A nurse performs the Weber test on a healthy adult client. The nurse would expect which of the following normal finding?
Air conduction greater than bone conduction.
Bilateral hearing loss.
No lateralization of vibrations.
unilateral hearing loss.
The Correct Answer is C
A. Air conduction greater than bone conduction: This is tested with the Rinne test, not the Weber test.
B. Bilateral hearing loss: This is not a normal finding in the Weber test.
C. No lateralization of vibrations: In a normal Weber test, the vibrations are heard equally in both ears, indicating no conductive or sensorineural hearing loss.
D. Unilateral hearing loss: This would be abnormal and suggest hearing impairment in one ear.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Shine a light across the pupil from the side: To assess the pupillary light reflex, the nurse should shine a light across the pupil from the side and observe for both direct and consensual constriction (the constriction of both pupils when one is exposed to light).
B. Follow the penlight: This tests for accommodation (focusing on near objects) rather than the pupillary light reflex.
C. Shine a penlight directly in front: This method doesn’t assess both direct and consensual constriction properly.
D. Focus on a distant object: This assesses accommodation, not the pupillary light reflex.
Correct Answer is B
Explanation
A. 1 minute: This is not the correct duration for assessing bowel sounds.
B. 2 minutes each quadrant: Bowel sounds should be auscultated for at least 2 minutes per quadrant before determining that they are absent.
C. 5 minutes: Listening for 5 minutes is excessive and typically unnecessary unless there is concern about a complete absence of bowel sounds.
D. 10 minutes: 10 minutes is also too long for auscultation unless specifically indicated by clinical findings, like suspected paralytic ileus.
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