NUR 210 EXAM 2 GALEN COLLEGE OF NURSING
LATEST 2023-2024 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
C - ANSWER--The nurse is reviewing the function of the cranial nerves (CNs).
Which CN is responsible for conducting nerve impulses to the brain from the
organ of Corti?
a. I
b. III
c. VIII
d. XI
A - ANSWER--The nurse is assessing a patient who may have hearing loss. Which
of these statements is true concerning air conduction?
a. Air conduction is the normal pathway for hearing.
b. Vibrations of the bones in the skull cause air conduction.
c. Amplitude of sound determines the pitch that is heard.
d. Loss of air conduction is called a conductive hearing loss.
C
Rationale: A simple increase in amplitude may not enable the person to
understand spoken words. Sensorineural hearing loss may be caused by
presbycusis, which is a gradual nerve degeneration that occurs with aging and by
ototoxic drugs, which affect the hair cells in the cochlea. - ANSWER--A patient has
been shown to have a sensorineural hearing loss. During the assessment, it would
be important for the nurse to:
, NUR 210 EXAM 2 GALEN COLLEGE OF NURSING
LATEST 2023-2024 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
a. Speak loudly so the patient can hear the questions.
b. Assess for middle ear infection as a possible cause.
c. Ask the patient what medications he is currently taking.
d. Look for the source of the obstruction in the external ear.
D - ANSWER--During an interview, the patient states he has the sensation that
"everything around him is spinning." The nurse recognizes that the portion of the
ear responsible for this sensation is the:
a. Cochlea.
b. CN VIII.
c. Organ of Corti.
d. Labyrinth.
B - ANSWER--A patient in her first trimester of pregnancy is diagnosed with
rubella. Which of these statements is correct regarding the significance of this in
relation to the infant's hearing?
a. Rubella may affect the mother's hearing but not the infant's.
b. Rubella can damage the infant's organ of Corti, which will impair hearing.
c. Rubella is only dangerous to the infant in the second trimester of pregnancy.
d. Rubella can impair the development of CN VIII and thus affect hearing.
, NUR 210 EXAM 2 GALEN COLLEGE OF NURSING
LATEST 2023-2024 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
D - ANSWER--The mother of a 2-year-old is concerned because her son has had
three ear infections in the past year. What would be an appropriate response by
the nurse?
a. "It is unusual for a small child to have frequent ear infections unless something
else is wrong."
b. "We need to check the immune system of your son to determine why he is
having so many ear infections."
c. "Ear infections are not uncommon in infants and toddlers because they tend to
have more cerumen in the external ear."
d. "Your son's eustachian tube is shorter and wider than yours because of his age,
which allows for infections to develop more easily."
A
Rationale: Otosclerosis is a common cause of conductive hearing loss in young
adults between the ages of 20 and 40 years. Presbycusis is a type of hearing loss
that occurs with aging. Trauma and frequent ear infections are not a likely cause
of his hearing loss. - ANSWER--A 31-year-old patient tells the nurse that he has
noticed a progressive loss in his hearing. He says that it does seem to help when
people speak louder or if he turns up the volume of a television or radio. The
most likely cause of his hearing loss is:
a. Otosclerosis.
b. Presbycusis.
c. Trauma to the bones.
d. Frequent ear infections.
, NUR 210 EXAM 2 GALEN COLLEGE OF NURSING
LATEST 2023-2024 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
C
Rationale: Presbycusis is a type of hearing loss that occurs in 60% of those older
than 65 years of age, even in those living in a quiet environment. This
sensorineural loss is gradual and caused by nerve degeneration in the inner ear.
Words sound garbled, and the ability to localize sound is also impaired. This
communication dysfunction is accentuated when background noise is present. -
ANSWER--A 70-year-old patient tells the nurse that he has noticed that he is
having trouble hearing, especially in large groups. He says that he "can't always
tell where the sound is coming from" and the words often sound "mixed up."
What might the nurse suspect as the cause for this change?
a. Atrophy of the apocrine glands
b. Cilia becoming coarse and stiff
c. Nerve degeneration in the inner ear
d. Scarring of the tympanic membrane
C - ANSWER--During an assessment of a 20-year-old Asian patient, the nurse
notices that he has dry, flaky cerumen in his canal. What is the significance of this
finding? This finding:
a. Is probably the result of lesions from eczema in his ear.
b. Represents poor hygiene.
c. Is a normal finding, and no further follow-up is necessary.
d. Could be indicative of change in cilia; the nurse should assess for hearing loss.
