Free Printable EARS

1.

Which part of the ear collects sound waves?

a)

Cochlea

b)

Tympanic membrane

c)

Pinna (auricle)

d)

Eustachian tube

2.

How should the nurse position the ear for administering drops to an adult?

a)

Down and back

b)

Straight up

c)

Up and back

d)

Straight back

3.

Which bones make up the auditory ossicles?

a)

Malleus, incus, stapes

b)

Cochlea, semicircular canal, vestibule

c)

Tympanum, mastoid, auricle

d)

Hammer, cochlea, stirrup

4.

The Eustachian tube connects the middle ear to which structure?

a)

Nasal cavity

b)

Pharynx (throat)

c)

Larynx

d)

Maxillary sinus

5.

Which part of the ear is responsible for balance and equilibrium?

a)

Tympanic membrane

b)

Semicircular canals and vestibule

c)

Eustachian tube

d)

Cochlea

6.

Cranial nerve VIII is known as:

a)

Optic nerve

b)

Vestibulocochlear nerve

c)

Trochlear nerve

d)

Facial nerve

7.

Sensorineural hearing loss results from:

a)

Fluid buildup in the middle ear

b)

Eardrum perforation

c)

Earwax impaction

d)

Damage to the inner ear or CN VIII

8.

Which of the following causes sensorineural hearing loss?

a)

Otosclerosis

b)

Ototoxic medications

c)

Cerumen impaction

9.

The first sign of ototoxicity is usually:

a)

Dizziness

b)

Ear drainage

c)

Tinnitus

d)

Pain

10.

Which hearing loss type is typically permanent?

a)

Conductive

b)

Sensorineural

c)

Mixed

d)

Temporary

11.

Conductive hearing loss affects which part of the ear?

a)

Middle or outer ear

b)

Inner ear

c)

Brain

d)

Cochlea only

12.

A patient has stiffening of the ossicles. Which hearing loss type does this indicate?

a)

Conductive

b)

Sensorineural

c)

Mixed

d)

Functional

13.

Which of the following drugs is known to cause ototoxicity?

a)

Metoprolol

b)

Furosemide (Lasix)

c)

Acetaminophen

d)

Loratadine

14.

A patient on vancomycin reports ringing in the ears. What should the nurse do first?

a)

Tell the patient it’s normal

b)

Document and ignore

c)

Notify the provider immediately

d)

Encourage fluids

15.

The Weber test is performed by placing a tuning fork:

a)

Behind the ear

b)

On the mastoid bone

c)

Midline on top of the head

d)

In front of the ear canal

16.

The Rinne test compares:

a)

Left vs right hearing

b)

Air vs bone conduction

c)

High vs low frequency

d)

Voice vs tuning fork

17.

Which test evaluates balance and equilibrium?

a)

Weber

b)

Rinne

c)

Romberg

d)

Snellen

18.

Nystagmus indicates a problem with:

a)

Middle ear infection

b)

Earwax blockage

c)

Eustachian tube

d)

Inner ear or brain

19.

To prevent ear damage, patients should be taught:

a)

Clean inside the canal daily with Q-tips

b)

Insert small objects gently

c)

Avoid loud noise and foreign objects

d)

Sleep with earplugs

20.

Which statement shows proper communication with a hearing-impaired patient?

a)

Face the patient directly and speak normally

b)

Speak loudly to ensure understanding

c)

Stand behind the patient when talking

d)

Speak quickly to reduce frustration

21.

When using an otoscope on a child under 3 years, the nurse should:

a)

Pull the ear up and back

b)

Pull the ear down and back

c)

Insert the scope straight in

d)

Pull the ear forward

22.

A patient on chemotherapy reports tinnitus. Which action is best?

a)

Document the finding and continue

b)

Encourage hydration

c)

Flush the ears with saline

d)

Lower the dose and notify provider

23.

Which hearing loss is caused by both nerve and conduction problems?

a)

Mixed

b)

Conductive

c)

Sensorineural

d)

Presbycusis

24.

During communication, the nurse should avoid:

a)

Facing the patient

b)

Chewing gum or covering mouth

c)

Using written notes if needed

d)

Maintaining good lighting

25.

The patient fails the Romberg test. This finding indicates:

a)

Conductive hearing loss

b)

Blocked Eustachian tube

c)

Middle ear infection

d)

Vestibular dysfunction or balance issue

26.

The nurse knows which statement about ototoxicity is true?

a)

It is always reversible

b)

It often presents with tinnitus first

c)

It only affects balance, not hearing

d)

It occurs only with high blood pressure

27.

A patient with hearing aids should be taught to:

a)

A. Wear them only during the day

b)

B. Keep them dry and clean

c)

C. Sleep with them in

d)

D. Turn the volume to maximum

28.

What environmental change helps a hearing-impaired patient communicate best?

a)

A. Dim lighting

b)

B. TV on for background noise

c)

C. Quiet room with good lighting

d)

D. Multiple people talking at once

29.

Which statement from a patient shows understanding of ear protection?

a)

A. “I use Q-tips after every shower.”

b)

B. “I clean my ear canal daily.”

c)

C. “I can use bobby pins to remove wax.”

d)

D. “I’ll wear earplugs when using power tools.”

30.

The nurse knows “nothing smaller than your elbow” refers to:

a)

A. Hair care safety

b)

B. Ear hygiene safety

c)

C. Hearing aid maintenance

d)

D. Communication etiquette

31.

During a flight, a patient complains of ear pressure. The nurse should suggest:

a)

A. Swallowing or chewing gum

b)

B. Tilting the head sideways

c)

C. Using ear candles

d)

D. Blowing nose forcefully

32.

Which infection commonly leads to ear pain due to Eustachian tube involvement?

a)

A. Sinus infection or sore throat

b)

B. Pneumonia

c)

C. Urinary tract infection

d)

D. Strep skin infection

33.

A patient on aspirin therapy reports ringing in the ears. The nurse recognizes this as:

a)

A. Normal finding

b)

B. Tinnitus from ototoxicity

c)

C. Middle ear infection

d)

D. Referred neck pain

34.

Presbycusis is defined as:

a)

A. Age-related hearing loss

b)

B. Infant ear infection

c)

C. Reversible conductive loss

d)

D. Trauma-induced deafness

35.

When performing an otoscopic exam, the nurse should:

a)

A. Insert the scope deeply

b)

B. Use the largest speculum available

c)

C. Stabilize the hand to prevent injury

d)

D. Avoid using light

36.

The patient’s Weber test lateralizes to the right ear. This indicates:

a)

A. Sensorineural loss in the left or conductive loss in the right

b)

B. Conductive loss in the left ear

c)

C. Normal findings

d)

D. Sensorineural loss in both ears

37.

A patient reports dizziness and unsteady gait. Which part of the ear is likely affected?

a)

A. Cochlea

b)

B. Semicircular canals

c)

C. Tympanic membrane

d)

D. Ossicles

38.

During patient teaching, which statement requires correction?

a)

A. “I’ll report ringing or buzzing in my ears.”

b)

B. “I’ll turn my hearing aid up to the loudest level.”

c)

C. “I’ll avoid loud concerts.”

d)

D. “I’ll face people when they talk.”

39.

Which diagnostic test examines the ear canal and tympanic membrane?

a)

A. Romberg

b)

B. Otoscopy

c)

C. Rinne

d)

D. Weber

40.

A positive Romberg test finding (swaying) indicates:

a)

A. Vision loss

b)

B. Vestibular dysfunction

c)

C. Otitis externa

d)

D. CN II damage

EARS

Total questions: 40

Worksheet time: 20mins

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