Chapter 13: Ears, Nose, and Throat
Ball: Seidel’s Guide to Physical Examination, 9th Edition
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 infant's middle ear, the nurse
should use one hand to stabilize 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
Ball: Seidel’s Guide to Physical Examination, 9th Edition
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 infant's middle ear, the nurse
should use one hand to stabilize 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
