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SAUNDERS NCLEX RN NGN VERSION 1 LATEST 2025
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||SURE PASS|| ||BRANDNEW!!!||
Over which abdominal quadrant are bowel sounds most
active and therefore easiest to auscultate? - Answer-Right
lower quadrant
Over which abdominal quadrant are bowel sounds most
active and therefore easiest to auscultate?
As part of your general patient survey, you find that your
patient has a body mass index (BMI) of 23. From this
finding, you can conclude that your patient - Answer-Has
body mass index within normal limits
BMI is a measurement of an adult's body fat based on
height and weight. Generally, a BMI between 18.5 and
24.9 reflects a normal weight with a normal amount of
body fat. A patient with a BMI below 18.5 is considered
underweight; a patient with a BMI of 25 or above is
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considered overweight; and one with a BMI of 30 or above
is considered obese.
While performing a head-to-toe assessment, you perform
the Romberg test. You do this to test the patient's -
Answer-Balance
The most common test of balance is the Romberg test.
Ask the patient to stand about 2 feet in front of you, with
her feet together, toes pointed forward, and her hands at
her sides. While you extend your hands so that one is on
either side of the patient, ask her to close her eyes. Watch
to see how well she can maintain balance in that position.
A minimum of swaying is normal, but if the patient sways
more than a couple of inches, stop the test and document
that the patient demonstrated difficulty maintaining
balance on Romberg testing.
When using and maintaining your stethoscope, it is
important to - Answer-Insert the earpieces at an angle
toward your nose
Angling the earpieces toward your nose helps ensure that
sounds are effectively transmitted to your eardrums.
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You are performing a physical examination of the spine for
an older adult. Which of the following findings is common
with aging? - Answer-Kyphosis
Kyphosis, a pronounced "hunchback" curvature of the
spine, is an abnormal angulation of the posterior curve of
the thoracic spine, usually a result of osteoporosis. It is
most common in older adults and tends to increase with
aging. This pronounced convexity of the thoracic spine is
also common in older patients who have had vertebral
fractures.
When performing a respiratory assessment, you
auscultate wet, popping sounds at the inspiratory phase of
each respiratory cycle. These sounds are best identified
as - Answer-crackles
Crackles, which are sometimes called rales, are wet,
popping sounds created by air moving through liquid or by
collapsed alveoli snapping open on inspiration. They are
most common at the end of inspiration.
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When performing a complete, head-to-toe physical
examination, which physical-assessment technique should
you perform first? - Answer-Inspection
Inspection is the process of observation. You will first
inspect the body systematically, observing for normal as
well as abnormal physical signs. When assessing most
body systems, the recommended order is inspection,
palpation, percussion, and auscultation. Abdominal
assessment is an exception, since any manipulation of or
pressure on the abdomen may stimulate peristalsis, the
waves of contraction that propel contents through the
gastrointestinal tract, and thus alter the patient's bowel
sounds. So, when assessing the abdomen, inspection is
still first, but auscultation comes before percussion and
palpation.
What is your primary goal in performing a comprehensive
physical assessment? - Answer-To develop a plan of care
Remember the nursing process: assessment, diagnosis,
planning, implementation, evaluation. Assessment is the
first part of the process. It generates the database from
which you will make nursing decisions. Your objective in
interacting with patients is to identify their needs and
SAUNDERS NCLEX RN NGN VERSION 1 LATEST 2025
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||SURE PASS|| ||BRANDNEW!!!||
Over which abdominal quadrant are bowel sounds most
active and therefore easiest to auscultate? - Answer-Right
lower quadrant
Over which abdominal quadrant are bowel sounds most
active and therefore easiest to auscultate?
As part of your general patient survey, you find that your
patient has a body mass index (BMI) of 23. From this
finding, you can conclude that your patient - Answer-Has
body mass index within normal limits
BMI is a measurement of an adult's body fat based on
height and weight. Generally, a BMI between 18.5 and
24.9 reflects a normal weight with a normal amount of
body fat. A patient with a BMI below 18.5 is considered
underweight; a patient with a BMI of 25 or above is
,2|Page
considered overweight; and one with a BMI of 30 or above
is considered obese.
While performing a head-to-toe assessment, you perform
the Romberg test. You do this to test the patient's -
Answer-Balance
The most common test of balance is the Romberg test.
Ask the patient to stand about 2 feet in front of you, with
her feet together, toes pointed forward, and her hands at
her sides. While you extend your hands so that one is on
either side of the patient, ask her to close her eyes. Watch
to see how well she can maintain balance in that position.
A minimum of swaying is normal, but if the patient sways
more than a couple of inches, stop the test and document
that the patient demonstrated difficulty maintaining
balance on Romberg testing.
When using and maintaining your stethoscope, it is
important to - Answer-Insert the earpieces at an angle
toward your nose
Angling the earpieces toward your nose helps ensure that
sounds are effectively transmitted to your eardrums.
,3|Page
You are performing a physical examination of the spine for
an older adult. Which of the following findings is common
with aging? - Answer-Kyphosis
Kyphosis, a pronounced "hunchback" curvature of the
spine, is an abnormal angulation of the posterior curve of
the thoracic spine, usually a result of osteoporosis. It is
most common in older adults and tends to increase with
aging. This pronounced convexity of the thoracic spine is
also common in older patients who have had vertebral
fractures.
When performing a respiratory assessment, you
auscultate wet, popping sounds at the inspiratory phase of
each respiratory cycle. These sounds are best identified
as - Answer-crackles
Crackles, which are sometimes called rales, are wet,
popping sounds created by air moving through liquid or by
collapsed alveoli snapping open on inspiration. They are
most common at the end of inspiration.
, 4|Page
When performing a complete, head-to-toe physical
examination, which physical-assessment technique should
you perform first? - Answer-Inspection
Inspection is the process of observation. You will first
inspect the body systematically, observing for normal as
well as abnormal physical signs. When assessing most
body systems, the recommended order is inspection,
palpation, percussion, and auscultation. Abdominal
assessment is an exception, since any manipulation of or
pressure on the abdomen may stimulate peristalsis, the
waves of contraction that propel contents through the
gastrointestinal tract, and thus alter the patient's bowel
sounds. So, when assessing the abdomen, inspection is
still first, but auscultation comes before percussion and
palpation.
What is your primary goal in performing a comprehensive
physical assessment? - Answer-To develop a plan of care
Remember the nursing process: assessment, diagnosis,
planning, implementation, evaluation. Assessment is the
first part of the process. It generates the database from
which you will make nursing decisions. Your objective in
interacting with patients is to identify their needs and
