MED-SURG/NEURO TEST BANK – COMPREHENSIVE 200 PRACTICE
QUESTIONS WITH CORRECT ANSWERS | MEDICAL-SURGICAL &
NEUROLOGICAL NURSING REVIEW COVERING THE MOST TESTED
QUESTIONS
THE MED-SURG/NEURO TEST BANK FOCUSES ON ASSESSING AND MANAGING
COMPLEX NEUROLOGICAL AND SYSTEMIC CONDITIONS IN ACUTE CARE
SETTINGS. THIS RESOURCE PREPARES NURSING STUDENTS TO APPLY CLINICAL
JUDGMENT, MONITOR CRITICAL CHANGES, AND DELIVER SAFE, PRIORITIZED
CARE FOR DIVERSE PATIENT POPULATIONS.
1. While reviewing the health history of an older adult experiencing hearing loss the nurse notes the
patient has had no trauma or loss of balance. What aspect of this patient's health history is most
likely to be linked to the patient's hearing deficit?
A) Recent completion of radiation therapy for treatment of cancer
B) Routine use of quinine for management of leg cramps
C) Allergy to hair coloring and hair spray
D) Previous perforation of the eardrum - CORRECT ANSWER-B) Routine use of quinine for
management of leg cramps
2. A nurse is planning preoperative teaching for a patient with hearing loss due to otosclerosis. The
patient is scheduled for a stapedectomy with insertion of a prosthesis. What information is most
crucial to include in the patient's preoperative teaching?
A) The procedure is an effective, time-tested treatment for sensory hearing loss.
B) The patient is likely to experience resolution of conductive hearing loss after the procedure.
C) Several months of post-procedure rehabilitation will be needed to maximize benefits.
D) The procedure is experimental, but early indications therapeutic benefits. - CORRECT
ANSWER-B) The patient is likely to experience resolution of conductive hearing loss after the
procedure.
3. Which of the following nursing interventions would most likely facilitate effective communication
with a hearing-impaired patient?
A) Ask the patient to repeat what was said in order to evaluate understanding.
B) Stand directly in front of the patient to facilitate lip .test
C) Reduce environmental noise and distractions before communicating.
,D) Raise the voice to project sound at a higher frequency. - CORRECT ANSWER-C) Reduce
environmental noise and distractions before communicating.
4. The nurse is providing discharge education for a patient with a new diagnosis of Ménière's
disease. What food should the patient be instructed to limit or avoid?
A) Sweet pickles
B) Frozen yogurt
C) Shellfish
D) Red meat - CORRECT ANSWER-A) Sweet pickles
6 A patient with otosclerosis has significant hearing loss. What should the nurse do to best facilitate
communication with the patient?
A) Sit or stand in front of the patient when speaking.
B) Use exaggerated lip and mouth movements when test
C) Stand in front of a light or window when speaking.
D) Say the patient's name loudly before starting to talk. - CORRECT ANSWER-A) Sit or stand in
front of the patient when speaking
5. A client has undergone diagnostic testing and has been diagnosed with otosclerosis. What ear
structure is primarily affected by this diagnosisa?birb.com/test
A) Malleus
B) Stapes
C) Incus
D) Tympanic membrane - CORRECT ANSWER-B) Stapes
7. A patient diagnosed with arthritis has been taking aspirin and now reports experiencing tinnitus
and hearing loss. What should the nurse teach this patient?
A) The hearing loss will likely resolve with time after the drug is discontinued.
B) The patient's hearing loss and tinnitus are irreversible at this point. C) The patient's tinnitus is
likely multifactorial, and not directly related to aspirin use.
D) The patient's tinnitus will abate as tolerance to aspirin developes - CORRECT ANSWER-A) The
hearing loss will likely resolve with time after the drug is discontinued.
,8. A patient is postoperative day 6 following tympanoplasty and mastoidectomy. The patient has
phoned the surgical unit and states that she is experiences occasional sharp, shooting pains in her
affected ear. How should the nurse best interpret this patient's complaint?
A) These pains are an expected finding during the first few weeks of recovery.
B) The patient's complaints are suggestive of a postoperative infection.
C) The patient may have experienced a spontaneous rupture of the tympanic membrane.
D) The patient's surgery may have been unsuccessful. - CORRECT ANSWER-A) These pains are
an expected finding during the first few weeks of recovery.
9. The nurse is planning the care of a patient who is adapting o the use of a hearing aid for the first
time. What is the most significant challenge experienced by a patient with hearing loss who is
adapting to using a hearing aid for the first time?
A) Regulating the tone and volume
B) Learning to cope with amplification of background noise
C) Constant irritation of the external auditory canal
D) Challenges in keeping the hearing aid clean while minimizing exposure to moisture - CORRECT
ANSWER-B) Learning to cope with amplification of background noise
10. The nurse is planning the care of a patient with a diagnosis of vertigo. What nursing diagnosis
risk should the nurse prioritize in this patient's care?
