Chapter 13: Ears, Nose, and Throat
MULTIPLE CHOICE
1. Mr. Sprat is a 21-year-old patient who complains of nasal congestion. He admits to
using recreational drugs. On examination, you have noted a septal perforation. Which of the following
recreational drugs is commonly associated with nasal septum perforation? a. Heroin
b. Cocaine
c. PCP
d. Ecstasy
ANS: B
Long-term cocaine snorting causes ischemic necrosis of the septal cartilage and leads to perforation of
the nasal septum.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness, you
should palpate over the: a. sphenoid and frontal sinuses.
b. maxillary and frontal sinuses.
c. maxillary sinuses only.
d. sphenoid sinuses only.
ANS: C
Only the maxillary and the frontal sinuses are accessible for physical examination; however, the young
child does not develop frontal sinuses until 7 to 8 years of age.
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. Mr. and Mrs. Johnson have presented to the office with their infant son with complaints of ear
drainage. When examining an infa idd e ea , he e h d e e ha d abi i e the otoscope against the head
while using the other hand to: a. pull the auricle down and back.
b. hold the speculum in the canal.
c. distract the infant.
d. stabilize the chest.
ANS: A
The nurse should use the other hand to pull the auricle down and back in an effort to straighten the
upward curvature of the canal.
DIF: Cognitive Level: Analyzing (Analysis)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
4. Mrs. Donaldson is a 31-year-old patient who is pregnant. In providing Mrs. Donaldson with healthcare
information, you will explain that she can expect to experience:
a. more nasal stuffiness.
https://pasinggrades.com/
, b. a sensitive sense of smell.
c. drooling.
d. enhanced hearing.
ANS: A
Physiologic changes of pregnancy include nasal stuffiness, a decreased sense of smell, impaired
hearing, epistaxis, and a sense of fullness in the ears.
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
https://pasinggrades.com/
MULTIPLE CHOICE
1. Mr. Sprat is a 21-year-old patient who complains of nasal congestion. He admits to
using recreational drugs. On examination, you have noted a septal perforation. Which of the following
recreational drugs is commonly associated with nasal septum perforation? a. Heroin
b. Cocaine
c. PCP
d. Ecstasy
ANS: B
Long-term cocaine snorting causes ischemic necrosis of the septal cartilage and leads to perforation of
the nasal septum.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness, you
should palpate over the: a. sphenoid and frontal sinuses.
b. maxillary and frontal sinuses.
c. maxillary sinuses only.
d. sphenoid sinuses only.
ANS: C
Only the maxillary and the frontal sinuses are accessible for physical examination; however, the young
child does not develop frontal sinuses until 7 to 8 years of age.
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. Mr. and Mrs. Johnson have presented to the office with their infant son with complaints of ear
drainage. When examining an infa idd e ea , he e h d e e ha d abi i e the otoscope against the head
while using the other hand to: a. pull the auricle down and back.
b. hold the speculum in the canal.
c. distract the infant.
d. stabilize the chest.
ANS: A
The nurse should use the other hand to pull the auricle down and back in an effort to straighten the
upward curvature of the canal.
DIF: Cognitive Level: Analyzing (Analysis)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
4. Mrs. Donaldson is a 31-year-old patient who is pregnant. In providing Mrs. Donaldson with healthcare
information, you will explain that she can expect to experience:
a. more nasal stuffiness.
https://pasinggrades.com/
, b. a sensitive sense of smell.
c. drooling.
d. enhanced hearing.
ANS: A
Physiologic changes of pregnancy include nasal stuffiness, a decreased sense of smell, impaired
hearing, epistaxis, and a sense of fullness in the ears.
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
https://pasinggrades.com/
