NUR 1060 GERONTOLOGY EXAM 2 QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
2024/2025
An older client reports to a nurse, "My daughter says there is something wrong
with my hearing. I am not so sure. Yes, I have some problems hearing, but I am 78
years old. What does she expect? I noticed that at Christmas dinner, with all the
racket around, I had some trouble. I think it is that my granddaughters mumble a
lot, just like all young people. I guess it has been getting steadily worse; it seems
to be both ears as well." Based on the client's description, the nurse suspects
which of the following?
A. Presbycusis
B. Otosclerosis
C. Tinnitus
D. A perforated eardrum
A. Presbycusis
An older nursing home resident reports that her hearing loss is getting worse.
What is the first action of the nurse?
,A. Refer the resident for an evaluation for a hearing aid.
B. Raise her voice when speaking to the resident.
C. Examine the resident's ears for cerumen impaction.
D. Teach the resident to read lips.
C. Examine the resident's ears for cerumen impaction.
An older patient asks a nurse, "My doctor referred me to a hearing specialist who
thinks that surgery for a cochlear implant may be beneficial for me. Can you tell
me how one of those things works?" The nurse formulates a response based on
the knowledge that:
A. a cochlear implant is permanent, surgically implanted hearing aid.
B. a cochlear implant speeds up the conduction of sound to the auditory nerve.
C. a cochlear implant functions as an artificial auditory nerve.
D. a cochlear implant directly stimulates the auditory nerve.
D. a cochlear implant directly stimulates the auditory nerve.
A 74-year-old client who has experienced a progressive loss of hearing acuity in
recent years obtains a new hearing aid. Which of the following should be
included in the nurse's teaching plan?
A. "Many people find that hearing aids only help with certain types of hearing loss
that are caused by previous noise exposure."
,B. "With the right hearing aid, you can expect your hearing to be back to normal."
C. "Hearing aids are covered by Medicare Part B."
D. "Even though hearing aids will help you, they also bring challenges like
distorted speech and amplified background noise."
D. "Even though hearing aids will help you, they also bring challenges like distorted
speech and amplified background noise."
A nurse in an assisted living community notes that one of the residents who has
hearing impairment and new bilateral hearing aids frequently does not wear the
hearing aids. The nurse knows that which of the following factors contribute to
low hearing aid use after purchase? (Select all that apply.)
A. Difficulty placing hearing aid properly in the ear
B. Stigma associated with wearing a hearing aid
C. Difficulty changing the batteries in the hearing aid
D. Ineffectiveness of hearing aids for individuals with age-related hearing loss
E. Hearing annoying loud noises
A. Difficulty placing hearing aid properly in the ear
B. Stigma associated with wearing a hearing aid
C. Difficulty changing the batteries in the hearing aid
E. Hearing annoying loud noises
An older person reports hearing whistling in both ears when no external sounds
are present and is diagnosed with tinnitus. Which of the following are causes of
tinnitus? (Select all that apply.)
A. Exposure to loud noises
, B. Use of a hearing aid
C. Cerumen buildup
D. Side effects of medications
E. Age-related changes in the middle and inner ear
A. Exposure to loud noises
C. Cerumen buildup
D. Side effects of medications
An older patient is diagnosed with sensorineural hearing loss. The nurse knows
that causes of sensorineural hearing loss include: (Select all that apply.)
A. tumors of the middle ear
B. cerumen impaction.
C. infections of the external and middle ear.
D. age-related hearing impairment.
E. excessive and loud noise.
D. age-related hearing impairment.
E. excessive and loud noise.
The nurse is most concerned by observing when assisting with an older client's
bath:
A. a firm, irregularly shaped, pink-colored nodule.
B. a slightly raised multicolor lesion with an asymmetrical, irregular border.
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
2024/2025
An older client reports to a nurse, "My daughter says there is something wrong
with my hearing. I am not so sure. Yes, I have some problems hearing, but I am 78
years old. What does she expect? I noticed that at Christmas dinner, with all the
racket around, I had some trouble. I think it is that my granddaughters mumble a
lot, just like all young people. I guess it has been getting steadily worse; it seems
to be both ears as well." Based on the client's description, the nurse suspects
which of the following?
A. Presbycusis
B. Otosclerosis
C. Tinnitus
D. A perforated eardrum
A. Presbycusis
An older nursing home resident reports that her hearing loss is getting worse.
What is the first action of the nurse?
,A. Refer the resident for an evaluation for a hearing aid.
B. Raise her voice when speaking to the resident.
C. Examine the resident's ears for cerumen impaction.
D. Teach the resident to read lips.
C. Examine the resident's ears for cerumen impaction.
An older patient asks a nurse, "My doctor referred me to a hearing specialist who
thinks that surgery for a cochlear implant may be beneficial for me. Can you tell
me how one of those things works?" The nurse formulates a response based on
the knowledge that:
A. a cochlear implant is permanent, surgically implanted hearing aid.
B. a cochlear implant speeds up the conduction of sound to the auditory nerve.
C. a cochlear implant functions as an artificial auditory nerve.
D. a cochlear implant directly stimulates the auditory nerve.
D. a cochlear implant directly stimulates the auditory nerve.
A 74-year-old client who has experienced a progressive loss of hearing acuity in
recent years obtains a new hearing aid. Which of the following should be
included in the nurse's teaching plan?
A. "Many people find that hearing aids only help with certain types of hearing loss
that are caused by previous noise exposure."
,B. "With the right hearing aid, you can expect your hearing to be back to normal."
C. "Hearing aids are covered by Medicare Part B."
D. "Even though hearing aids will help you, they also bring challenges like
distorted speech and amplified background noise."
D. "Even though hearing aids will help you, they also bring challenges like distorted
speech and amplified background noise."
A nurse in an assisted living community notes that one of the residents who has
hearing impairment and new bilateral hearing aids frequently does not wear the
hearing aids. The nurse knows that which of the following factors contribute to
low hearing aid use after purchase? (Select all that apply.)
A. Difficulty placing hearing aid properly in the ear
B. Stigma associated with wearing a hearing aid
C. Difficulty changing the batteries in the hearing aid
D. Ineffectiveness of hearing aids for individuals with age-related hearing loss
E. Hearing annoying loud noises
A. Difficulty placing hearing aid properly in the ear
B. Stigma associated with wearing a hearing aid
C. Difficulty changing the batteries in the hearing aid
E. Hearing annoying loud noises
An older person reports hearing whistling in both ears when no external sounds
are present and is diagnosed with tinnitus. Which of the following are causes of
tinnitus? (Select all that apply.)
A. Exposure to loud noises
, B. Use of a hearing aid
C. Cerumen buildup
D. Side effects of medications
E. Age-related changes in the middle and inner ear
A. Exposure to loud noises
C. Cerumen buildup
D. Side effects of medications
An older patient is diagnosed with sensorineural hearing loss. The nurse knows
that causes of sensorineural hearing loss include: (Select all that apply.)
A. tumors of the middle ear
B. cerumen impaction.
C. infections of the external and middle ear.
D. age-related hearing impairment.
E. excessive and loud noise.
D. age-related hearing impairment.
E. excessive and loud noise.
The nurse is most concerned by observing when assisting with an older client's
bath:
A. a firm, irregularly shaped, pink-colored nodule.
B. a slightly raised multicolor lesion with an asymmetrical, irregular border.
