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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 B

Explanation

A. Pruritus. – Pruritus refers to itching, not redness or inflammation.

B. Erythema. – Erythema describes redness of the skin or mucous membranes due to capillary dilation, commonly seen in infections, sunburn, or allergic reactions.

C. Turgor. – Turgor refers to skin elasticity and is used to assess hydration status. It does not indicate redness or inflammation.

D. Exudate. – Exudate refers to fluid drainage from wounds or infections, not skin redness.

A. After palpating the abdomen B. After checking for kidney tenderness C. Before percussing the abdomen D. Before inspecting the abdomen.

Correct Answer is C

Explanation

A. After palpating the abdomen – Palpation may alter bowel sounds by stimulating peristalsis, leading to inaccurate findings.

B. After checking for kidney tenderness – Checking for kidney tenderness (costovertebral angle tenderness) is unrelated to bowel auscultation and should not precede it.

C. Before percussing the abdomen – Auscultation should be done before percussion and palpation to avoid artificially stimulating bowel sounds.

D. Before inspecting the abdomen – Inspection should always come before auscultation to visually assess the abdomen for distension, symmetry, and discoloration before listening.

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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

Redness or inflammation of the skin or mucous membranes resulting from dilation and congestion of superficial capillaries is termed:

Correct Answer is B

Explanation

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

Correct Answer is C

Explanation

The term used to describe a disease where there has been a partial or complete disappearance of clinical and subjective characteristics of the disease is:

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

There are four categories of factors that increase the individual's vulnerability to developing a disease. These categories are genetic, physiological, age and lifestyle. These factors are called:

An abnormal rapid rate of breathing seen in many disease conditions is called:

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:

Discoloration of an area of the skin or mucous membranes caused by extravasation of blood into subcutaneous tissue is termed:

When the patient asked the nurse how long it would take to "get over" the diabetes, the nurse explained that she will have this disease throughout her life. Diabetes mellitus is considered a/an:

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: