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Listening for bowel sounds is done over all four quadrants of the abdomen using the diaphragm of the stethoscope. The normal rate of bowel sounds per minute is:

2-20

4-32

2-10

5-30

Answer and Explanation

The Correct Answer is D

A. 2-20 – This range is too low to be considered normal.

B. 4-32 – This range is broader than the commonly accepted normal range.

C. 2-10 – This range is too low and may indicate hypomotility.

D. 5-30 – The normal rate of bowel sounds is typically 5 to 30 sounds per minute, with variations depending on individual digestion and activity.

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Correct Answer is D

Explanation

A. Nursing assessment – A nursing assessment is the broader process of gathering patient information, including subjective and objective data, but does not specifically refer to a body system review.

B. Nursing interview – A nursing interview is a method used to gather subjective data from the patient, but it does not systematically review all body systems.

C. Health history – A health history includes past medical conditions, surgeries, and family history but does not systematically assess all body systems.

D. Review of systems – The review of systems (ROS) is a structured approach where the nurse systematically collects data about normal function and any changes in each body system.

A. urine output B. body temperature C. blood glucose D. digestive enzymes

Correct Answer is B

Explanation

A. Urine output – Febrile states do not affect urine output directly.

B. Body temperature – "Febrile" refers to an elevated body temperature (fever), which typically occurs due to infection or inflammation.

C. Blood glucose – Febrile states can be associated with metabolic changes, but febrile itself does not refer to blood glucose.

D. Digestive enzymes – Digestive enzyme levels are not linked to febrile states.

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Listening for bowel sounds is done over all four quadrants of the abdomen using the diaphragm of the stethoscope. The normal rate of bowel sounds per minute is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse uses a systematic method for collecting data on all body systems including normal functioning and any noted changes. This system is:

Correct Answer is D

Explanation

Febrile is an abnormal elevation of:

Correct Answer is B

Explanation

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Short, discrete, interrupted crackling or bubbling adventitious breath sounds heard most commonly on inspiration is termed:

You answer Ms. B's call light just after lunch. She complains of severe abdominal pain. What type of assessment should you perform?

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