ILE Study Questions with 100% correct Answers.(Verified By Expert)Latest Update 2023 Assur, Exams of Nursing

Download ILE Study Questions with 100% correct Answers.(Verified By Expert)Latest Update 2023 Assur and more Exams Nursing in PDF only on Docsity!

ILE Study Questions with 100% correct Answers.

(Verified By Expert)Latest Update 2023 Assured Pass.

When the right A/C threshold is 10 dB and the left A/C threshold is 80 dB what will occur once 3 5dB increases of masking have been presented to the right ear? A) Overmasking B) Undermasking C) Central masking D) Effective masking - Correct answer B Spondees are used for determining _____________? A) MCL B) UCL C) SRT D) WRS - Correct answer C A 31 yr old female patient/client has a bilateral conductive hearing loss. She reports that her mother had a stapedectomy when she was about her same age. What is the most likely cause of the conductive component of our patient's/client's hearing loss? A) Otosclerosis B) Otitis media C) Ototoxicity D) Disarticulation - Correct answer A Which of the following is an octave? A) 500- 750 Hz B) 250- 500 Hz C) 2K- 8K Hz D) 750- 2K Hz - Correct answer B When headphones are used when should speech audiometry be masked? A) When there is a 40 dB difference between the best B/C threshold and presentation level B) When there is a 15 dB or more air-bone gaps for the better ear C) When there is a 10 dB or more air-bone gaps for the better ear

D) You never need to mask for speech audiometry - Correct answer A Which infection control process refers to the killing of 100% of germs? A) Sterilization B) Cleaning C) Disinfecting D) None of the above - Correct answer A When a patient/client reports difficulty hearing words like sip/tip/ship, but can hear words like door/floor/more. Where would the hearing healthcare provider expect there to be a hearing loss on the audiogram? A) Hearing loss in the high frequencies B) Hearing loss in the mid frequencies C) Hearing loss in the low frequencies D) Degree of hearing loss cannot be determined from speech results - Correct answer A Which of the following is the preferred order for audiometric testing? A) MCL before WRS B) Bone conduction before air conduction C) Speech UCL before SRT D) 500 Hz before 1K Hz - Correct answer A Which frequencies are usually affected when a noise induced hearing loss is suspected? A) 250- 750 Hz B) 1500- 3000 Hz C) 3000- 6000 Hz D) 750- 1500 Hz - Correct answer C Which of the following statements is most true about the use of gloves? A) Latex gloves should be used for ear impressioning B) Gloves can be saved to be used during a different appointment with the same patient/client C) Gloves are considered one-time use and should be disposed of after each use D) Gloves can be cleaned and reused if properly sanitized in cold soak bath - Correct answer C When the bone conduction threshold is 15 dB or better than the air conduction threshold what action should occur? A) Mask all bone conduction thresholds B) Apply appropriate masking to NTE to obtained masked bone conduction threshold

C) Apply appropriate masking to NTE to obtained masked air conduction threshold D) Immediate medical referral for air-bone gaps - Correct answer B Why is it important to determine if there is a PTA/SRT discrepancy? A) To determine dynamic range B) To determine level for MCL which effects the level for WRS testing C) To determine if malingering or misunderstanding of directions is occurring during pure tones D) To determine needs for masking pure tones - Correct answer C When establishing UCL/LDL/TD it is important that _______________________________. A) The face is observed for any discomfort (grimace, eyebrows, raise, etc) B) They indicate when the sound is slightly loud C) They indicate when the sound is unbearable D) They indicate when the sound is comfortable - Correct answer A Using the audiogram, what type of hearing loss is indicated for the left ear? (Audiogram shows mild to severe sloping SNHL AD and a flat mild CDHL AS) A) Normal hearing B) Mixed hearing loss C) Conductive hearing loss D) Sensorineural hearing loss - Correct answer C When masking for air-conduction the initial masking level is how many dB greater than the NTE threshold? A) 10 dB B) 20 dB C) 40 dB D) 0 dB - Correct answer A Ambient room noise can have what effect during un-occluded bone conduction testing? A) All frequencies will present poorer B) Low frequencies will present better C) High frequencies will present poorer D) Low frequencies will present poorer - Correct answer D When there is a 15-20 dB difference between an octave what should occur A) Continue testing octaves

