Ear NCLEX-PN Review questions and answers verified and updated.

Ear NCLEX-PN Review questions and answers verified and updated. The nurse is preparing to communicate with an older client who is hearing impaired. Which intervention should be implemented initially? - correct answers.Stand in front of the client. Which intervention should be implemented for the older client with presbycusis who has a hearing loss? - correct answers.Use low-pitched tones. The nurse is preparing to administer eardrops to an adult client. The nurse administers the eardrops by which technique? - correct answers.Pulling the pinna up and back The nurse is caring for a client who is hearing-impaired and should take which approach to facilitate communication? - correct answers.Speak in a normal tone. A client arrives at the emergency department with a foreign body in the left ear that has been determined to be an insect. Which initial intervention should the nurse anticipate to be prescribed? - correct answers.Instillation of mineral oil or diluted alcohol The nurse notes that the primary health care provider (PHCP) has documented a diagnosis of presbycusis on the client's chart. Which explanation should the nurse give to the client to explain this condition? - correct answers.A sensorineural hearing loss that occurs with aging A client with Ménière's disease is experiencing severe vertigo. The nurse reinforces instructions to the client to do which to assist with controlling the vertigo? - correct answers.Avoid sudden head movements. The nurse is assigned to care for a client hospitalized with Ménière's disease. The nurse expects that which would most likely be prescribed for the client? - correct answers.Low-sodium diet The nurse assists with preparing the client for ear irrigation as prescribed by the primary health care provider (PHCP). Which action should the nurse plan to take? - correct answers.Warm the irrigating solution to 98° F (36.6° C). A client was just admitted to the hospital to rule out a gastrointestinal bleed. The client has brought several bottles of medications prescribed by different specialists. During the admission assessment, the client states, "Lately, I have been hearing some roaring sounds in my ears, especially when I am alone." Which medication should the nurse determine to be the cause of the client's complaint? - correct answers.Acetylsalicylic acid The nurse is attempting to communicate with a hearing-impaired client. Which strategy by the nurse would be least helpful when talking to this client? - correct answers.Smiling continuously during conversation The nurse is reviewing the record of a client with mastoiditis. The nurse should expect to note which signs and symptoms? Select all that apply. - correct answers.1.Headache 2.Swelling directly behind the ear 5.Red and immobile tympanic membrane A client is diagnosed with labyrinthitis. Which are signs and symptoms of labyrinthitis? Select all that apply. - correct answers.1.Severe dizziness 4.Nausea and vomiting 5.Abnormal jerking movement of eyes The nurse is reviewing the health care record of a client with a diagnosis of otosclerosis. Which signs and symptoms should the nurse note? Select all that apply. - correct answers.1.Tinnitus 4.Difficulty hearing voices of others 5.Bone conduction better than air conduction The nurse provides discharge instructions to the client who was hospitalized for an acute attack of Ménière's disease. Which statement made by the client indicates a need for further teaching? - correct answers."It is not necessary to restrict salt in my diet." The nurse is reinforcing instructions to a client regarding the use of a hearing aid. Which statement by the client indicates a need for further teaching? - correct answers."I should turn the hearing aid off after removing it from my ear." The nurse provides dietary instructions to a client with Ménière's disease. The nurse tells the client that which food or fluid item is acceptable to consume? - correct answers.Sugar-free Jell-O The nurse is caring for a client who will be undergoing surgical treatment for Ménière's disease. The nurse plans care based on which expected outcome? - correct answers.The surgery relieves pressure from accumulation of inner ear fluid in the endolymphatic sac. The nurse is assisting the primary health care provider with performing a Rinne tuning fork test on a client. The nurse expects that the steps of the testing will be performed in which priority order? Arrange the actions in the order that they would be performed. All options must be used. - correct answers.1 Tap tuning fork to activate. 2 Place base of tuning fork on the mastoid bone. 3 Have client indicate when the sound disappears. 4 Move the tuning fork close to the ear canal. 5 Ask the client if he or she hears the sound and to indicate when the sound disappears. 6 Document whether bone or air conduction is better. The nurse is providing discharge instructions for a client who has had a fenestration procedure for the treatment of otosclerosis. Which statement by the client indicates an understanding of the instructions? - correct answers."I will take stool softeners as prescribed by my doctor." The nurse is caring for a client following craniotomy for removal of an acoustic neuroma. The nurse understands that assessment of which cranial nerve should identify a complication specifically associated with this surgery? - correct answers.Cranial nerve VII, facial nerve The nurse is assigned to care for a client with a diagnosis of Ménière's disease. After reinforcing discharge instructions, which client statement indicates a need for further teaching? - correct answers."I will become totally deaf if I don't follow instructions." Surgery has been recommended for the client with otosclerosis. The client tells the nurse that she would prefer not to have surgery and asks the nurse about alternative methods to improve hearing. The nurse should make which appropriate response to the client? - correct answers."A hearing aid may improve your hearing." The nurse is caring for a client hospitalized with an acute attack from Ménière's disease. The client verbalizes concern because the client has experienced a hearing loss as a result of the attack. Which response should the nurse make to the client regarding the hearing loss? - correct answers."The attack leaves a hearing loss in the involved ear." The nurse is reviewing the primary health care provider's prescriptions for a client admitted to the hospital with a diagnosis of an acute attack of Ménière's disease. Which prescription noted on the client's chart should the nurse question? - correct answers.The administration of a vasoconstrictor A client with a diagnosis of otosclerosis is admitted to the ambulatory care unit for stapedectomy, and the nurse reinforces instructions to the client regarding home care following the procedure. Which statement by the client indicates a need for further teaching? - correct answers."I need to avoid air travel for at least 6 months." The nurse is reinforcing discharge instructions with a client who is being discharged following a fenestration procedure for the treatment of otosclerosis. Which should be included on the list of instructions prepared for the client? - correct answers."You need to avoid air travel." A myringotomy is performed on a client in the ambulatory care center. The ambulatory care nurse calls the client 24 hours after the procedure to evaluate the status of the client. The client reports to the nurse that a small amount of brownish drainage has been coming from the ear. Which instruction should the nurse provide to the client? - correct answers."Continue to monitor the drainage because this is normal and may occur for 24 to 48 hours following the surgery."