During an assessment of a 20-year-old Asian patient, the nurse notices that he has dry, flaky cerumen in his canal. What is the significance of this finding? This finding:

Could be indicative of change in cilia; the nurse should assess for hearing loss.

Represents poor hygiene.

Is probably the result of lesions from eczema in his ear.

Is a normal finding and no further follow-up is necessary

Answer and Explanation

The Correct Answer is D

A. Change in cilia: This is not the cause of dry, flaky cerumen. It would not be typical to assess hearing loss based on this observation alone.

B. Poor hygiene: Dry, flaky cerumen is not indicative of poor hygiene. Hygiene-related cerumen would more likely be wet and impacted.

C. Lesions from eczema: While eczema can affect the ear canal, the dry cerumen itself is more likely to be a normal characteristic for some individuals, particularly in people of Asian descent.

D. Normal finding: The presence of dry, flaky cerumen is normal in certain ethnic groups, including East Asians, and usually requires no follow-up.

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Correct Answer is B

Explanation

A. Stops any movement, and appears to listen for the sound: This does not relate to the corneal light reflex test.

B. Consider this a normal finding: Symmetric light reflection at the same clock position in both eyes indicates normal alignment of the eyes.

C. Shows no obvious response to the noise: This response is unrelated to the corneal light reflex test.

D. Shows a startle and acoustic blink reflex: This describes a normal response to a loud noise, not the corneal light reflex test.

A. Posterior tibial B. Femoral C. Popliteal D. Dorsalis pedis

Correct Answer is A

Explanation

A. Posterior tibial: The posterior tibial pulse is palpated just posterior to the medial malleolus (inner ankle).

B. Femoral: The femoral pulse is assessed in the groin area, not near the ankle.

C. Popliteal: The popliteal pulse is located behind the knee, not near the ankle.

D. Dorsalis pedis: The dorsalis pedis pulse is palpated on the top of the foot, not near the ankle.

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During an assessment of a 20-year-old Asian patient, the nurse notices that he has dry, flaky cerumen in his canal. What is the significance of this finding? This finding:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing the corneal light reflex assessment, the nurse notes that the light is reflected at 2 o'clock in each eye. The nurse should:

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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