Lippincott Certification Review Medical-Surgical Nursing

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Chapter 18

Review Questions

Question 1. What intervention is most appropriate when caring for a patient with otosclerosis? A. Keep radio or television on to decrease awareness of tinnitus. B. Encourage getting out of bed independently to improve strength. C. Speak slowly to the patient to ensure they understand. D. Assist with transfers and ambulation. Question 2. When a nurse educates parents about acute otitis media, which statement by the parent indicates understanding? A. “We should give over the counter cold medicine to help her symptoms.” B. “We need to keep an eye on the baby and call the office in 2 days if she is not getting better.” C. “I can hold the baby down while my spouse administers fluticasone nasal spray.” D. “We can give the baby the chewable aspirin for ear pain.” Question 3. A patient who is 26 weeks pregnant contacts the office asking to be checked for an ear infection because she is not hearing well out of her left ear. What statement by the patient will alert the nurse to ask questions about otosclerosis? A. “My left ear really hurts.” B. “I want to get this looked at because my aunt lost her hearing at a young age.” C. “I have been trying to pop my ears, but they just keep crackling.” D. “There is no hearing loss in my family.” Question 4. The nurse is providing care for a patient following septoplasty. Which assessment finding would indicate nasal bleeding? A. Moderate pain at the surgical site

C. Fundus photography D. Vitrectomy

Question 6. What teaching is most appropriate for a patient with severe otitis externa? A. Do not pull on the wick inserted in your ear. B. You should be better in about a week. C. Keep your ear canal dry with cotton swabs. D. You should call your doctor if the wick falls out. Question 7. A patient is being discharged from same day surgery after having a septoplasty. Which discharge instruction should the nurse give the patient? A. “Swallow your oral secretions to keep your airway clear.” B. “You should be able to resume your daily run tomorrow morning.” C. “Use a humidifier to help keep your oral mucus membranes moist.” D. “You can lay flat on one pillow at night to promote deeper sleep.” Question 8. Which of the following increases the risk of detached retina? A. Diabetes, obesity, and family history B. Stickler syndrome, hypertension, and gout C. Homocystinuria, vascular disease, and eczema D. Bad nearsightedness, Ehlers–Danlos syndrome, and diabetes Question 9. In caring for a patient with glaucoma, the nurse knows which of these symptoms indicates an emergency? A. Unchanged Snellen test B. Sudden eye pain C. Need for corrective lenses D. Use of beta-blocker eye drops

B. Fullness in the ears C. Frequent swallowing D. Packing that has a pink tinge

Question 5. What diagnostic testing does the nurse anticipate for a patient with a possible retinal detachment? A. Tonometry B. Fluorescein angiography Question 10. A patient presents with reports of gray, hazy vision; words blurring when reading, and colors seeming dull. What test is the most appropriate to anticipate for this patient? A. Tonometry B. Amsler grid test C. Slit lamp D. Fluorescein staining Copyright © 2025 Wolters Kluwer, Inc. Unauthorized reproduction of the content is prohibited.