B) Test the inter-octave C) Apply masking for air conduction D) Apply masking for bone conduction - Correct answer B When masking for puretones which type of masking noise is most effective? A) Speech noise B) Narrowband noise C) White noise D) Pink noise - Correct answer B At 2K Hz the best bone conduction threshold is a 30 dB HL. The air conduction threshold for the right ear is at 45 dB HL and for the left ear at 50 dB HL. The hearing healthcare provider wants to find the left masked bone conduction threshold. How should the transducers be set for masking? A) A/C: right and left; B/C: left mastoid B) A/C: right; B/C: left mastoid C) A/C: right and left; B/C: right mastoid D) A/C: left; B/C: right mastoid - Correct answer B A patient/client has a moderate hearing loss. Which type of hearing loss would the speech discrimination still be good to excellent with this degree of hearing loss? A) Central hearing loss B) Conductive hearing loss C) Normal hearing D) Sensorineural hearing loss - Correct answer B What should occur next when 1K Hz threshold shifts 10 dB when being retested? A) Record new threshold and complete testing B) Re-instruct and test remaining thresholds C) Record both threshold levels D) Re-instruct and retest all thresholds - Correct answer D A patient/client obtains a 76% on a word recognition testing. How many words did they miss if a 25 word list was used? A) 5 B) 7 C) 6 D) 4 - Correct answer C

What is the biological check? A) Daily listening check of audiometer's transducers and attenuator B) Annual calibration of audiometer C) Blood pressure and pulse rate of patient/client D) Listening to patient's/client's hearing instrument - Correct answer A At 1K Hz the best bone conduction threshold is at 30 dB HL. The A/C threshold for the right ear is at 40 dB HL and 45 dB Hl for the left ear. The left masked bone conduction threshold needs to be obtained. How much initial masking noise should be presented? A) 40 dB+ 10 dB for audibility+ 10 dB OE B) 45 dB + 10 dB for audibility C) 45 dB + 10 dB for audibility + 10 dB OE D) 40 dB + 10 dB for audibility - Correct answer A Using the audiogram, the right ear degree of hearing loss can be described as _____________________. (Audiogram shows: Mild to severe slopping SNHL AD; Mild to moderate flat CDHL AS) A) Mild to moderate B) Mild to severe C) Mild to profound D) Hearing loss degree cannot be determined - Correct answer B There is a discrepancy of 15 dB when a reliability check is obtained for pure tones. Which frequency is used for this check? A) 3000 Hz B) 1000 Hz C) 4000 Hz D) 500 Hz - Correct answer B A patient/client has a Type B tympanogram with normal ear canal volume. Which types of hearing loss would a hearing healthcare provider expect to see on the audiogram? A) Conductive hearing loss; sensorineural hearing loss B) Mixed hearing loss; conductive hearing loss C) Mixed hearing loss; sensiorneural hearing loss D) Normal hearing loss; mixed hearing loss - Correct answer B

Which of the following complaints warrants an immediate referral to a physician, preferably one who specializes in diseases of the ear? A) Use of blood thinners B) History of cerumen impaction C) Tinnitus after recent noise exposure D) Sudden hearing loss - Correct answer D Which of the following would indicate an SRT/PTA discrepancy? A) SRT: 10; PTA: 15 B) SRT: 40; PTA: 42 C) SRT: 15; PTA: 13 D) SRT: 35; PTA: 60 - Correct answer D The most important finding of the SRT is to __________________________. A) Determine the softest level 50% of the words are repeated back B) Determine if there is a discrepancy with the PTA C) Obtain the percent of words repeated back correctly D) Determine MCL - Correct answer B If a patient/client has a disarticulated ossicular chain what type of tympanogram type would they most likely have? A) Type A B) Type As C) Type Ad D) Type B - Correct answer C Which speech test utilizes phonetically balanced words? A) MCL B) SRT C) WRS D) SAT - Correct answer C Narrow band noise is used for ____________________________? A) Air conduction masking B) Bone conduction masking C) Speech masking D) Pure tone masking - Correct answer D