A) Risk for disturbed sensory perception
B) Risk for unilateral neglect
C) Risk for falls
D) Risk for ineffective health maintenance - CORRECT ANSWER-C) Risk for falls
11. A patient with a sudden onset of hearing loss tells the nurse that he would like to begin using
hearing aids. The nurse understands that the health professional dispensing hearing aids would have
what responsibility?
A) Test the patient's hearing promptly.
B) Perform an otoscopy.
C) Measure the width of the patient's ear canal.
D) Refer the patient to his primary care physician. - CORRECT ANSWER-D) Refer the patient to
his primary care physician.
, 12. The nurse is providing care for a patient who has benefited from a cochlear implant. The nurse
should understand that this patient's health history includes which of the following? Select all that
apply.
A) The patient was diagnosed with sensorineural hearing loss.
B) The patient's hearing did not improve appreciably with the use of hearing aids
C) The patient has deficits in peripheral nervous function. of hearing aids.
D) The patient's hearing deficit is likely accompanied by a cognitive deficit.
E) The patient is unable to lip-read. - CORRECT ANSWER-A) The patient was diagnosed with
sensorineural hearing loss.
B) The patient's hearing did not improve appreciably with the use of hearing aids
13. Which of the following nurse's actions carries the greatest potential to prevent hearing loss due
to ototoxicity?
A) Ensure that patients understand the differences between sensory hearing loss and conductive
hearing loss.
B) Educate patients about expected age-related changes in hearing perception.
C) Educate patients about the risks associated with prolonged exposure to environmental noise.
D) Be aware of patients' medication regimens and collaborate with other professionals accordingly. -
CORRECT ANSWER-D) Be aware of patients' medication regimens and collaborate with other
professionals accordingly.
14. The nurse is caring for a patient who has undergone a mastoidectomy. In an effort to prevent
postoperative infection, what intervention should the nurse implement?
A) Teach the patient about the risks of ototoxic medications.
B) Instruct the patient to protect the ear from water for several weeks.
C) Teach the patient to remove cerumen safely at least once a week
D) Instruct the patient to protect the ear from temperature extremes until healing is complete. -
CORRECT ANSWER-B) Instruct the patient to protect the ear from water for several weeks.
15. A patient is being discharged home after mastoid surgery. What topic should the nurse address
in the patient's discharge education? A) Expected changes in facial nerve function
B) The need for audiometry testing every 6 months following recovery
C) Safe use of analgesics and antivertiginous agents
QUESTIONS WITH CORRECT ANSWERS | MEDICAL-SURGICAL &
NEUROLOGICAL NURSING REVIEW COVERING THE MOST TESTED
QUESTIONS
THE MED-SURG/NEURO TEST BANK FOCUSES ON ASSESSING AND MANAGING
COMPLEX NEUROLOGICAL AND SYSTEMIC CONDITIONS IN ACUTE CARE
SETTINGS. THIS RESOURCE PREPARES NURSING STUDENTS TO APPLY CLINICAL
JUDGMENT, MONITOR CRITICAL CHANGES, AND DELIVER SAFE, PRIORITIZED
CARE FOR DIVERSE PATIENT POPULATIONS.
1. While reviewing the health history of an older adult experiencing hearing loss the nurse notes the
patient has had no trauma or loss of balance. What aspect of this patient's health history is most
likely to be linked to the patient's hearing deficit?
A) Recent completion of radiation therapy for treatment of cancer
B) Routine use of quinine for management of leg cramps
C) Allergy to hair coloring and hair spray
D) Previous perforation of the eardrum - CORRECT ANSWER-B) Routine use of quinine for
management of leg cramps
2. A nurse is planning preoperative teaching for a patient with hearing loss due to otosclerosis. The
patient is scheduled for a stapedectomy with insertion of a prosthesis. What information is most
crucial to include in the patient's preoperative teaching?
A) The procedure is an effective, time-tested treatment for sensory hearing loss.
B) The patient is likely to experience resolution of conductive hearing loss after the procedure.
C) Several months of post-procedure rehabilitation will be needed to maximize benefits.
D) The procedure is experimental, but early indications therapeutic benefits. - CORRECT
ANSWER-B) The patient is likely to experience resolution of conductive hearing loss after the
procedure.
3. Which of the following nursing interventions would most likely facilitate effective communication
with a hearing-impaired patient?
A) Ask the patient to repeat what was said in order to evaluate understanding.
B) Stand directly in front of the patient to facilitate lip .test
C) Reduce environmental noise and distractions before communicating.
,D) Raise the voice to project sound at a higher frequency. - CORRECT ANSWER-C) Reduce
environmental noise and distractions before communicating.
4. The nurse is providing discharge education for a patient with a new diagnosis of Ménière's
disease. What food should the patient be instructed to limit or avoid?
