TEST BANK FOR MEDICAL SURGICAL
NURSING 7TH EDITION 2026
COMPREHENSIVE EXAMINATION TEST
PACK WITH FULL SOLUTIONS
⩥ 2. A nurse is assisting with a caloric test and notes that thespecific
patient response that
indicates a hearing disorder is a problem in thelabyrinth: Which
response did thenurse
witness?
a. Blinking
b. Grimacing
c. Headache
d. Nystagmus. Answer: ANS: D
When warm or cold water is introduced into theear, theappearance of
nystagmus is a
positive indication that thehearing problem has its cause in thelabyrinth:
DIF:Cognitive Level: Comprehension REF: p: 1158 OBJ: 2
TOP: Caloric Test KEY: Nursing Process Step: Assessment
MSC:NCLEX: Health Promotion and Maintenance: Prevention and
Early Detection of Disease
,⩥ 3. A 75-year-old patient has normal age-related changes in his ear:
What change should not
be considered a normal change in theaging patient?
a. Dry and wrinkled skin on theauricle
b. Otitis externa
c. Dry cerumen
d. Hair in theear canal. Answer: ANS: B
Otitis externa is an outer ear infection and therefore an exception:
theother three options
are normal age-related changes:
DIF:Cognitive Level: Comprehension REF: p: 1156 OBJ: 1
TOP: Age-Related Changes KEY: Nursing Process Step: Assessment
⩥ 4. A patient reports that her hearing loss has become more severe over
thepast 3 months:
theclinic nurse makes arrangements for an evaluation for a hearing aid:
What healthcare
provider should provide this service?
a. Otologist
b. Otolaryngologist
c. Audiometrist
d. Audiologist. Answer: ANS: D
, Audiologists assess patients for hearing aids: theother specialists treat
ear, nose, and
throat (ENT) disorders:
DIF:Cognitive Level: Knowledge REF: p: 1157 OBJ: 2
TOP: Audiometry KEY: Nursing Process Step: Implementation
MSC:NCLEX: Health Promotion and Maintenance: Prevention and
Early Detection of Disease
⩥ 5. When a patient has a suspected vestibular disorder, thephysician
orders an
electronystagmography test: Which instruction should thenurse include
when educating
thepatient about this test?
a. Use tea or coffee on themorning of test:
b. Electrodes will be placed on thescalp:
c. Air will be blown into theexternal ear:
d. The patient should have nothing to eat or drink (NPO) 3 hours before
thetest:. Answer: ANS: D
Electronystagmography is used to detect vestibular lesions and requires
a 3-hour period of
NPO before thetest: Coffee and tea should also be avoided before
thetest:
DIF:Cognitive Level: Comprehension REF: p: 1158 OBJ: 2
TOP:Testing for Ear Disorders KEY: Nursing Process Step: Planning
NURSING 7TH EDITION 2026
COMPREHENSIVE EXAMINATION TEST
PACK WITH FULL SOLUTIONS
⩥ 2. A nurse is assisting with a caloric test and notes that thespecific
patient response that
indicates a hearing disorder is a problem in thelabyrinth: Which
response did thenurse
witness?
a. Blinking
b. Grimacing
c. Headache
d. Nystagmus. Answer: ANS: D
When warm or cold water is introduced into theear, theappearance of
nystagmus is a
positive indication that thehearing problem has its cause in thelabyrinth:
DIF:Cognitive Level: Comprehension REF: p: 1158 OBJ: 2
TOP: Caloric Test KEY: Nursing Process Step: Assessment
MSC:NCLEX: Health Promotion and Maintenance: Prevention and
Early Detection of Disease
,⩥ 3. A 75-year-old patient has normal age-related changes in his ear:
What change should not
be considered a normal change in theaging patient?
a. Dry and wrinkled skin on theauricle
b. Otitis externa
c. Dry cerumen
d. Hair in theear canal. Answer: ANS: B
Otitis externa is an outer ear infection and therefore an exception:
theother three options
are normal age-related changes:
DIF:Cognitive Level: Comprehension REF: p: 1156 OBJ: 1
TOP: Age-Related Changes KEY: Nursing Process Step: Assessment
⩥ 4. A patient reports that her hearing loss has become more severe over
thepast 3 months:
theclinic nurse makes arrangements for an evaluation for a hearing aid:
What healthcare
provider should provide this service?
a. Otologist
b. Otolaryngologist
c. Audiometrist
d. Audiologist. Answer: ANS: D
, Audiologists assess patients for hearing aids: theother specialists treat
ear, nose, and
throat (ENT) disorders:
DIF:Cognitive Level: Knowledge REF: p: 1157 OBJ: 2
TOP: Audiometry KEY: Nursing Process Step: Implementation
MSC:NCLEX: Health Promotion and Maintenance: Prevention and
Early Detection of Disease
⩥ 5. When a patient has a suspected vestibular disorder, thephysician
orders an
electronystagmography test: Which instruction should thenurse include
when educating
thepatient about this test?
a. Use tea or coffee on themorning of test:
b. Electrodes will be placed on thescalp:
c. Air will be blown into theexternal ear:
d. The patient should have nothing to eat or drink (NPO) 3 hours before
thetest:. Answer: ANS: D
Electronystagmography is used to detect vestibular lesions and requires
a 3-hour period of
NPO before thetest: Coffee and tea should also be avoided before
thetest:
DIF:Cognitive Level: Comprehension REF: p: 1158 OBJ: 2
TOP:Testing for Ear Disorders KEY: Nursing Process Step: Planning