Where will masked bone conduction thresholds fall in a conductive hearing loss? A) Within 15 dB of A/C thresholds B) 15 dB better than A/C thresholds C) 250-500 Hz will be within normal hearing limits D) Within normal hearing limits - Correct answer D A patient/client has a perforation of their TM for the right ear. Tympanometry indicates a Type B tympanogram. What should the hearing healthcare provider expect for the ear canal volume? A) Normal ear canal volume B) Abnormally small ear canal volume C) Abnormally large ear canal volume D) Ear canal volume cannot be obtained from a tympanogram - Correct answer C The patient/client should be familiarized with the test words before which speech test? A) UCL B) SRT C) WRS D) MCL - Correct answer B What is the interaural attenuation for bone conduction? A) 10 dB B) 5 dB C) -5 dB D) 0 dB - Correct answer D Which frequencies are affected when an audiogram has been described as having a "cookie bit"? A) 250-750 Hz B) 2000-4000 Hz C) 4000-8000 Hz D) 750-2000 Hz - Correct answer D A patient/client reports that they had a sudden hearing loss in their right ear 5 years ago. They have no medical concerns. What is the best course of action? A) Conduct complete hearing test and refer to ENT for further evaluation of asymmetric hearing loss B) Conduct complete hearing test and refer to ENT for further evaluation of symmetric hearing loss

C) Conduct complete hearing test and fit ear that does not have sudden hearing loss D) Refer to ENT for further evaluation of symmetric hearing los - Correct answer A What audiometric configuration is often seen when a patient/client has otosclerosis? A) Air-bone gaps except at 1000 Hz B) Air-bone gaps except at 750 Hz C) Air-bone gaps except at 2000 Hz D) Air-bone gaps except at 4000 Hz - Correct answer C A patient/client with hearing loss experiences a rapid increase in loudness perception from their threshold. What is this phenomenon called? A) Recruitment B) Hyperacusis C) Hypoacusis D) Retrapment - Correct answer A Inherited conditions can cause what type of hearing loss? A) Feigned hearing loss B) Congenital hearing loss C) Central Hearing loss D) Sensorineural hearing loss - Correct answer B Which of the following is NOT a classic symptom of Meniere's? A) Tinnitus B) Aural Fullness C) Vertigo D) Increased hearing ability - Correct answer D A patient/client has a PTA of 65 dB for both the right and left ears. Their SRT for the right ear is 15 dB and 10 dB for the left ear. What does this include? A) Need to mask WRS tests B) SRT/PTA discrepancy C) Need to mask A/C thresholds D) Central hearing loss - Correct answer B Using the audiogram, what type of hearing loss is indicated for the right ear? (Audiogram: Mild sloping to severe SNHL AD; Mild to moderate flat CDHL AS)

A) Conductive hearing loss B) Mixed hearing loss C) Normal hearing D) Sensorineural hearing loss - Correct answer D Which quadrant of the head is it not acceptable to brace in if no other bracing were to occur? A) Superior-anterior B) Superior-posterior C) Posterior-inferior D) Anterior-inferior - Correct answer C Bone conduction must be tested except when test results indicate ___________________________. A) Senorineural HL bilaterally B) Conductive HL bilaterally C) Central HL bilaterally D) Normal hearing bilaterally - Correct answer D When determining initial bone conduction thresholds ________________________. A) Both ears should be unoccluded B) Test ear can be occluded C) Both ears should be occluded D) Nontest ear can be occluded - Correct answer A Impacted cerumen will have the most effect on which frequencies during audiometric evaluation? A) Mild frequencies B) High frequencies C) No impact on test frequencies D) Low frequencies - Correct answer D Your patient/client has a Type A tympanogram. This is usually associated with which types of hearing loss? A) Conductive hearing loss; Mixed hearing loss B) Normal hearing; Sensorineural hearing loss C) Normal hearing; Conductive hearing loss D) Normal hearing; Mixed hearing loss - Correct answer B AC - Correct answer Air Conduction

