HEENT Practice Questions With Answers Tested And Verified With 100% correct Score Latest U, Exams of Nursing

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HEENT Practice Questions With Answers

Tested And Verified With 100% correct

Score Latest Update2022/

1. As the Advanced Practice Nurse is examining the nares with an otoscope, upon visualization, the examiner notes the nasal mucosa is bluish, what is this an indication of? a. Hypoxemia b. Anemia c. Allergic rhinitis d. Trauma
2. The Advance Practice Nurse is preparing to examine the inside of the patient’s nares using an otoscope, what is the correct technique? a. Tilt the patients head forward and use the smallest ear speculum available to examine the nares b. Tilt the patients head back and use the smallest ear speculum available to examine the nares c. Tilt the patients head back and use the largest ear speculum available to examine the nares d. Tilt the patients head back and not use an ear speculum, just shine the otoscope on the nares
3. What is an expected finding on a patient with allergic rhinitis? a. Nasal polyps are present
4. Where is a common site within the nasal cavity for nose bleeds? a. Lower anterior portion of the septum
5. The advanced practice nurse suspects squamous cell carcinoma when examining a patient’s tongue when this is present? a. Persistent nodule or ulcer b. Red or white nodule or ulcer c. Indurated leukoplakia d. All of the above
6. In CN X paralysis, what is an expected finding? The soft palate fails to rise and the uvula deviates to the opposite side (points away from the lesion.
7. What is a common finding in streptococcal pharyngitis? Tonsillar exudates with a beefy red uvula
8. What are some subjective and objective findings that will cause the APRN to suspect a peritonsillar abscess? a. c/o of severe sore throat that is usually on one side

b. difficulty opening the mouth c. difficulty swallowing d. drooling e. facial or neck swelling f. muffled or “hot potato” voice

g. ill appearance

h. all of the above

9. What are signs of upper airway obstruction that signals a medical emergency? a. Muffled or hot potato voice, hoarseness, drooling, stridor, respiratory distress, and tripod positions or “sniffing” position
10. What is a potential reason a peritonsillar abscess may need emergent management? a. It can occlude the airway or rupture and contents may cause pneumonia
11. A patient comes into the clinic with c/o of severe sore throat with pain mainly on R side, reports difficulty swallowing and opening their mouth, and has a fever. The APRN examines the mouth and notes swelling on the R side of the throat and the uvula has shifted to the left. This is usually a sign of? Peritonsillar abscess.
12. What are some subjective findings on the lip that will cause the APRN to suspect squamous cell carcinoma? Usually on the lower lip, it may appear as a scaly plaque, as an ulcer with our without crust, or as nodular lesion.
13. In exudative tonsillitis, enlarged anterior cervical lymph nodes, fever and exudate are mainly found in? Group A streptococcal infection
14. In exudative tonsillitis, enlarged posterior cervical lymph nodes, fever and exudate are primarily found in? Infectious mononucleosis
15. In what position does the Advanced Practice Student Nurse direct the ophthalmoscope to examine the retina? 15 degrees from center
16. The Advanced Practice Student Nurse is examining the patient’s right eye using an ophthalmoscope, the student notices cotton wool spots. The student knows this is caused by? Microinfarcts.
17. During ophthalmoscope examination, AV nicking is noted. What is a common cause of

AV nicking? Chronic hypertension

18. What is loss of vision due to “disuse” Amblyopia
19. Advanced Practice Student Nurse knows that improper alignment of the eyes or “crossed eyes” is called? Strabismus
20. What is the most common cause of deprivation amblyopia? Cataracts
21. When does latent strabismus (phoria) occur? When you disrupt fixation
22. When is manifest strabismus normally present? Present without interruption
23. A 4-year-old female patient presents to the clinic accompanied by their guardian, the guardian states the child keeps pulling on her L ear and crying. The examiner inserts an otoscope to visualize the ears. On examination, the L ear, the TM is red, bulging with a dull or absent light reflex and diminished movement. What does the examiner suspect the child has? Acute otitis media
24. What is an indication that the patient might have otitis externa? Movement of the pinna elicits pain
25. What is an indication that a child might have allergic rhinitis? Pale, boggy nasal mucosa
26. A child comes into the clinic with foul-smelling, purulent, unilateral nasal discharge. What does the clinician suspect is causing this? A foreign body
27. Where can the examiner typically find the thyroid gland? Above the suprasternal notch
28. Enlargement of a supraclavicular node, especially on left side, suggests? Possible metastasis from a thoracic or abdominal malignancy
29. When palpating lymph nodes, the presence of fixed nodes to underlying structures and not movable to palpation, suggests? Malignancy
30. Tender nodes

suggest? Inflammation

31. An enlargement of the thyroid gland to twice its normal size is called a? Goiter
32. The examiner is attempting to palpate the thyroid gland, but it is not palpable, the examiner suspects the thyroid gland is? Retrosternal, below the suprasternal notch
33. The Pemberton sign, which is flushing from compression of the thoracic inlet from the gland itself or from clavicular movement, is typically seen in? Retrosternal goiters
34. The thyroid gland may be firm to palpation in what conditions? Hashimoto thyroiditis and malignancy
35. The examiner is carefully palpating the thyroid gland, a single nodule is felt, the examiner suspects? May be a cyst, a benign tumor or malignancy
36. The presence of an enlarged thyroid with two or more nodules suggests? A metabolic rather than neoplastic process.