Which of the following would the nurse do when performing an otoscopic exam on a patient?
  1. Pull the pinna up and back.
  2. Pull the earlobe down and back.
  3. Use the smallest speculum available.
  4. Tilt the patients head forward and down.
Explanation
Answer: A - The nurse would pull the pinna up and back before inserting the speculum, holding the head slightly away and holding the otoscope upside down like a large pen. The other three options are incorrect.
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