A) Sweet pickles
B) Frozen yogurt
C) Shellfish
D) Red meat - CORRECT ANSWER-A) Sweet pickles
6 A patient with otosclerosis has significant hearing loss. What should the nurse do to best facilitate
communication with the patient?
A) Sit or stand in front of the patient when speaking.
B) Use exaggerated lip and mouth movements when test
C) Stand in front of a light or window when speaking.
D) Say the patient's name loudly before starting to talk. - CORRECT ANSWER-A) Sit or stand in
front of the patient when speaking
5. A client has undergone diagnostic testing and has been diagnosed with otosclerosis. What ear
structure is primarily affected by this diagnosisa?birb.com/test
A) Malleus
B) Stapes
C) Incus
D) Tympanic membrane - CORRECT ANSWER-B) Stapes
7. A patient diagnosed with arthritis has been taking aspirin and now reports experiencing tinnitus
and hearing loss. What should the nurse teach this patient?
A) The hearing loss will likely resolve with time after the drug is discontinued.
B) The patient's hearing loss and tinnitus are irreversible at this point. C) The patient's tinnitus is
likely multifactorial, and not directly related to aspirin use.
D) The patient's tinnitus will abate as tolerance to aspirin developes - CORRECT ANSWER-A) The
hearing loss will likely resolve with time after the drug is discontinued.
,8. A patient is postoperative day 6 following tympanoplasty and mastoidectomy. The patient has
phoned the surgical unit and states that she is experiences occasional sharp, shooting pains in her
affected ear. How should the nurse best interpret this patient's complaint?
A) These pains are an expected finding during the first few weeks of recovery.
B) The patient's complaints are suggestive of a postoperative infection.
C) The patient may have experienced a spontaneous rupture of the tympanic membrane.
D) The patient's surgery may have been unsuccessful. - CORRECT ANSWER-A) These pains are
an expected finding during the first few weeks of recovery.
9. The nurse is planning the care of a patient who is adapting o the use of a hearing aid for the first
time. What is the most significant challenge experienced by a patient with hearing loss who is
adapting to using a hearing aid for the first time?
A) Regulating the tone and volume
B) Learning to cope with amplification of background noise
C) Constant irritation of the external auditory canal
D) Challenges in keeping the hearing aid clean while minimizing exposure to moisture - CORRECT
ANSWER-B) Learning to cope with amplification of background noise
10. The nurse is planning the care of a patient with a diagnosis of vertigo. What nursing diagnosis
risk should the nurse prioritize in this patient's care?
A) Risk for disturbed sensory perception
B) Risk for unilateral neglect
C) Risk for falls
D) Risk for ineffective health maintenance - CORRECT ANSWER-C) Risk for falls
11. A patient with a sudden onset of hearing loss tells the nurse that he would like to begin using
hearing aids. The nurse understands that the health professional dispensing hearing aids would have
what responsibility?
A) Test the patient's hearing promptly.
B) Perform an otoscopy.
C) Measure the width of the patient's ear canal.
D) Refer the patient to his primary care physician. - CORRECT ANSWER-D) Refer the patient to
his primary care physician.
, 12. The nurse is providing care for a patient who has benefited from a cochlear implant. The nurse
should understand that this patient's health history includes which of the following? Select all that
apply.
A) The patient was diagnosed with sensorineural hearing loss.
B) The patient's hearing did not improve appreciably with the use of hearing aids
C) The patient has deficits in peripheral nervous function. of hearing aids.
D) The patient's hearing deficit is likely accompanied by a cognitive deficit.
E) The patient is unable to lip-read. - CORRECT ANSWER-A) The patient was diagnosed with
sensorineural hearing loss.
B) The patient's hearing did not improve appreciably with the use of hearing aids
13. Which of the following nurse's actions carries the greatest potential to prevent hearing loss due
to ototoxicity?
A) Ensure that patients understand the differences between sensory hearing loss and conductive
hearing loss.
B) Educate patients about expected age-related changes in hearing perception.
C) Educate patients about the risks associated with prolonged exposure to environmental noise.
D) Be aware of patients' medication regimens and collaborate with other professionals accordingly. -
CORRECT ANSWER-D) Be aware of patients' medication regimens and collaborate with other
professionals accordingly.
14. The nurse is caring for a patient who has undergone a mastoidectomy. In an effort to prevent
postoperative infection, what intervention should the nurse implement?
A) Teach the patient about the risks of ototoxic medications.
B) Instruct the patient to protect the ear from water for several weeks.
C) Teach the patient to remove cerumen safely at least once a week
D) Instruct the patient to protect the ear from temperature extremes until healing is complete. -
CORRECT ANSWER-B) Instruct the patient to protect the ear from water for several weeks.
15. A patient is being discharged home after mastoid surgery. What topic should the nurse address
in the patient's discharge education? A) Expected changes in facial nerve function
B) The need for audiometry testing every 6 months following recovery
C) Safe use of analgesics and antivertiginous agents