A/D - Correct answer Analog-to-digital ALD - Correct answer Assisted listening devices ANSI - Correct answer American National Standards Institute APHAB - Correct answer Abbreviated Profile of Hearing Aid Benefit BC - Correct answer Bone Conduction BAHA - Correct answer Bone Anchored Hearing Aid BiCROS - Correct answer Bilateral Contralateral Routing of Signal BTE - Correct answer Behind-the-ear CIC - Correct answer Completely in the Canal COSI - Correct answer Client Oriented Scale of Improvement CROS - Correct answer Contralateral Routing of Signal D/A - Correct answer Digital-to-Analog dB - Correct answer Decibel dB HL - Correct answer Decibels Hearing Level dB SPL - Correct answer Decibels Sound Pressure Level DSL I/O - Correct answer Desired Sensation Level Input/Output ENT - Correct answer Ear-Nose-Throat FM - Correct answer Frequency Modulation FOG - Correct answer Full-on-gain HF - Correct answer High Frequency NAL-NL - Correct answer National Acoustic Laboratories- Non-Linear

NAL-NL1 - Correct answer National Acoustic Laboratories- Non-Linear NAL-NL2 - Correct answer National Acoustic Laboratories- Non-linear NOAH - Correct answer software interface NU-6 - Correct answer Northwestern University Word List- OAE - Correct answer Otoacoustic Emissions OSPL90 - Correct answer Output Sound Pressure Performance with Phonetically Balanced Word List PB Max - Correct answer Patient Maximum Performance with Phonetically Balanced Word List POGO - Correct answer Prescription of Gain and Output PSAP - Correct answer Personal Sound Amplification Product PTA - Correct answer Pure Tone Average REAR - Correct answer Real Ear Aided Response RECD - Correct answer Real Ear to Coupler Difference REIG - Correct answer Real Ear Insertion Gain REIR - Correct answer Real Ear Insertion Response REM - Correct answer Real Ear Measurement REOG - Correct answer Real Ear Occluded Gain REOR - Correct answer Real Ear Occluded Response RESR - Correct answer Real Ear Saturation Response REUR - Correct answer Real Ear Unaided Response RIC - Correct answer Receiver-in-Canal HFA - Correct answer High Frequency Average

HL - Correct answer Hearing Level HTL - Correct answer Hearing Threshold Level Hz - Correct answer Hertz IHAFF - Correct answer Independent Hearing Aid Fitting Forum IIC - Correct answer Invisible in Canal LDL - Correct answer Loudness Discomfort Level mA - Correct answer Millampere mAH - Correct answer millampere Hours MCL - Correct answer Most Comfortable Loudness Level MPO - Correct answer Maximum Power Output NAL - Correct answer National Acoustic Laboratories (Australia) NAL-L - Correct answer National Acoustic Laboratories Linear SAT - Correct answer Speech Awareness Threshold SAV - Correct answer Select-A-Vent SIN - Correct answer Speech in Noise SL - Correct answer Sensation Level SPL - Correct answer Sound Pressure Level SRT - Correct answer Speech Reception Threshold TM - Correct answer Tympanic Membrane UCL - Correct answer Uncomfortable Loudness Level VC - Correct answer Volume Control

WRS - Correct answer Word Recognition Score Which two actions must a hearing healthcare professional perform before testing an existing patient's/client's hearing? A) Clean hands in view of the patient/client B) Clean patient's/client's hearing instruments C) Clean patient's/client's canal of obstructive cerumen D) Clean or replace speculum from otoscope - Correct answer A & D What should be used to clean circumaural headphones? A) Hydrogen Peroxide B) Disinfectant spray C) Ispropryl alcohol D) Disinfectant towelette - Correct answer D How does an osteoma present? A) Dark, irregular demarcation of the pinna B) Bony growth in the external auditory canal C) Excessive inflammation of the external auditory canal D) Clalcification of the tympanic membrane - Correct answer B What should a hearing healthcare professional do prior to administering a Speech Reception Threshold? A) Discuss the pure tone results B) Familiarize the patient with the word list C) Introduce the carrier phrase D) Explain masking of the non-test ear - Correct answer B What tympanogram type is represented in the graph displayed in the exhibit? (Tympanogram has negative pressure) A) A B) Ad C) B D) C - Correct answer D A 36-year old female restaurant worker with a family history of hearing loss reports that she is unable to hearing as well as she did two years ago. Testing reveals a moderate conductive hearing loss

