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

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EAR DISORDER CHAPTER: 62 63 64 65 66 67 68 69 Carte
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s 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS AND
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VERIFIED ANSWERS (338CF)
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QUESTION 1 vc




CHAPTER 62 1. A primary care provider notes painless, hard lesions on a patient's exter
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nal ears that expel a white crystalline substance when pressed. What diagnostic test is in
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dicated?
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 this
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by ordering a uric acid chemical profile. Biopsy is indicated for any small, crusted, ulcerated, or indurate
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d lesion that does not heal. Rheumatoid nodules indicate a need for rheumatoid profiles. Endocrine stud
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ies are ordered for patients with calcification nodules.
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QUESTION 2 vc




1. During a routine physical examination, a provider notes a shiny, irregular, painless les
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ion on the top of one ear auricle and suspects skin cancer. What will the provider tell the
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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 su
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rgery is not necessary. Until a biopsy is performed, the provider cannot determine whether it is benign.
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, QUESTION 3 vc




CH 63 1. A child has recurrent impaction of cerumen in both ears and the parent asks wh
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at 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 a co
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tton-
tipped swab or any other implement may push cerumen deeper into the canal and risk damaging the ty
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mpanic membrane. Thermal- vc vc



auricular therapy is not recommended. Oral irrigation tools have high pressure and a risk of damage to
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the tympanic membrane.
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QUESTION 4 vc




CHAPTER 63 1. A provider is recommending a cerumenolytic for a patient who has chron
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ic cerumen buildup. The provider notes that the patient has dry skin in the ear canal. Wh
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ich preparation is US Food and Drug Administration (FDA) approved for this use?
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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 dry
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skin in the ear canal should not use any product containing hydrogen peroxide. Liquid docusate sodium
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and mineral oil are often used, but do not have specific FDA approval.
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QUESTION 5 vc




CH 64 1. A child is diagnosed as having a congenital cholesteatoma. What is included in
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management of this condition? (Select all that apply.) vc vc vc vc vc vc vc



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

ANS: A, D, E Cholesteatoma is treated with antibiotics, removal of debris from the ear canal, and possibl
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y surgery. PETs and irrigation of the ear canal are not part of treatment for cholesteatoma.
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