Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
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Chapter 51. Sensory System Function, Assessment, and Therapeutic Measures: Vision and Hearing
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is collecting data and has just completed the Weber test on a patient with normal findings. How should the nurse correctly document the findings?
| a. | BC greater than A3 |
| b. | Left and right ear heard equally |
| c. | Left ear heard better than right ear |
| d. | Air conduction greater than bone conduction (BC) |
____ 2. The nurse performs a Snellen chart examination on a patient. What Snellen chart documentation indicates normal vision for the patient?
| a. | Left eye 80/20 |
| b. | Left eye 20/200 |
| c. | Both eyes 20/20 |
| d. | Right eye 200/20 |
____ 3. The nurse has reinforced teaching with a patient after diagnostic testing reveals tinnitus. Which patient statement indicates that teaching has been effective?
| a. | “There is a toxic substance in my ear.” |
| b. | “That is why I have so much discharge all of the time.” |
| c. | “My ear pain should get better if I follow the doctor’s orders.” |
| d. | “The ringing sound I hear in my ear may be a symptom of another problem.” |
____ 4. The nurse palpates a downward small protrusion the helix of a patient’s ear known as Darwin’s tubercle. How should the nurse document this finding?
| a. | A tumor |
| b. | Within normal limits |
| c. | A lump filled with fluid |
| d. | An abnormal palpable calcification |
____ 5. The nurse is conducting an initial screening to determine a patient’s gross hearing acuity as part of a complete physical. Which test should the nurse include in the assessment?
| a. | Romberg |
| b. | Calorie test |
| c. | Whisper voice |
| d. | Otoscopic examination |
MULTIPLE CHOICE
Normally a patient hears sound the same in both ears for a normal finding. A. C. D. These statements would be appropriate if hearing was greater in one ear over the other.
PTS: 1 DIF: Moderate
KEY: Client Need: Health Promotion and Maintenance | Cognitive Level: Application
For both eyes 20/20 is normal vision. A. B. D. These statements indicate a difference in vision between the eyes.
PTS: 1 DIF: Moderate
KEY: Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis
Tinnitus is ringing, buzzing, or roaring in the ears. A. Tinnitus does not mean that the patient has a toxic substance in the ear. B. Discharge is otorrhea. C. Ear pain is otalgia.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Analysis
A downward protrusion of the helix, called Darwin’s tubercle, is a normal finding. A. C. D. Darwin’s tubercle is not a tumor, a lump filled with fluid, or an abnormal calcification.
PTS: 1 DIF: Moderate
KEY: Client Need: Health Promotion and Maintenance | Cognitive Level: Application
Auditory function can be grossly evaluated using three different assessment tests: whisper voice test, Rinne’s test, and Weber’s test. A. B. D. These tests do not determine gross hearing.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application
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