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MEDICAL-SURGICAL NURSING EXAM 1 JERSEY COLLEGE REVIEW QUESTIONS AND CORRECT DETAILED ANSWERS LATEST UPDATE

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VIII Vestibulocochlear - ANS Balance and equilibrium are functions of the ________ nerve. tympanic membrane - ANS The external ear is separated from the middle ear by a disk-shaped structure called the ________________________. auricle (pinna) - ANS The _______ collects the sound waves and directs vibrations in to the external auditory canal. cerumen (ear wax) - ANS A brown, wax like substance secreted by ceruminous glands is called? 1 mm - ANS How wide is the eustachian tube? 35 mm - ANS How long is the eustachian tube? It helps to conduct sound vibration. - ANS What is the function of the tympanic membrane? pearly grey - ANS What color is NORMAL for the tympanic membrane? pars tensa - ANS Approximately 80% of the tympanic membrane is composed of all three layers and is called the ___________. pars flaccida - ANS The remaining 20% of the tympanic membrane that lacks the middle layer is called ? annulus - ANS The fibrous border that attaches the eardrum to the temporal bone ? perilymph - ANS The bony labyrinth surrounds and protects the membranous labyrinth, which is bathed in a fluid called ___________. hearing balance and equilibrium - ANS What are the two functions of the ears? eustachian tube - ANS Helps to equalize pressure in the ear ? seborrheic dermatitis - ANS A flaky scaliness on or behind the auricle usually indicates _____________________ and can be present on the scalp and facial structures as well 5 mm - ANS The largest speculum that the ear canal can accommodate ____mm. gently irrigate the canal with warm water - ANS If the tympanic membrane cannot be visualized because of cerumen, the cerumen may be removed how? Weber and Rinne tests - ANS Name two tests used to assess a patient's hearing ability. Weber test - ANS This test for hearing uses bone conduction to test lateralization of sound. What is it called? Rinne test - ANS This hearing test is done by shifting the stem of a vibrating tuning fork between two positions: 2 inches from the opening of the ear canal and against the mastoid bone. As the position changes, the patient is asked to indicate which tone is louder or when the tone is no longer available. What is it called?

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K
C
LO
YC
MEDICAL-SURGICAL
NURSING EXAM 1 JERSEY
D


COLLEGE REVIEW
U



QUESTIONS AND CORRECT
ST




DETAILED ANSWERS LATEST
UPDATE

,VIII Vestibulocochlear - ANS Balance and equilibrium are functions of the ________
nerve.

tympanic membrane - ANS The external ear is separated from the middle ear by a
disk-shaped structure called the ________________________.

auricle (pinna) - ANS The _______ collects the sound waves and directs vibrations in
to the external auditory canal.

cerumen (ear wax) - ANS A brown, wax like substance secreted by ceruminous




K
glands is called?




C
1 mm - ANS How wide is the eustachian tube?

35 mm - ANS How long is the eustachian tube?




LO
It helps to conduct sound vibration. - ANS What is the function of the tympanic
membrane?

pearly grey - ANS What color is NORMAL for the tympanic membrane?
YC
pars tensa - ANS Approximately 80% of the tympanic membrane is composed of all
three layers and is called the ___________.

pars flaccida - ANS The remaining 20% of the tympanic membrane that lacks the
D

middle layer is called ?
U


annulus - ANS The fibrous border that attaches the eardrum to the temporal bone ?

perilymph - ANS The bony labyrinth surrounds and protects the membranous
ST




labyrinth, which is bathed in a fluid called ___________.

hearing
balance and equilibrium - ANS What are the two functions of the ears?

eustachian tube - ANS Helps to equalize pressure in the ear ?

seborrheic dermatitis - ANS A flaky scaliness on or behind the auricle usually
indicates _____________________ and can be present on the scalp and facial
structures as well

,5 mm - ANS The largest speculum that the ear canal can accommodate ____mm.

gently irrigate the canal with warm water - ANS If the tympanic membrane cannot be
visualized because of cerumen, the cerumen may be removed how?

Weber and Rinne tests - ANS Name two tests used to assess a patient's hearing
ability.

Weber test - ANS This test for hearing uses bone conduction to test lateralization of




K
sound. What is it called?




C
Rinne test - ANS This hearing test is done by shifting the stem of a vibrating tuning
fork between two positions: 2 inches from the opening of the ear canal and against the
mastoid bone. As the position changes, the patient is asked to indicate which tone is




LO
louder or when the tone is no longer available. What is it called?

The Weber Test - ANS Results of this test are used to determine whether the patient
has conductive hearing loss or sensorineural hearing loss. Which test?
YC
air conduction - ANS Which type of conduction should be longer for sensorineural
hearing loss? Air or Bone?

TRUE - ANS Conductive hearing loss such as from otosclerosis or otitis media, when
performing the Weber test the sound lateralizes toward the affected ear T/F?
D


Bone - ANS Weber test just does ____ conduction.
U


Audiometry confirms a client's chronic progressive hearing loss. Further investigation
reveals ankylosis of the stapes in the oval window, a condition that prevents sound
ST




transmission. This type of hearing loss is called a: - ANS conductive hearing loss

frequency, pitch, and intensity - ANS Name three characteristics that are important
when evaluating hearing.

frequency - ANS The number of sound waves emanating from a source per second,
measured as cycles per second, or Hertz.

20-20,000 Hz - ANS What is the range of human hearing?

, intensity - ANS Loudness of sound is known as _________.

decibel (dB) - ANS The unit for measuring loudness, the pressure exerted by sound.
Hearing loss is measured using this unit.

0-15 dB - ANS The normal hearing in decibels ?

>15-25 dB - ANS Slight hearing loss in decibels ?

>25-40 dB - ANS Mild hearing loss in decibels ?




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>40-55 dB - ANS Moderate hearing loss in decibels ?




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>55-70 dB - ANS moderately severe hearing loss in decibels ?




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>70-90 dB - ANS Severe hearing loss in decibels ?

>90 - ANS Profound hearing loss in decibels ?

tympanogram - ANS measures middle ear muscle reflex to sound stimulation and
YC
compliance of the tympanic membrane by changing the air pressure in a sealed ear
canal ?

-family history of sensorineural impairment
-congenital malformations of the cranial structure (ear)
D

-low birth weight (<1500g)
-use of ototoxic medications (e.g., gentamicin, loop diuretics)
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-recurrent ear infections
-bacterial meningitis
-chronic exposure to loud noises (jobs, hobbies)
ST




-perforation of the tympanic membrane - ANS Risk factors for hearing loss (8) ?

presbycusis - ANS hearing loss associated with old age is called ?

Aural Rehabilitation - ANS intervention aimed at minimizing and alleviating the
communication difficulties associated with hearing loss ? Can be used if hearing loss is
permanent or untreatable or if the patient elects not to be treated.

There are no activity restrictions after this procedure - ANS What patient education for
post mastoid surgery

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