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NURS6512 Final Exam: Health Assessment - Latest Update, Exams of Health sciences

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

2023/2024

Available from 04/19/2024

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NURS6512 FINAL EXAM HEALTH ASSESSMENT LATEST
UPDATE ,100%CORRECT 45QUESTIONS AND
ANSWERS.GRADED A+ WALDEN UNIVERSITY.
____ 1. The middle ear contains the:
a. cerumen and sebaceous glands.
b. umbo and malleus.
c. vestibule and cochlea.
d. pars tensa and semicircular canals. - CORRECT ANSWERS b
____ 2. The middle ear is normally filled with:
a. air.
b. blood.
c. serous fluid.
d. cerebrospinal fluid. - CORRECT ANSWERS a
____ 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.
d. transmit vibrations to the ossicles. - CORRECT ANSWERS c
____ 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.
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UPDATE ,100%CORRECT 45QUESTIONS AND

ANSWERS.GRADED A+ WALDEN UNIVERSITY.

____ 1. The middle ear contains the: a. cerumen and sebaceous glands. b. umbo and malleus. c. vestibule and cochlea.

d. pars tensa and semicircular canals. - CORRECT ANSWERS b

____ 2. The middle ear is normally filled with: a. air. b. blood. c. serous fluid.

d. cerebrospinal fluid. - CORRECT ANSWERS a

____ 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.

d. transmit vibrations to the ossicles. - CORRECT ANSWERS c

____ 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.

UPDATE ,100%CORRECT 45QUESTIONS AND

ANSWERS.GRADED A+ WALDEN UNIVERSITY.

d. lateral aspect of the pinna. - CORRECT ANSWERS a

____ 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

d. Triangular fossa - CORRECT ANSWERS a

____ 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

d. Ecstasy - CORRECT ANSWERS b

____ 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.

UPDATE ,100%CORRECT 45QUESTIONS AND

ANSWERS.GRADED A+ WALDEN UNIVERSITY.

____ 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.

d. enhanced hearing. - CORRECT ANSWERS a

____ 12. During which developmental stage are hoarseness, voice cracking, and a persistent cough common findings in females? a. Adolescence b. Infancy c. Menopause

d. Pregnancy - CORRECT ANSWERS d

____ 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.

d. cerumen. - CORRECT ANSWERS a

UPDATE ,100%CORRECT 45QUESTIONS AND

ANSWERS.GRADED A+ WALDEN UNIVERSITY.

____ 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

d. A 50-year-old - CORRECT ANSWERS d

____ 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

d. Cephalosporins - CORRECT ANSWERS c

____ 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

d. Social history - CORRECT ANSWERS b

UPDATE ,100%CORRECT 45QUESTIONS AND

ANSWERS.GRADED A+ WALDEN UNIVERSITY.

a. remove all cerumen from the canal. b. change to a larger speculum. c. squeeze the bulb with more force.

d. insert the speculum to a depth of 2 cm. - CORRECT ANSWERS b

____ 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.

d. heart defects. - CORRECT ANSWERS c

____ 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.

d. ask the patient to keep his or her eyes closed. - CORRECT ANSWERS c

____ 23. Normal tympanic membrane color is: a. amber. b. chalky white. c. green.

UPDATE ,100%CORRECT 45QUESTIONS AND

ANSWERS.GRADED A+ WALDEN UNIVERSITY.

d. pearly gray. - CORRECT ANSWERS d

____ 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.

d. repeated and prolonged crying cycles. - CORRECT ANSWERS a

____ 25. Severe vertigo, tinnitus, and progressive hearing loss are characteristic of: a. cholesteatoma. b. Ménière disease. c. otosclerosis.

d. cocaine abuse. - CORRECT ANSWERS b

____ 26. When hearing is evaluated, which cranial nerve is being tested? a. III b. IV c. VIII

d. XII - CORRECT ANSWERS c

UPDATE ,100%CORRECT 45QUESTIONS AND

ANSWERS.GRADED A+ WALDEN UNIVERSITY.

a. a defect in the inner ear. b. a defect in the middle ear. c. otitis externa.

d. impacted cerumen. - CORRECT ANSWERS a

____ 31. Nasal symptoms that imply an allergic response include: a. purulent nasal drainage. b. bluish gray turbinates. c. small, atrophied nasal membranes.

d. firm consistency of turbinates. - CORRECT ANSWERS b

____ 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.

d. middle ear effusion. - CORRECT ANSWERS a

____ 33. A smooth red tongue with a slick appearance may indicate: a. niacin or vitamin B12 deficiency. b. oral cancer.

UPDATE ,100%CORRECT 45QUESTIONS AND

ANSWERS.GRADED A+ WALDEN UNIVERSITY.

c. recent use of antibiotics.

d. fungal infection. - CORRECT ANSWERS a

____ 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.

d. leukoedema. - CORRECT ANSWERS b

____ 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.

d. usually indicates anemia. - CORRECT ANSWERS b

____ 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.

d. pull the gauze-wrapped tongue to each side. - CORRECT ANSWERS d

UPDATE ,100%CORRECT 45QUESTIONS AND

ANSWERS.GRADED A+ WALDEN UNIVERSITY.

a. Eruption of additional molars b. Hypertrophy of the gums c. Otitis externa

d. Otitis media - CORRECT ANSWERS b

____ 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.

d. bacterial otitis media. - CORRECT ANSWERS b

____ 42. Expected physical changes associated with older adults include: a. shiny buccal mucosa. b. shorter teeth. c. wetter nasal mucosa.

d. bristly hairs in the vestibule. - CORRECT ANSWERS d

Completion Complete each statement.

  1. In adults, the length of the external auditory canal is ____ cm.

UPDATE ,100%CORRECT 45QUESTIONS AND

ANSWERS.GRADED A+ WALDEN UNIVERSITY.

  1. When you ask the patient to identify smells, you are assessing cranial nerve __.
  2. The structures that lie along the lateral wall of the nasal cavity near the facial

cheek are the __________ sinuses. - CORRECT ANSWERS 1. 2.

2. I (CN 1)

  1. maxillary Multiple Response Identify one or more choices that best complete the statement or answer the question. ____ 1. Mr. Akins is a 78-year-old patient who presents to the clinic with complaints of hearing loss. Which of the following are changes in hearing that occur in older adults? (Select all that apply.) a. Results from cranial nerve VII b. Slow progression c. Loss of high frequency d. Bone conduction heard longer than air conduction e. Sounds may be garbled, difficult to localize

f. Unable to hear in a crowded room - CORRECT ANSWERS C, E, F

____ 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