NRNP 6531 primary care adults gerontology EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

NRNP EXAM ms




Exam Solution ms




EAR DISORDER CHAPTER: 62 63 64 65 66 67 68 69 Car
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tes 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS A
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ND VERIFIED ANSWERS (1EAB2)
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QUESTION 1 ms




CHAPTER 62 1. A primary care provider notes painless, hard lesions on a patient's ext
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ernal ears that expel a white crystalline substance when pressed. What diagnostic test
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is indicated?
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a. Biopsy of the lesions
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b. Endocrine studies
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c. Rheumatoid factor
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d. Uric acid chemical profile
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ANSWER

ANS: D These lesions are consistent with gout and uric acid deposits. The provider should evaluate t
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his by ordering a uric acid chemical profile. Biopsy is indicated for any small, crusted, ulcerated, or i
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ndurated lesion that does not heal. Rheumatoid nodules indicate a need for rheumatoid profiles. End
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ocrine studies are ordered for patients with calcification nodules.
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QUESTION 2 ms




1. During a routine physical examination, a provider notes a shiny, irregular, painless
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lesion on the top of one ear auricle and suspects skin cancer. What will the provider t
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ell the patient about this lesion?
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a. A biopsy should be performed.
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b. Immediate surgery is recommended.
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c. It is benign and will not need intervention.
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d. This is most likely malignant.
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ANSWER

ANS: A This lesion is characteristic of basal cell carcinoma, which is a slow-
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growing cancer least likely to metastasize. A biopsy should be performed to evaluate this. Immediate
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surgery is not necessary. Until a biopsy is performed, the provider cannot determine whether it is
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benign.

, QUESTION 3 ms




CH 63 1. A child has recurrent impaction of cerumen in both ears and the parent asks
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what can be done to help prevent this. What suggestion will the provider provide?
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a. Cleaning the outer ear and canal with a soft cloth
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b. Removing cerumen with a cotton-tipped swab
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c. Trying thermal-auricular therapy when needed
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d. Using an oral irrigation tool to remove cerumen
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ANSWER

ANS: A Parents should be instructed to use a soft cloth to clean the outer ear and canal only. Use of
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a cotton-
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tipped swab or any other implement may push cerumen deeper into the canal and risk damaging th
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e tympanic membrane. Thermal-
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auricular therapy is not recommended. Oral irrigation tools have high pressure and a risk of damage
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to the tympanic membrane.
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QUESTION 4 ms




CHAPTER 63 1. A provider is recommending a cerumenolytic for a patient who has ch
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ronic cerumen buildup. The provider notes that the patient has dry skin in the ear ca
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nal. Which preparation is US Food and Drug Administration (FDA) approved for this u
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se?
a. Carbamide peroxide
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b. Hydrogen peroxide
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c. Liquid docusate sodium
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d. Mineral oil
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ANSWER

ANS: A Any preparation with carbamide peroxide is FDA approved as a cerumenolytic. Patients with
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dry skin in the ear canal should not use any product containing hydrogen peroxide. Liquid docusate
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sodium and mineral oil are often used, but do not have specific FDA approval.
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QUESTION 5 ms




CH 64 1. A child is diagnosed as having a congenital cholesteatoma. What is included i
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n management of this condition? (Select all that apply.)
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a. Antibacterial treatment
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b. Insertion of pressure equalizing tubes (PETs)
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c. Irrigation of the ear canal
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d. Removal of debris from the ear canal
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e. Surgery to remove the lesion
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ANSWER