Deck 31: Disorders of Hearing, Balance, and Vision

Question 1

Following Healthy People 2020 guidelines for hearing, when should the pediatric nurse recommend to new parents that their baby be screened for hearing loss?

A) By 1 month of age
B) By 3 months of age
C) By 6 months of age
D) By 1 year of age

Answer 1

By 1 month of age

Question 2

When performing an assessment on a patient reporting hearing loss, which cranial nerve would the nurse include in the assessment?

A) Cranial nerve I
B) Cranial nerve III
C) Cranial nerve V
D) Cranial nerve VIII

Answer 2

Cranial nerve VIII

Question 3

Which concept should the nurse keep in mind when developing a care plan for a patient with conductive hearing loss?

A) Conductive hearing loss is due to problems in the inner ear.
B) The volume of sound that reaches the inner ear is increased.
C) Sound is processed normally by the inner ear.
D) Hearing loss of this type is due to problems in the cerebral cortex.

Answer 3

Sound is processed normally by the inner ear.

Question 4

Which response should the nurse give the parent who is concerned about permanent hearing loss in her child with one episode of acute otitis media (AOM)?

A) "Hearing loss is temporary and should pose no problem."
B) "This one episode of AOM can develop into permanent hearing loss."
C) "Make an appointment to have your child's hearing tested after the infection is resolved."
D) "Don't worry, hearing aids are very effective."

Question 5

An nursing assessment of a patient with otosclerosis is likely to reveal:

A) unilateral hearing loss.
B) conductive hearing loss.
C) an acute loss of hearing.
D) sensorineural hearing loss.

Question 6

A patient with otosclerosis tells the nurse she can hear better in a noisy room. The nurse explains that this is called:

A) tinnitus.
B) paracusis Willisii.
C) presbycusis.
D) vertigo.

Question 7

Which statement by a patient receiving an osseointegrated hearing implant indicates to the nurse that teaching about the implant has been effective?

A) "The implant works by improving middle ear conduction of sound."
B) "The device helps with sensorineural hearing loss."
C) "The device amplifies sound traveling to the eardrum."
D) "The implant uses bone conduction to stimulate the inner ear."

Question 8

The nurse plans care for a patient with presbycusis by taking which of the following into account?

A) Lower frequency hearing is lost more than high frequency hearing.
B) Higher frequency hearing is lost more than low frequency hearing.
C) It is a form of conductive hearing loss.
D) Understanding speech in a quiet room is difficult.

Question 9

When providing discharge instructions to a patient with Ménière disease, which instruction should the nurse include?

A) Increase sodium in the diet.
B) Avoid vestibular suppressant medications.
C) Identify and avoid triggering allergens.
D) Avoid antinausea medications.

Question 10

The occupational safety nurse in a manufacturing plant is developing an employee program to prevent hearing loss. Which statement by a participant indicates that more teaching is needed?

A) "I should limit exposure to 85 dB to not more than 8 hours per day."
B) "The louder the noise, the less time I should be exposed to it."
C) "I should cut exposure in half for every 3-dB increase in noise intensity."
D) "Noise outside of work will not affect my hearing."

Question 11

Which information would the nurse give to a family with a newborn with a hearing loss?

A) Genetic testing is not recommended because it will not restore newborn hearing.
B) Genetic testing can help families determine risk recurrence.
C) Genetic testing cannot help determine if hearing aids will help improve hearing.
D) Genetic testing will not affect treatment.

Question 12

Which instruction should the nurse give to the parent of a 4-year-old child with bacterial conjunctivitis?

A) The child may attend daycare as long as he does not touch his eyes.
B) There is no need to notify daycare because the bacteria does not survive on dry surfaces.
C) The parent and child should wash hands frequently.
D) There is no need to wash bedding and towels.

Question 13

Which statement indicates to the nurse that the patient understands his blurred vision caused by astigmatism?

A) "Light focuses in front of my retina making far objects blurry."
B) "My eye has an elliptical shape making objects blurry."
C) "Light focus behind my retina, making near objects blurry."
D) "I need reading glasses to read."

Question 14

Which finding would the nurse expect during a history and physical exam of a child with refractive amblyopia?

A) One eye has normal vision.
B) Both eyes have high refractive errors.
C) With corrective lenses, the affected eye can see clearly.
D) The affected eye has an abnormal appearance.

Question 15

During a community health fair, which information on risk factors for glaucoma should the nurse present?

A) Diabetes increases the risk for glaucoma.
B) The risk for glaucoma is not hereditary.
C) The risk for glaucoma increases beginning after age 30.
D) The risk is higher in Caucasian people.

Question 16

In caring for a patient with open-angle glaucoma, which medication class of eye drops can the nurse anticipate administering to reduce the production of aqueous humor?

A) Beta blockers
B) Alpha agonists
C) Carbonic anhydrase inhibitors
D) Cholinergics

Question 17

Following an ophthalmologic exam with dilating drops, a patient calls the clinic to report eye pain and seeing halos around lights. The nurse realizes that this may be narrow-angle glaucoma due to the angle between the iris and cornea being blocked. Which advice should the nurse give to the patient?

A) "This is normal and will go away as the dilating drops wear off."
B) "Have someone drive you to the clinic to be evaluated immediately."
C) "Call the clinic in the morning if these symptoms continue."
D) "Take acetaminophen to relieve the pain."

Question 18

Which statement is typical of a patient with recently diagnosed open-angle glaucoma?

A) "I have difficulty seeing objects to the sides."
B) "My central vision is getting blurry."
C) "I have pain in my eyes."
D) "I am seeing floaters."

Question 19

When assessing an adolescent with latent nystagmus, which finding should the nurse expect?

A) Nystagmus occurs when both eyes are open.
B) Nystagmus occurs in a vertical direction.
C) Nystagmus is directed away from the covered eye.
D) Nystagmus is present when both eyes are closed.

Question 20

Which statement by a parent of an adolescent recently diagnosed with amblyopia requires more teaching?

A) "Patching the nonaffected eye will help restore vision."
B) "Patching at this age will not help restore vision."
C) "Eye exercise at this age cannot help restore vision."
D) "There is no surgical cure."