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A final exam for the nurs6512 course at walden university, focusing on health assessment. The exam consists of 45 questions related to the anatomy and physiology of the ear, nasal cavity, and oral cavity, as well as common conditions and disorders affecting these areas. The questions cover topics such as ear structure, function, and pathology, nasal congestion and perforation, sinus tenderness, auditory canal anatomy, hearing loss causes and tests, past medical data, vocal frequencies, tympanic membrane movement assessment, and oral cavity disorders.
Typology: Exams
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____ 1. The middle ear contains the: a. cerumen and sebaceous glands. b. umbo and malleus. c. vestibule and cochlea.
____ 2. The middle ear is normally filled with: a. air. b. blood. c. serous fluid.
____ 3. The hair cells of Corti and membrane of Corti: a. produce a waxy lubricant. b. protect the ear from foreign particles. c. stimulate the eighth cranial nerve.
____ 4. The organ of Corti is a coiled structure located inside the: a. cochlea in the inner ear. b. pars flaccida in the tympanic membrane. c. eustachian tube.
____ 5. Mrs. Kinder is a 39-year-old patient who presents to the office with complaints of an earache. In explaining to the patient about the function of her ears, which ear structure would you tell her is responsible for equalizing atmospheric pressure when swallowing, sneezing, or yawning? a. Eustachian tube b. Inner ear c. Pars flaccida
____ 6. 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
____ 7. 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.
____ 11. Mrs. Donaldson is a 31-year-old patient who is pregnant. In providing Mrs. Donaldson with health care information, you will explain that she can expect to experience: a. more nasal stuffiness. b. a sensitive sense of smell. c. drooling.
____ 12. During which developmental stage are hoarseness, voice cracking, and a persistent cough common findings in females? a. Adolescence b. Infancy c. Menopause
____ 13. Hearing tends to decline after 50 years of age because of deterioration of: a. hair cells of the organ of Corti. b. the eustachian tube. c. the helix.
____ 14. You are performing hearing screening tests. Who would be expected to find difficulty in hearing the highest frequencies? a. A 7-year-old b. An 18-year-old c. A 30-year-old
____ 15. Mr. Spencer presents with the complaint of hearing loss. You specifically inquire about current medications. Which medications, if listed, are likely to contribute to his hearing loss? a. Chlorothiazide b. Acetaminophen c. Salicylates
____ 16. Mr. Williams, age 25 years, has recovered recently from an upper and lower respiratory infection. He describes a long-standing nasal dripping. He is seeking treatment for a mild hearing loss that has not gone away. Information concerning his chronic postnasal drip should be documented in which section of his history? a. Age-specific data b. Past medical data c. Past surgical data
a. remove all cerumen from the canal. b. change to a larger speculum. c. squeeze the bulb with more force.
____ 21. An ear auricle with a low-set or unusual angle may indicate chromosomal aberration or: a. digestive disorders. b. skeletal anomalies. c. renal disorders.
____ 22. When conducting an adult otoscopic examination, you should: a. position the patient's head leaning toward you. b. grasp the handle of the otoscope as you would a baseball bat. c. select the largest speculum that will fit in the canal.
____ 23. Normal tympanic membrane color is: a. amber. b. chalky white. c. green.
____ 24. Bulging of an amber tympanic membrane without mobility is usually associated with: a. middle ear effusion. b. healed tympanic membrane perforation. c. impacted cerumen in the canal.
____ 25. Severe vertigo, tinnitus, and progressive hearing loss are characteristic of: a. cholesteatoma. b. Ménière disease. c. otosclerosis.
____ 26. When hearing is evaluated, which cranial nerve is being tested? a. III b. IV c. VIII
a. a defect in the inner ear. b. a defect in the middle ear. c. otitis externa.
____ 31. Nasal symptoms that imply an allergic response include: a. purulent nasal drainage. b. bluish gray turbinates. c. small, atrophied nasal membranes.
____ 32. You are interviewing a parent whose child has a fever, is pulling at her right ear, and is irritable. You ask the parent about the child's appetite and find that the child has a decreased appetite. This additional finding is more suggestive of: a. acute otitis media. b. otitis externa. c. serous otitis media.
____ 33. A smooth red tongue with a slick appearance may indicate: a. niacin or vitamin B12 deficiency. b. oral cancer.
c. recent use of antibiotics.
____ 34. White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are: a. Fordyce spots. b. aphthous ulcers. c. Stensen ducts.
____ 35. A hairy tongue with yellowish brown to black elongated papillae on the dorsum: a. is indicative of oral cancer. b. is sometimes seen following antibiotic therapy. c. usually indicates vitamin deficiency.
____ 36. To inspect the lateral borders of the tongue, you should: a. ask the patient to extend the tongue outward. b. insert the tongue blade obliquely against the tongue. c. lift the tongue upward with gloved fingers.
a. Eruption of additional molars b. Hypertrophy of the gums c. Otitis externa
____ 41. Intense pain with movement of the pinna is most closely associated with: a. otitis media with effusion. b. otitis externa. c. purulent otitis media.
____ 42. Expected physical changes associated with older adults include: a. shiny buccal mucosa. b. shorter teeth. c. wetter nasal mucosa.
Completion Complete each statement.
____ 2. Which of the following signs and symptoms occur with a sensorineural hearing loss? (Select all that apply.) a. Air conduction shorter than bone conduction