LATEST 2023-2024 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
C - ANSWER--The nurse is reviewing the function of the cranial nerves (CNs).
Which CN is responsible for conducting nerve impulses to the brain from the
organ of Corti?
a. I
b. III
c. VIII
d. XI
A - ANSWER--The nurse is assessing a patient who may have hearing loss. Which
of these statements is true concerning air conduction?
a. Air conduction is the normal pathway for hearing.
b. Vibrations of the bones in the skull cause air conduction.
c. Amplitude of sound determines the pitch that is heard.
d. Loss of air conduction is called a conductive hearing loss.
C
Rationale: A simple increase in amplitude may not enable the person to
understand spoken words. Sensorineural hearing loss may be caused by
presbycusis, which is a gradual nerve degeneration that occurs with aging and by
ototoxic drugs, which affect the hair cells in the cochlea. - ANSWER--A patient has
been shown to have a sensorineural hearing loss. During the assessment, it would
be important for the nurse to:
, NUR 210 EXAM 2 GALEN COLLEGE OF NURSING
LATEST 2023-2024 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
a. Speak loudly so the patient can hear the questions.
b. Assess for middle ear infection as a possible cause.
c. Ask the patient what medications he is currently taking.
d. Look for the source of the obstruction in the external ear.
D - ANSWER--During an interview, the patient states he has the sensation that
"everything around him is spinning." The nurse recognizes that the portion of the
ear responsible for this sensation is the:
a. Cochlea.
b. CN VIII.
c. Organ of Corti.
d. Labyrinth.
B - ANSWER--A patient in her first trimester of pregnancy is diagnosed with
rubella. Which of these statements is correct regarding the significance of this in
relation to the infant's hearing?
a. Rubella may affect the mother's hearing but not the infant's.
b. Rubella can damage the infant's organ of Corti, which will impair hearing.
c. Rubella is only dangerous to the infant in the second trimester of pregnancy.
d. Rubella can impair the development of CN VIII and thus affect hearing.
, NUR 210 EXAM 2 GALEN COLLEGE OF NURSING
LATEST 2023-2024 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
D - ANSWER--The mother of a 2-year-old is concerned because her son has had
three ear infections in the past year. What would be an appropriate response by
the nurse?
a. "It is unusual for a small child to have frequent ear infections unless something
else is wrong."
b. "We need to check the immune system of your son to determine why he is
having so many ear infections."
c. "Ear infections are not uncommon in infants and toddlers because they tend to
have more cerumen in the external ear."
d. "Your son's eustachian tube is shorter and wider than yours because of his age,
which allows for infections to develop more easily."
A
Rationale: Otosclerosis is a common cause of conductive hearing loss in young
adults between the ages of 20 and 40 years. Presbycusis is a type of hearing loss
that occurs with aging. Trauma and frequent ear infections are not a likely cause
of his hearing loss. - ANSWER--A 31-year-old patient tells the nurse that he has
noticed a progressive loss in his hearing. He says that it does seem to help when
people speak louder or if he turns up the volume of a television or radio. The
most likely cause of his hearing loss is:
a. Otosclerosis.
b. Presbycusis.
c. Trauma to the bones.
d. Frequent ear infections.
, NUR 210 EXAM 2 GALEN COLLEGE OF NURSING
LATEST 2023-2024 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
C
Rationale: Presbycusis is a type of hearing loss that occurs in 60% of those older
than 65 years of age, even in those living in a quiet environment. This
sensorineural loss is gradual and caused by nerve degeneration in the inner ear.
Words sound garbled, and the ability to localize sound is also impaired. This
communication dysfunction is accentuated when background noise is present. -
ANSWER--A 70-year-old patient tells the nurse that he has noticed that he is
having trouble hearing, especially in large groups. He says that he "can't always
tell where the sound is coming from" and the words often sound "mixed up."
What might the nurse suspect as the cause for this change?
a. Atrophy of the apocrine glands
b. Cilia becoming coarse and stiff
c. Nerve degeneration in the inner ear
d. Scarring of the tympanic membrane
C - ANSWER--During an assessment of a 20-year-old Asian patient, the nurse
notices that he has dry, flaky cerumen in his canal. What is the significance of this
finding? This finding:
a. Is probably the result of lesions from eczema in his ear.
b. Represents poor hygiene.
c. Is a normal finding, and no further follow-up is necessary.
d. Could be indicative of change in cilia; the nurse should assess for hearing loss.