What is the likely cause of the patient's/clinet's change in hearing? A) Prebycusis B) Otosclerosis C)Ototoxicity D) Meniere's Disease - Correct answer B Which portion of the ear contains sebaceous glands? A) Inferior section of middle ear cavity B) Inner portion of external auditory canal C) Anterior portion of internal auditory canal D) Outer portion of external auditory canal - Correct answer D What general effect does natural ear canal resonance have on sounds entering the ear canal? A) Suppresses frequencies below 1000 Hz B) Boosts frequencies between 500 and 1500 Hz C) Boosts frequencies between 2000 and 3000 Hz D) Suppresses frequencies above 2500 Hz - Correct answer C Which factor will affect a patient's/client's acceptance and use of hearing instruments? A) Cause of hearing loss B) Patient's/client's dominate hand C) Patient's/client's cosmetic preferences D) Frequency and duration of hearing instrument use - Correct answer C In a hearing instrument, what is the term for the entire frequency range within which unique, specific signal processing is performed? A) band B) channel C) memory D) program - Correct answer B Which two conditions are contraindications to taking an ear impression without prior medical clearance? A) Perforated tympanic membrane B) Lack of cerumen C) Otitis Externa D) Epithelial migration - Correct answer A & C

Why should an otoblock be placed just beyond the second bend of the ear canal during preparation for taking an impression? A) Prevents the otoblock from moving during the impression process B) Results in a complete impression of the canal C) Results in a complete impression of the outer ear D) Prevents Cerumen from interfering with the impression - Correct answer B What should a hearing healthcare professional do immediately after placing an otoblock? A) Use an alcohol wipe to sanitize the top of the impression tool B) Pull tube or thread to test tightness of the otoblock C) Use an earlight to verify that the otoblock is deep enough D) Use an otoscope to check for gaps around the canal wall - Correct answer D Which steps should a hearing healthcare professional complete immediately after removing an impression from a patient's/client's ear? A) Visually inspect ear impression for flaws B) Use otoscope to verify complete removal and condition of canal C) Use earlight to check for bleeding deep in the canal D) Use tissue to wipe oil from the concha and canal - Correct answer B Which steps should a hearing healthcare professional take after performing a 2cc coupler hearing aid test on a repaired BTE hearing instrument? A) Print out the data for the patient/client B) Retube the BTE instrument with #13HW tubing C) Compare 2cc data to original specifications D) Recalibrate the test equipment - Correct answer C Which sound field test should be used to evaluate the benefit of directional microphones? A) Speech Perception in Noise (SPIN) B) Quick Speech in Noise (QuickSIN) C) Connected Speech Test (CST) D) Hearing in Noise Test (HINT) - Correct answer B Which validation method can be effectively performed in a sound field environment? A) COSI

B) IHAFF

C) NU-

D) REIR - Correct answer C A hearing healthcare professional is counseling a patient/client about expectations of amplification. Which information should the hearing healthcare professional include in this hearing therapy? A) Outside factors that can hinder understanding B) Electronic parameters of the hearing instruments C) Auditory practice and disability D) Hearing instrument care and modifications - Correct answer A Professionalism can be defined as practicing with ___________. A) A high performance standard B) Work ethic C) Accountability D) All of the above - Correct answer D The legal aspects of professional practice are defined through A) Membership in a professional society B) Ethical conduct C) Local and national laws and regulations D) the FDA - Correct answer C Ethical conduct __________. A) Is the expectation that a practitioner will conduct himself/herself in a socially acceptable manner and in a way that is consistent with members of the professional organization B) Has the force of law C) Is defined by local and national laws and regulations D) Is dictated by the apprentice's trainer/sponsor - Correct answer A Accurate and precise clinical documentation is important to success and the professional status of a hearing instrument specialist. A) True B) False - Correct answer A The acronym H-E-A-R can be used as a device to remember how to construct _______ in a logical and consistent manner.

