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MEDICAL-SURGICAL
NURSING EXAM 1 JERSEY
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COLLEGE REVIEW
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QUESTIONS AND CORRECT
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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
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glands is called?
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1 mm - ANS How wide is the eustachian tube?
35 mm - ANS How long is the eustachian tube?
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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?
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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
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middle layer is called ?
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annulus - ANS The fibrous border that attaches the eardrum to the temporal bone ?
perilymph - ANS The bony labyrinth surrounds and protects the membranous
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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
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sound. What is it called?
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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
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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?
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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?
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Bone - ANS Weber test just does ____ conduction.
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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
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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
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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)
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-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)
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-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