ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 64 : Assessment and Management of Patients with Hearing and Balance Disorders Questions
Question 1 of 5
The nurse is assessing a patient with multiple sclerosis who is demonstrating involuntary, rhythmic eye movements. What term will the nurse use when documenting these eye movements?
Correct Answer: C
Rationale: Nystagmus is involuntary, rhythmic eye movement, common in multiple sclerosis. Vertigo is a sensation of movement, tinnitus is auditory, and astigmatism affects vision.
Question 2 of 5
The nurse is planning the care of a patient with a diagnosis of vertigo. What nursing diagnosis risk should the nurse prioritize in this patients care?
Correct Answer: C
Rationale: Vertigo increases fall risk due to impaired balance, making this the priority nursing diagnosis. Other risks are less immediate.
Question 3 of 5
A patient has been diagnosed with serous otitis media for the third time in the past year. How should the nurse best interpret this patients health status?
Correct Answer: C
Rationale: Recurrent unilateral serous otitis media in adults may indicate nasopharyngeal cancer obstructing the eustachian tube, requiring evaluation. It is not age-related, does not require mobility restriction, and is not systemic.
Question 4 of 5
A patient with a sudden onset of hearing loss tells the nurse that he would like to begin using hearing aids. The nurse understands that the health professional dispensing hearing aids would have what responsibility?
Correct Answer: D
Rationale: Sudden hearing loss requires medical evaluation to rule out pathology, so referral to a physician is mandatory before dispensing hearing aids. Other actions are secondary.
Question 5 of 5
A patient has benefited from a cochlear implant. The nurse should understand that this patients health history likely includes which of the following? Select all that apply.
Correct Answer: A,B
Rationale: Cochlear implants are used for profound bilateral sensorineural hearing loss unresponsive to hearing aids. Peripheral nerve deficits, cognitive issues, or inability to lip-read are not prerequisites.