Head, Eyes, Ears, Nose, And Throat

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Question 1

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Multiple Choice

A patient is admitted with edema of the occipital lobe following a head injury. The nurse correlates which finding with damage to this area?

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Ipsilateral ptosis

Impaired vision

Pupillary constriction

Increased intraocular pressure

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Question 2

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Multiple Choice

The nurse is taking a health history on a patient who reports frequent stabbing headaches occurring once a day lasting about an hour. Which statement by the patient is most indicative of cluster headaches?

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"I usually have nausea and vomiting with my headaches."

"My whole head is constantly throbbing."

"It feels like my head is in a vice."

"The pain is on the left side over my eye, forehead, and cheek."

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Question 3

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Multiple Choice

A patient reports having migraine headaches on one side of the head that often start with an aura and last 1 to 3 days. As a part of the symptom analysis, the patient reports which associated symptoms of migraine headaches?

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Nausea, vomiting, or visual disturbances

Nasal stuffiness or discharge

Ringing in the ears or dizziness

Red, watery eyes or drooping eyelids

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Question 4

Free

Multiple Choice

The nurse is taking a health history on a patient who reports frequent headaches with pain in the front of the head, but sometimes felt in the back of the head. Which statement by the patient is most indicative of tension headaches?

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"I usually have nausea and vomiting with my headaches."

"My whole head is constantly throbbing."

"It feels like my head is in a vice."

"The pain is on the left side over my eye, forehead, and cheek."

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Question 5

Free

Multiple Choice

During symptom analysis, the nurse helps the patient distinguish between dizziness and vertigo. Which description by the patient indicates vertigo?

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"I felt faint, like I was going to pass out."

"I just could not keep my balance when I sat up."

"It seemed that the room was spinning around."

"I was afraid that I was going to lose consciousness."

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Question 6

Multiple Choice

During symptom analysis, the nurse helps the patient distinguish between dizziness and vertigo. Which description by the patient indicates dizziness?

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"I felt faint, like I was going to pass out."

"It felt like I was on a merry-go-round."

"The room seemed to be spinning around."

"My body felt like it was revolving and could not stop."

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Question 7

Multiple Choice

Which patient in the eye clinic should the nurse assess first?

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The patient who reports a gradual clouding of vision

The patient who complains of sudden loss of vision

The patient who complains of double vision

The patient who complains of poor night vision

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Question 8

Multiple Choice

A patient complains of right ear pain. What findings does the nurse anticipate on inspecting the patient's ears?

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Redness and edema of the pinna of the right ear

Report of pain when the nurse manipulates the right ear

Bulging and red tympanic membrane in the right ear

Increased cerumen in the right ear canal

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Question 9

Multiple Choice

During the history, a patient reports watery nasal drainage from allergies. Based on this information, what does the nurse expect to find on inspection of the nares?

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Enlarged and pale turbinates

Polyps within the nares

High vascularity of the turbinates

Dry and dull turbinates

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Question 10

Multiple Choice

A patient complains of nasal drainage and sinus headache. The nurse suspects a nasal infection and anticipates observing which finding during examination?

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Foul-smelling drainage

Purulent green-yellow drainage

Bloody drainage

Watery drainage

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Question 11

Multiple Choice

A patient complains of itching, swelling, and drainage from the eyes with a postnasal drip and sneezing. What type of nasal drainage does the nurse anticipate seeing during inspection of this patient's nares?

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Clear

Malodorous

Yellow

Green

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Question 12

Multiple Choice

A patient reports a history of snorting cocaine and is concerned about his bloody nasal drainage. What does the nurse expect to see on inspection of his nose?

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Deviated septum

Pale turbinates

Perforated nasal septum

Localized erythema and edema

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Question 13

Multiple Choice

While taking a history, the nurse observes that the patient's facial cranial nerves (CN VII) are intact based on which behaviors of the patient?

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The patient's eyes move to the left, right, up, down, and obliquely during conversation.

The patient moistens the lips with the tongue.

The sides of the mouth are symmetric when the patient smiles.

The patient's eyelids blink periodically.

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Question 14

Multiple Choice

To assess jaw movement of an adult patient, the nurse uses which technique?

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Asking the patient to open the mouth and then passively moving the patient's open jaw from side to side

Placing two fingers in front of each ear and asking the patient to slowly open and close the mouth

Asking the patient to open the mouth and to resist the nurse's attempt to close the mouth

Using the pads of all fingers to feel along the mandible for tenderness and nodules

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Question 15

Multiple Choice

The nurse palpates the patient's jaw movement, placing two fingers in front of each ear and asking the patient to slowly open and close the mouth. What additional request does the nurse ask the patient to do to assess the jaw?

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Clinch the jaws together as tightly as possible.

Move the lower jaw from side to side.

Open the mouth as wide as possible, like a yawn.

Move the lower jaw forward and backward several times.

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Question 16

Multiple Choice

A patient is in a sitting position as the nurse palpates the temporal arteries and feels smooth, bilateral pulsations. What is the appropriate action for the nurse at this time?

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Auscultate the temporal arteries for bruits.

Palpate the arteries with the patient in supine position.

Document this as an expected finding.

Measure the patient's blood pressure.

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Question 17

Multiple Choice

What instructions does the nurse give the patient before using the Snellen visual acuity chart?

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"Remove your eyeglasses before attempting to read the lowest line."

"Stand 10 feet from the chart and read the first line aloud."

"Hold a white card over one eye and read the smallest possible line."

"Squint if necessary to improve the ability to read the largest letters."

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Question 18

Multiple Choice

Which cranial nerve is assessed by using the Snellen visual acuity chart?

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Optic cranial nerve (CN II)

Oculomotor cranial nerve (CN III)

Abducens cranial nerve (CN IV)

Trochlear cranial nerve (CN VI)

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Question 19

Multiple Choice

Which finding on assessment of a patient's eyes should the nurse document as abnormal?

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An Asian American patient with an upward slant to the palpebral fissure

A Caucasian American patient whose sclerae are visible between the upper and lower lids and the iris

An African-American patient who has off-white sclerae with tiny black dots of pigmentation near the limbus

An American Indian patient whose pupillary diameters are 5 mm bilaterally

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Question 20

Multiple Choice

A nurse shines a light toward the bridge of the patient's nose and notices that the light reflection in the right cornea is at the 9 o'clock position and in the left cornea at the 9 o'clock position. What is the interpretation of this finding?

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The extraocular muscles of both eyes are intact.

The cornea of each eye is transparent.

The sclera of each eye is clear.

The consensual reaction of both eyes is intact.

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