2/19/24, 5:28 PM Elsevier Adaptive Quizzing - Quiz performance
Performance
Exit
Final Score
100%
18 out of 37 questions answered correctly
Completed on Feb 19, 2024 5:28 pm
Incorrect (19)
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After listening to each quadrant of the patient's abdomen for 5
minutes, the nurse is unable to detect bowel sounds. Which
information would the nurse document in the patient's case
record?
Absent
Normal
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,2/19/24, 5:28 PM Elsevier Adaptive Quizzing - Quiz performance
Hypoactive
Hyperactive
Rationale
If no bowel sounds are heard over 5 minutes in any of the four quadrants,
it would be recorded as absent bowel sounds. Normal bowel sounds occur
5 to 30 times per minute. Hypoactive bowel sounds occur less than 5
times per minute. In a hyperactive state, bowel sounds occur more than 30
times per minute.
pp. 392-393
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Which part of the hand would the nurse use to when
palpating a patient's lymph nodes?
Back of the hand
Pads of the fingers
Palm of the hand
Thumb and index finger
Rationale
Lymph nodes and breast tissue are better examined using the pads of the
fingers for determining size, position, and consistency. The back of the
hand is used for assessing temperature. The palm of the hand is helpful
for assessing vibration sense and tremors. The thumb and index finger are
https://eaqng.elsevier.com/#/quizPerformance/52675246 2/34
,2/19/24, 5:28 PM Elsevier Adaptive Quizzing - Quiz performance
suitable for assessing skin turgor, joint position, and firmness of the
muscles.
STUDY TIP: Remember that intelligence plays a vital role in your ability to
learn. However, being smart involves more than just intelligence. Being
practical and applying common sense are also part of the learning
experience.
p. 385
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Which finding would the nurse document when auscultating
coarse, low-pitched, rattling sounds during assessment of a
patient’s lung sounds?
Stridor
Crackle
Wheeze
Rhonchi
Rationale
Rhonchi are coarse, low-pitched, rattling lung sounds caused by secretions
in larger air passages. Stridor sounds are suspected when a croaking or
crowing sound is heard. Crackle sounds are suspected when fine or coarse
nonmusical sounds are heard. The nurse would suspect wheezing when
whistling, musical, high-pitched sounds are heard.
p. 390
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, 2/19/24, 5:28 PM Elsevier Adaptive Quizzing - Quiz performance
Report content error
Which would be the best indicator on physical examination
when assessing hydration status in an older adult patient?
Skin turgor
Mucous membranes
Lower extremity edema
Intake and output
Rationale
The skin of the older adult is less elastic and drier than that of the
younger person. Skin begins to sag. Skin turgor would not be an accurate
measure of hydration in the older adult. Checking the mucous
membranes would be a better assessment technique. Edema is not a
finding associated with dehydration. Intake and output is not a physical
examination indicator.
p. 392
Report content error
https://eaqng.elsevier.com/#/quizPerformance/52675246 4/34
Performance
Exit
Final Score
100%
18 out of 37 questions answered correctly
Completed on Feb 19, 2024 5:28 pm
Incorrect (19)
Report content error
After listening to each quadrant of the patient's abdomen for 5
minutes, the nurse is unable to detect bowel sounds. Which
information would the nurse document in the patient's case
record?
Absent
Normal
https://eaqng.elsevier.com/#/quizPerformance/52675246 1/34
,2/19/24, 5:28 PM Elsevier Adaptive Quizzing - Quiz performance
Hypoactive
Hyperactive
Rationale
If no bowel sounds are heard over 5 minutes in any of the four quadrants,
it would be recorded as absent bowel sounds. Normal bowel sounds occur
5 to 30 times per minute. Hypoactive bowel sounds occur less than 5
times per minute. In a hyperactive state, bowel sounds occur more than 30
times per minute.
pp. 392-393
Report content error
Which part of the hand would the nurse use to when
palpating a patient's lymph nodes?
Back of the hand
Pads of the fingers
Palm of the hand
Thumb and index finger
Rationale
Lymph nodes and breast tissue are better examined using the pads of the
fingers for determining size, position, and consistency. The back of the
hand is used for assessing temperature. The palm of the hand is helpful
for assessing vibration sense and tremors. The thumb and index finger are
https://eaqng.elsevier.com/#/quizPerformance/52675246 2/34
,2/19/24, 5:28 PM Elsevier Adaptive Quizzing - Quiz performance
suitable for assessing skin turgor, joint position, and firmness of the
muscles.
STUDY TIP: Remember that intelligence plays a vital role in your ability to
learn. However, being smart involves more than just intelligence. Being
practical and applying common sense are also part of the learning
experience.
p. 385
Report content error
Which finding would the nurse document when auscultating
coarse, low-pitched, rattling sounds during assessment of a
patient’s lung sounds?
Stridor
Crackle
Wheeze
Rhonchi
Rationale
Rhonchi are coarse, low-pitched, rattling lung sounds caused by secretions
in larger air passages. Stridor sounds are suspected when a croaking or
crowing sound is heard. Crackle sounds are suspected when fine or coarse
nonmusical sounds are heard. The nurse would suspect wheezing when
whistling, musical, high-pitched sounds are heard.
p. 390
https://eaqng.elsevier.com/#/quizPerformance/52675246 3/34
, 2/19/24, 5:28 PM Elsevier Adaptive Quizzing - Quiz performance
Report content error
Which would be the best indicator on physical examination
when assessing hydration status in an older adult patient?
Skin turgor
Mucous membranes
Lower extremity edema
Intake and output
Rationale
The skin of the older adult is less elastic and drier than that of the
younger person. Skin begins to sag. Skin turgor would not be an accurate
measure of hydration in the older adult. Checking the mucous
membranes would be a better assessment technique. Edema is not a
finding associated with dehydration. Intake and output is not a physical
examination indicator.
p. 392
Report content error
https://eaqng.elsevier.com/#/quizPerformance/52675246 4/34
