MED SURG II EXAM 3
A patient reports severe ear pain that worsens when the pinna is
pulled. Which condition does the nurse suspect?
Otitis externa
Which findings are associated with otitis externa? (Select all that
apply)
Pain when pulling the ear
Swollen ear canal
Purulent drainage
Which factor most commonly contributes to otitis externa?
Water trapped in the ear canal
Which nursing interventions are appropriate for treating otitis
externa? (Select all that apply)
Administer antibiotic ear drops
Keep ear canal dry
A child presents with ear pain, fever, and a bulging tympanic
membrane. Which diagnosis is most likely?
Otitis media
Which findings are consistent with otitis media? (Select all that
apply)
Fever
Ear pain
Bulging tympanic membrane
Which complication is a serious risk of untreated otitis media?
Mastoiditis
,Which factors increase the risk for otitis media? (Select all that
apply)
Upper respiratory infection
Smoking exposure
Bottle-feeding while lying flat
Which treatment is commonly prescribed for bacterial otitis
media?
Antibiotics
Which nursing instructions are appropriate for a child with otitis
media? (Select all that apply)
Complete the full course of antibiotics
Use warm compresses for pain
Monitor for hearing problems
Which symptom suggests a ruptured tympanic membrane?
Sudden pain relief with drainage
Which nursing instructions are appropriate for a patient with
a perforated tympanic membrane? (Select all that apply)
Keep ear dry
Avoid swimming
Avoid inserting anything into ear
What is the priority nursing action for a patient with ear trauma
and clear drainage?
Report immediately
Which findings require immediate medical attention? (Select all
that apply)
Clear fluid draining from ear
Bleeding from ear
Hearing loss after trauma
,Ménière's disease is caused by:
Excess fluid in the inner ear
Which symptoms are characteristic of Ménière’s disease? (Select
all that apply)
Vertigo
Tinnitus
Hearing loss
Ear fullness
Which symptom pattern best differentiates Ménière’s
disease from simple vertigo?
Episodic vertigo with tinnitus and hearing loss
Which findings support a diagnosis of Ménière’s disease? (Select
all that apply)
Fluctuating hearing loss
Ringing in the ear
Feeling of ear fullness
Which dietary modification is most important for managing
Ménière’s disease?
Low-sodium diet
Which treatments may be used for Ménière’s disease? (Select all
that apply)
Diuretics
Antiemetics
Vestibular suppressants
Vertigo is best described as:
Sensation of spinning or motion
, Which symptoms are commonly associated with vertigo? (Select
all that apply)
Nausea
Vomiting
Nystagmus
Which characteristic best describes Benign Paroxysmal Positional
Vertigo (BPPV)?
Vertigo triggered by position changes
Which actions may trigger BPPV symptoms? (Select all that
apply)
Rolling over in bed
Looking up
Turning the head
What is the priority nursing intervention for a patient
experiencing acute vertigo?
Place patient on bed rest
Which nursing interventions promote safety for patients with
vertigo? (Select all that apply)
Assist with ambulation
Raise side rail
Keep environment well-lit
Which medication is commonly used to reduce vertigo symptoms?
Meclizine
Which patient teaching points are important when
taking vestibular suppressants? (Select all that apply)
Avoid driving
Expect drowsiness
Change positions slowly
A patient reports severe ear pain that worsens when the pinna is
pulled. Which condition does the nurse suspect?
Otitis externa
Which findings are associated with otitis externa? (Select all that
apply)
Pain when pulling the ear
Swollen ear canal
Purulent drainage
Which factor most commonly contributes to otitis externa?
Water trapped in the ear canal
Which nursing interventions are appropriate for treating otitis
externa? (Select all that apply)
Administer antibiotic ear drops
Keep ear canal dry
A child presents with ear pain, fever, and a bulging tympanic
membrane. Which diagnosis is most likely?
Otitis media
Which findings are consistent with otitis media? (Select all that
apply)
Fever
Ear pain
Bulging tympanic membrane
Which complication is a serious risk of untreated otitis media?
Mastoiditis
,Which factors increase the risk for otitis media? (Select all that
apply)
Upper respiratory infection
Smoking exposure
Bottle-feeding while lying flat
Which treatment is commonly prescribed for bacterial otitis
media?
Antibiotics
Which nursing instructions are appropriate for a child with otitis
media? (Select all that apply)
Complete the full course of antibiotics
Use warm compresses for pain
Monitor for hearing problems
Which symptom suggests a ruptured tympanic membrane?
Sudden pain relief with drainage
Which nursing instructions are appropriate for a patient with
a perforated tympanic membrane? (Select all that apply)
Keep ear dry
Avoid swimming
Avoid inserting anything into ear
What is the priority nursing action for a patient with ear trauma
and clear drainage?
Report immediately
Which findings require immediate medical attention? (Select all
that apply)
Clear fluid draining from ear
Bleeding from ear
Hearing loss after trauma
,Ménière's disease is caused by:
Excess fluid in the inner ear
Which symptoms are characteristic of Ménière’s disease? (Select
all that apply)
Vertigo
Tinnitus
Hearing loss
Ear fullness
Which symptom pattern best differentiates Ménière’s
disease from simple vertigo?
Episodic vertigo with tinnitus and hearing loss
Which findings support a diagnosis of Ménière’s disease? (Select
all that apply)
Fluctuating hearing loss
Ringing in the ear
Feeling of ear fullness
Which dietary modification is most important for managing
Ménière’s disease?
Low-sodium diet
Which treatments may be used for Ménière’s disease? (Select all
that apply)
Diuretics
Antiemetics
Vestibular suppressants
Vertigo is best described as:
Sensation of spinning or motion
, Which symptoms are commonly associated with vertigo? (Select
all that apply)
Nausea
Vomiting
Nystagmus
Which characteristic best describes Benign Paroxysmal Positional
Vertigo (BPPV)?
Vertigo triggered by position changes
Which actions may trigger BPPV symptoms? (Select all that
apply)
Rolling over in bed
Looking up
Turning the head
What is the priority nursing intervention for a patient
experiencing acute vertigo?
Place patient on bed rest
Which nursing interventions promote safety for patients with
vertigo? (Select all that apply)
Assist with ambulation
Raise side rail
Keep environment well-lit
Which medication is commonly used to reduce vertigo symptoms?
Meclizine
Which patient teaching points are important when
taking vestibular suppressants? (Select all that apply)
Avoid driving
Expect drowsiness
Change positions slowly
