard, bony protrusions in the lower posterior bony portion of the
ear canal. Otalgia refers to a sensation of fullness or pain in the ear. Sensorineural
hearing loss is loss of hearing related to damage of the end organ for hearing
and/or cranial nerve VIII
The client is having a Weber test. During a Weber test, where should the tuning
fork be placed?
,A) In the midline of the client's skull or in the center of the forehead.
B) Under the bridge of the nose.
C) On the mastoid process behind the ear.
D) Near the external meatus of each ear. Correct Answer: A) In the midline of the
client's skull or in the center of the forehead.
During a pharmacology class the students are told that some drugs need to be
closely monitored. What aspect should the nurse closely monitor for in clients who
have been administered salicylates, loop diuretics, quinidine, quinine, or
aminoglycosides?
A) Reduced urinary output
B) Impaired facial movement
C) Tinnitus and sensorineural hearing loss
D) Signs of hypotension Correct Answer: C) Tinnitus and sensorineural hearing
loss
Which characteristic feature of the tympanic membrane should a nurse anticipate
finding in a client with acute otitis media?
A) Gray, translucent, with no retraction
B) Red, bulging, with an absent light reflex
C) Pearly, translucent, with no bulging
D) Yellowish, bulging, with fluid bubbles Correct Answer: B) Red, bulging, with
an absent light reflex
Transmission of sound waves in the inner ear is known as
A) tympanic hearing
B) perceptive hearing
C) neuromotor hearing
D) conductive hearing Correct Answer: B) perceptive hearing
The transmission of sound waves in the inner ear is referred to as "perceptive" or
"sensorineural hearing
The nurse is planning to conduct the Weber test on an adult male client. To
perform this test, the nurse should plan to
A) strike a tuning fork and place it at the base of the client's mastoid process.
, B) whisper a word with two distinct syllables to the client.
C) ask the client to close his eyes while standing with feet together.
D) strike a tuning fork and place it on the center of the client's head or forehead
Correct Answer: D) strike a tuning fork and place it on the center of the client's
head or forehead
A 52-year-old patient fails the Romberg test. The nurse explains that this might
indicate a dysfunction in what part of the ear?
A) The vestibular portion of the inner ear
B) The bones of the middle ear
C) The pinna
D) The eustachian tubes Correct Answer: A) The vestibular portion of the inner
ear
A client diagnosed with otosclerosis is able to hear bone conduction longer than air
conduction when the Rinne test is performed. How should the nurse classify this
client's hearing?
A) bilateral sensorineural hearing loss
B) unilateral conductive hearing loss
C) unilateral sensorineural hearing loss
D) bilateral conductive hearing loss Correct Answer: B) unilateral conductive
hearing loss
With conductive hearing loss, bone conduction (BC) sound is heard longer than or
equally as long as air conduction (AC) sound (BC ? AC). Causes of unilateral
conductive hearing loss include otosclerosis. In unilateral sensorineural hearing
loss, sound is heard in the good ear. There is no evidence that the hearing in both
ears, or bilateral, is affected.
A client with hearing loss by whisper test is further examined with a tuning fork,
using the Weber and Rinne maneuvres. The abnormal results are as follows: bone
conduction is greater than air on the left, and the client hears the tuning fork better
on the left. Which of the following is most likely?
A) Otosclerosis of the left ear
B) Exposure to chronic loud noise of the right ear
C) Otitis media of the right ear
D) Perforation of the right eardrum Correct Answer: A) Otosclerosis of the left ear
