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    HESI RN health assessment proctored exam

    When conducting a physical examination, the nurse uses a tuning fork to assess for which condition?

    Explanation & Rationale

    A. Hearing loss: A tuning fork is commonly used in the Rinne and Weber tests to assess the type and extent of hearing loss. These tests help differentiate between conductive and sensorineural hearing deficits by comparing air and bone conduction.B. Neurological pathology: While some neurological assessments may include evaluation of hearing or balance, a tuning fork is not a primary tool for identifying central nervous system pathology. Neurological exams rely more on reflexes, motor function, and sensory testing.C. Otitis media: Otitis media is diagnosed based on otoscopic findings such as tympanic membrane bulging, fluid presence, or redness. A tuning fork cannot visualize internal structures or confirm middle ear infections.D. Tinnitus: Tinnitus is the perception of ringing or buzzing in the ears, often self-reported by the patient. A tuning fork does not directly diagnose tinnitus but may be used to evaluate associated hearing changes if present.

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