A) A purchase agreement B) Clinical notes C) An aural rehabilitation plan D) An amplification management program - Correct answer B Inter-professional collaboration leads to _________. A) More referrals B) Greater status C) Certification D) Improved patient/client care - Correct answer D A code of ethics provide guiding principles for professional conduct and may be used to help you resolve potential conflicts of interest A) True B) False - Correct answer A Lifelong learning is another term for A) certification B) continued professional development C) adult education D) licensure - Correct answer B The development of a professional library is ________. A) a waste of time and space B) a pursuit of true professionals C) not necessary in the digital world D) required by law - Correct answer B Carhart Notch appears at 2,000 Hz. BC test results are poorer than the actual sensorineural response in the low frequencies. Caucasion middle aged women are most at risk, worse for pregnant women. - Correct answer Otosclerosis Separates scala vestibuli and cochlear duct (scala media - Correct answer Reissnners membrane Separates scala tympani and cochlear duct (scala media) - Correct answer Basilar Membrane Large perforation of the tympanic membrane can cause how many dB loss - Correct answer Commonly 30 dB

What hearing loss is often favorable to medical treatment - Correct answer Conductive ___ is good to find hearing loss. ___ and SRT are within 5 to 10 dB difference - Correct answer PTA Parallel vent in a non-occluding earmold enhances what frequencies - Correct answer High Frequencies What durable, easly modified earmold material is most commonly used - Correct answer Lucite Acrylic Functional gain provides comparison between - Correct answer unaided and aided output SIE or RIC emphasizes what frequency due to the large and or open vent - Correct answer High Frequency Tympanogram: Significant negative pressure and normal mobility - Correct answer Type C Tympanogram: Restricted tympanic membrane mobility. (otitis media) - Correct answer Type B Tympanogram: Normal middle ear pressure but reduced mobility. (fixation of the ossicles) - Correct answer Type As Tympanogram: Normal middle ear pressure but hypermobility - Correct answer Type Ad Non-organic loss shows an acoustic reflex test of how many dB - Correct answer 5 dB What vent modifies low frequency and in non-occluding earmold enhances high frequency - Correct answer Parallel vent Causes of an absent acoustic reflex - Correct answer Facial nerve problem, bilateral conductive loss, severe and profound sensorineural loss What does a 5.00 cc measurement of the static compliance indicate - Correct answer Perforation in the tympanic membrane Hearing test for children using lights or pictures - Correct answer Behavioral observation What Hz range is speech recognition in - Correct answer 1,000 to 10, Earmold Functions - Correct answer Seal the ear to prevent acoustic feedback, hold tube to the ear firmly, cosmetically appealing Best candidate for non-occluding earmold - Correct answer Unilateral loss What frequencies does the venting technique effect - Correct answer Below 1000 Hz

What frequencies does acoustic modification effect - Correct answer 1,000 to 3,000 Hz If the outer and middle ear parts are normal: A) Air thresholds will equal bone thresholds B) Air thresholds will be better than bone thresholds C) Air thresholds will be worse than bone thresholds D) You cannot measure bone thresholds - Correct answer A A descending test technique is commonly used in hearing testing because: A) It is the easiest to explain to the client B) It is easiest for the client to hear C) it can help prevent "hearing fatigue" D) all of the above - Correct answer B In a purely conductive loss: A) the inner ear nerve cells are impaired B) the outer or middle ear functions normally C) sound is reduced before the arrival at the inner ear D) nerve cells in the inner ear cannot respond readily to vibrations through the bones of the skull. - Correct answer C Basic verification involves A) checking the MCL and UCL in quiet and noise B) many volume control adjustments C) teaching the patient to adjust tone and output potentiometers D) instructions on T/C use - Correct answer A