The nurse plans to assess the client's hearing.
What action should the nurse take when performing the Weber's test?

The nurse will understand the unaffected ear will show lateralization to the Weber's test.

Place the activated tuning fork to the mid skull and ask if the patient can hear it louder in either ear.

Place the activated tuning fork to the patient's mastoid bone first then place over air.

Place the activated tuning fork to the client's ear over the mastoid bone then activate it again over the air.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Lateralization to the unaffected ear in Weber's test actually indicates sensorineural hearing loss in the affected ear. This choice is incorrect as it doesn’t describe the correct procedure for the test.

Choice B rationale

The Weber's test involves placing an activated tuning fork in the midline of the skull and asking the patient if the sound is heard more loudly in either ear. This helps determine if there is lateralization, which is key in diagnosing the type of hearing loss. Thus, this is the correct procedure for the test.

Choice C rationale

Placing the tuning fork on the mastoid bone and then over air is actually part of the Rinne test, not the Weber test. This choice is, therefore, incorrect for the Weber test.

Choice D rationale

Similar to Choice C, this process describes the Rinne test, which compares air conduction and bone conduction of sound. This is not the correct method for performing Weber’s test.

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Correct Answer is C

Explanation

Choice A rationale

Patients with hyperopia (farsightedness) are able to see distant objects clearly but may have difficulty focusing on near objects. They can pass the Snellen exam, which measures distance vision, but may struggle with close-up tasks.

Choice B rationale

Hyperopia involves difficulty seeing close objects, not distant ones. Therefore, patients with hyperopia would not have difficulty seeing from far or at a distance, making this statement incorrect.

Choice C rationale

Hyperopia, or farsightedness, is characterized by the inability to see objects or letters that are close in range. It occurs when the eye's shape causes light to focus behind the retina instead of directly on it, leading to blurred near vision. Corrective lenses can help focus light properly on the retina.

Choice D rationale

The Rosenbaum chart is used to assess near vision acuity, which would highlight issues with hyperopia. However, patients with hyperopia would pass the Snellen exam, which tests distance vision, but might struggle with the Rosenbaum chart. .

A. Age 19 to 30 years. B. Dark hair. C. Female gender. D. History of repeated sunburn.

Correct Answer is D

Explanation

Choice A rationale

While individuals aged 19 to 30 years are generally at a lower risk for malignant melanoma compared to older adults, melanoma can still occur at any age, especially with certain risk factors. However, age alone does not significantly increase the risk of developing malignant melanoma without additional risk factors.

Choice B rationale

Hair color has minimal impact on the risk of developing malignant melanoma. Although individuals with fair skin and light hair have a higher risk of sunburn and subsequent melanoma, having dark hair does not significantly reduce the risk compared to other factors.

Choice C rationale

Female gender does not inherently increase the risk of developing malignant melanoma. Both males and females are at risk, although certain lifestyle factors and behaviors, such as sun exposure, can influence individual risk levels regardless of gender.

Choice D rationale

A history of repeated sunburn significantly increases the risk of developing malignant melanoma. Ultraviolet (UV) radiation from sunburns causes DNA damage in skin cells, leading to mutations that can result in melanoma. Repeated sunburns exacerbate this risk, making it a critical factor in melanoma development.

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The nurse plans to assess the client's hearing.What action should the nurse take when performing the Weber's test?

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Naxlex Comprehensive Predictor Exams

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The nurse plans to assess the client's hearing.
What action should the nurse take when performing the Weber's test?