SHADOW HEALTH PRESCHOOLER SICK
VISIT: EAR PAIN RESULTS FINAL TEST 2026
QUESTIONS WITH CORRECT ANSWERS
GRADED A+
◍ What is mastoiditis?.
Answer: Inflammation of mastoid air spaces (back of ear)usually from AOM
◍ 9. A nurse assessing the results of a Rinne test sees the notation of BC > A
C. How should the nurse translate this result?a. Conductive hearing lossb.
Sensorineural hearing lossc. Normal hearingd. Cochlear defect.
Answer: A
◍ 27. Which common characteristics might a patient with conductive hearing
loss display? (Select all that apply.)a. Hears adequately in noisy settingsb.
Hears sounds but has difficulty understanding speechc. Has improved
hearing with hearing aidsd. Has a history of diabetes mellituse. Speaks in a
normal volume.
Answer: A, C, E
◍ What to give for AOM if no Type 1 penicillin allergy?.
Answer: Cefdinir, Cefpodoxime, Cefuroxime
◍ What is primary otalgia?.
Answer: Pain that originates from within the ear.
◍ Middle ear causes of primary otalgia?.
Answer: Otitis media, eustachian tube dysfunction, barotrauma, TM rupture,
cholesteatoma.
◍ 13. A nursing report on a newly admitted patient who is profoundly deaf
says that the patient is confused and difficult to assess because she does not
, appropriately respond to questions or sometimes fails to respond at all. What
should be the first action of the oncoming nurse?a. Consider asking the
physician to assess the patient for dementia.b. Assess the patient to
determine whether her hearing aids are in.c. Report to the physician that the
patient is exhibiting signs of the sundown syndrome.d. Assess the patient's
medications to check for an overdose..
Answer: B
◍ 22. A young woman being admitted to the clinic service states that all the
members of her family have been hard of hearing. She says her hearing loss
became more pronounced when she was pregnant. What term explains this
type of hearing loss?a. Otosclerosisb. Ototoxicityc. Otalgiad. Otitis media.
Answer: A
◍ 11. Which instruction should a nurse include when providing patient
teaching information for a patient who will be self-administering ear drops
for an ear infection?a. Tip the affected ear up and keep it in that position for
several minutes after instilling the medication.b. Keep the medication in the
refrigerator to preserve it. Instill the medication with the affected ear tilted
upward.c. Touch the dropper to the opening of the ear canal to ensure that
the drops are correctly instilled.d. Warm the ear drops and then tilt the head
downward..
Answer: A
◍ Causes of sensorineural hearing loss?.
Answer: Presbycusis (age-related)Medications: aminoglycosides, cisplatin,
loop diureticsInfections: TORCH, viralTumors: acoustic neuroma (MRI
always)Autoimmune, traumaMeniere's disease
◍ What hearing tests are used in the physical exam?.
Answer: Whispered word test and finger rub test.
◍ 10. A patient undergoing a Weber test says that the sound is louder in her
left ear. What should this result indicate?a. Normal hearingb. Nerve damage
from listening to loud musicc. Blocked ear canal in the right eard.
Conductive hearing loss in the left ear.
, Answer: D
◍ 26. Which patient behaviors should alert a nurse to a possible hearing
deficit? (Select all that apply.)a. Watches the speaker's mouthb. Gives
inappropriate answers to questionsc. Pulls at the earsd. Fails to respond
when spoken toe. Turns the good ear to the speaker.
Answer: A, B, D, E
◍ 16. A patient with diabetes says that he needs a hearing aid because he
cannot hear well, and everything sounds garbled and distant. What type of
hearing loss should the nurse suspect?a. Mixed hearing lossb. Conductive
hearing lossc. Central hearing lossd. Sensorineural hearing loss.
Answer: D
◍ Serious complication of untreated AOM?.
Answer: Mastoiditis
◍ What is secondary otalgia?.
Answer: Referred pain that originates from outside the ear.
◍ 20. An 85-year-old patient has had age-related changes in the cochlea. What
is the most appropriate nursing action for the nurse to implement?a. Speak
slowly.b. Provide assistance with ambulation.c. Speak in a lower tone.d.
Communicate with the patient in writing..
Answer: B
◍ What causes cerumen impaction?.
Answer: Overproduction, poor clearance of secretions + sloughed
epithelium/hair in external auditory canal
◍ 28. A patient complains that his hearing aid is not working. What actions
should a nurse implement to assess the device? (Select all that apply.)a.
Check to see if the device is turned on.b. Clean the earpiece and remove
cerumen clogged in the vent.c. Open the earpiece to see if the microphone
wire is connected.d. Examine the interior of the earpiece for water.e.
Validate that the battery is correctly placed..
