Chapter 12- Ears, Nose, Mouth, And Throat
Bates Nursing Guide to Physical Examination & History Taking ( 1st Edition ) Quigley - Palm - test bnk Bickley Nursing RN
Content
A)
B)
C)
D)
1.When planning care for a patient with an inner ear infection, the nurse will include
interventions to address which potential problem?
Rhinorrhea
Fever
Headache
Vertigo
A)
B)
C)
D)
E)
2.The nurse is planning instructions for a patient with a broken nose. What teaching will be
included to address the alterations in nasal function? (Select all that apply.)
How to breathe through the mouth
Importance to increase oral fluids
Safety measures because of a loss of smell
Expect a sore throat and difficulty swallowing
Remind that the voice may sound different
A)
B)
C)
D)
3.During the health history of the nose and sinuses, a patient complains of having
rhinorrhea. What question would the nurse ask to determine associated manifestations of
this symptom?
“In which side does it occur?
“How long does it last?”
“What color is the drainage?”
“Are there any other symptoms?”
A)
B)
C)
D)
4.In response to a patient's complaint of occasionally experiencing hoarseness, the nurse
asks, “What relieves the hoarseness?” Which characteristic of the patient's symptom is
the nurse assessing?
Treatment
Relieving factors
Duration
Onset
A)
B)
C)
D)
5.The nurse is preparing to examine a patient's mouth floor. To move the tongue to one side
for this examination, the nurse will use a:
Tongue blade
Gloves
Gauze pad
Penlight
A)
B)
6.The nurse is preparing to use an otoscope to examine a patient's ear canal and drum. The
patient has to be reminded to hold the head in one position. Which grip should the nurse
use when examining this patient?
Pencil
Hammer
Page 1
C)
D)
Wrench
Handshake
A)
B)
C)
D)
7.A patient with chronic cellulitis has been receiving intravenous antibiotics for several
weeks. Which health promotion activity should the nurse suggest for this patient?
Dietary consult
Physical therapy
Hearing test
Dental exam
A)
B)
C)
D)
8.An older patient who wears dentures complains of having sore gums. What can the nurse
instruct the patient to help with this problem?
Avoid excessive intake of sugary foods.
Use toothpaste containing fluoride.
Have a dental examination every 2 years.
Massage the gums every day.
A)
B)
C)
D)
E)
9.A patient is experiencing sinus tenderness associated with a head cold. What techniques
should the nurse use to assess this patient's symptom? (Select all that apply.)
Press up on the frontal sinuses from under the bony brows.
Press down on the head.
Press up on the area next to the ear.
Press up on the maxillary sinuses.
Press down on the lower jaw.
A)
B)
C)
D)
10.During the physical examination of the mouth, the nurse identifies vesicular eruptions
along the patient's lips and surrounding skin. The nurse would document this finding as
being:
Angular cheilitis
Herpes simplex
Actinic cheilitis
Angioedema
Page 2
Answer Key
1.D
2.A, B, C, E
3.D
4.B
5.C
6.A
7.C
8.D
9.A, D
10.B
Page 3
B)
C)
D)
1.When planning care for a patient with an inner ear infection, the nurse will include
interventions to address which potential problem?
Rhinorrhea
Fever
Headache
Vertigo
A)
B)
C)
D)
E)
2.The nurse is planning instructions for a patient with a broken nose. What teaching will be
included to address the alterations in nasal function? (Select all that apply.)
How to breathe through the mouth
Importance to increase oral fluids
Safety measures because of a loss of smell
Expect a sore throat and difficulty swallowing
Remind that the voice may sound different
A)
B)
C)
D)
3.During the health history of the nose and sinuses, a patient complains of having
rhinorrhea. What question would the nurse ask to determine associated manifestations of
this symptom?
“In which side does it occur?
“How long does it last?”
“What color is the drainage?”
“Are there any other symptoms?”
A)
B)
C)
D)
4.In response to a patient's complaint of occasionally experiencing hoarseness, the nurse
asks, “What relieves the hoarseness?” Which characteristic of the patient's symptom is
the nurse assessing?
Treatment
Relieving factors
Duration
Onset
A)
B)
C)
D)
5.The nurse is preparing to examine a patient's mouth floor. To move the tongue to one side
for this examination, the nurse will use a:
Tongue blade
Gloves
Gauze pad
Penlight
A)
B)
6.The nurse is preparing to use an otoscope to examine a patient's ear canal and drum. The
patient has to be reminded to hold the head in one position. Which grip should the nurse
use when examining this patient?
Pencil
Hammer
Page 1
C)
D)
Wrench
Handshake
A)
B)
C)
D)
7.A patient with chronic cellulitis has been receiving intravenous antibiotics for several
weeks. Which health promotion activity should the nurse suggest for this patient?
Dietary consult
Physical therapy
Hearing test
Dental exam
A)
B)
C)
D)
8.An older patient who wears dentures complains of having sore gums. What can the nurse
instruct the patient to help with this problem?
Avoid excessive intake of sugary foods.
Use toothpaste containing fluoride.
Have a dental examination every 2 years.
Massage the gums every day.
A)
B)
C)
D)
E)
9.A patient is experiencing sinus tenderness associated with a head cold. What techniques
should the nurse use to assess this patient's symptom? (Select all that apply.)
Press up on the frontal sinuses from under the bony brows.
Press down on the head.
Press up on the area next to the ear.
Press up on the maxillary sinuses.
Press down on the lower jaw.
A)
B)
C)
D)
10.During the physical examination of the mouth, the nurse identifies vesicular eruptions
along the patient's lips and surrounding skin. The nurse would document this finding as
being:
Angular cheilitis
Herpes simplex
Actinic cheilitis
Angioedema
Page 2
Answer Key
1.D
2.A, B, C, E
3.D
4.B
5.C
6.A
7.C
8.D
9.A, D
10.B
Page 3
