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

nursing assessment

nursing interview

health history

review of systems

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is D

Explanation

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.

A. acute disease B. functional disease C. chronic disease D. organic disease

Correct Answer is D

Explanation

A. Acute disease – An acute disease has a sudden onset and short duration, but it does not necessarily involve structural changes in an organ.

B. Functional disease – A functional disease affects organ function but does not involve structural changes. Examples include irritable bowel syndrome (IBS) or migraines.

C. Chronic disease – A chronic disease persists for a long time but may or may not involve structural changes in an organ.

D. Organic disease – Organic diseases cause structural changes in an organ that lead to impaired function. Examples include cirrhosis of the liver or heart failure.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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:

Correct Answer is D

Explanation

When a disease results in a structural change in an organ that interferes with its functioning, this is a/an:

Correct Answer is D

Explanation

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

Free flow or withdrawal of fluids from a wound or a cavity is termed:

The protective response of body tissues to irritation, injury or pathogens is:

While conducting an assessment of the patient, the nurse recognizes that after verifying biographical data, the initial step is:

Which would be included in an assessment of the peripheral vascular system? (select all that apply)

The patient has been found to have edema of the lower extremities. The nurse is assessing whether or not it is pitting and to what degree. After pressing the skin against a bony prominence for 5 seconds, the nurse identifies 4+ pitting edema because the rebound time is:

Fluid, cells or other substances that have been slowly discharged from body cells or blood vessels, through small pores or breaks in the cell membrane are called:

A nurse is checking a client's bowel sounds. At which of the following times should the nurse auscultate the client's abdomen?