Answer: A, B, E
VISIT: EAR PAIN RESULTS FINAL TEST 2026
QUESTIONS WITH CORRECT ANSWERS
GRADED A+
◍ What is mastoiditis?.
Answer: Inflammation of mastoid air spaces (back of ear)usually from AOM
◍ 9. A nurse assessing the results of a Rinne test sees the notation of BC > A
C. How should the nurse translate this result?a. Conductive hearing lossb.
Sensorineural hearing lossc. Normal hearingd. Cochlear defect.
Answer: A
◍ 27. Which common characteristics might a patient with conductive hearing
loss display? (Select all that apply.)a. Hears adequately in noisy settingsb.
Hears sounds but has difficulty understanding speechc. Has improved
hearing with hearing aidsd. Has a history of diabetes mellituse. Speaks in a
normal volume.
Answer: A, C, E
◍ What to give for AOM if no Type 1 penicillin allergy?.
Answer: Cefdinir, Cefpodoxime, Cefuroxime
◍ What is primary otalgia?.
Answer: Pain that originates from within the ear.
◍ Middle ear causes of primary otalgia?.
Answer: Otitis media, eustachian tube dysfunction, barotrauma, TM rupture,
cholesteatoma.
◍ 13. A nursing report on a newly admitted patient who is profoundly deaf
says that the patient is confused and difficult to assess because she does not
, appropriately respond to questions or sometimes fails to respond at all. What
should be the first action of the oncoming nurse?a. Consider asking the
physician to assess the patient for dementia.b. Assess the patient to
determine whether her hearing aids are in.c. Report to the physician that the
patient is exhibiting signs of the sundown syndrome.d. Assess the patient's
medications to check for an overdose..
Answer: B
◍ 22. A young woman being admitted to the clinic service states that all the
members of her family have been hard of hearing. She says her hearing loss
became more pronounced when she was pregnant. What term explains this
type of hearing loss?a. Otosclerosisb. Ototoxicityc. Otalgiad. Otitis media.
Answer: A
◍ 11. Which instruction should a nurse include when providing patient
teaching information for a patient who will be self-administering ear drops
for an ear infection?a. Tip the affected ear up and keep it in that position for
several minutes after instilling the medication.b. Keep the medication in the
refrigerator to preserve it. Instill the medication with the affected ear tilted
upward.c. Touch the dropper to the opening of the ear canal to ensure that
the drops are correctly instilled.d. Warm the ear drops and then tilt the head
downward..
Answer: A
◍ Causes of sensorineural hearing loss?.
Answer: Presbycusis (age-related)Medications: aminoglycosides, cisplatin,
loop diureticsInfections: TORCH, viralTumors: acoustic neuroma (MRI
always)Autoimmune, traumaMeniere's disease
◍ What hearing tests are used in the physical exam?.
Answer: Whispered word test and finger rub test.
◍ 10. A patient undergoing a Weber test says that the sound is louder in her
left ear. What should this result indicate?a. Normal hearingb. Nerve damage
from listening to loud musicc. Blocked ear canal in the right eard.
Conductive hearing loss in the left ear.
, Answer: D
◍ 26. Which patient behaviors should alert a nurse to a possible hearing
deficit? (Select all that apply.)a. Watches the speaker's mouthb. Gives
inappropriate answers to questionsc. Pulls at the earsd. Fails to respond
when spoken toe. Turns the good ear to the speaker.
Answer: A, B, D, E
◍ 16. A patient with diabetes says that he needs a hearing aid because he
cannot hear well, and everything sounds garbled and distant. What type of
hearing loss should the nurse suspect?a. Mixed hearing lossb. Conductive
hearing lossc. Central hearing lossd. Sensorineural hearing loss.
Answer: D
◍ Serious complication of untreated AOM?.
Answer: Mastoiditis
◍ What is secondary otalgia?.
Answer: Referred pain that originates from outside the ear.
◍ 20. An 85-year-old patient has had age-related changes in the cochlea. What
is the most appropriate nursing action for the nurse to implement?a. Speak
slowly.b. Provide assistance with ambulation.c. Speak in a lower tone.d.
Communicate with the patient in writing..
Answer: B
◍ What causes cerumen impaction?.
Answer: Overproduction, poor clearance of secretions + sloughed
epithelium/hair in external auditory canal
◍ 28. A patient complains that his hearing aid is not working. What actions
should a nurse implement to assess the device? (Select all that apply.)a.
Check to see if the device is turned on.b. Clean the earpiece and remove
cerumen clogged in the vent.c. Open the earpiece to see if the microphone
wire is connected.d. Examine the interior of the earpiece for water.e.
Validate that the battery is correctly placed..
Answer: A, B, E