ATI REVIEW ACTUAL
EXAM QUESTIONS AND
CORRECT ANSWERS
2025-2026 LATEST
GRADED A+
A nurse is assessing a client who has been on bed rest for the past month.
Which of the following findings should the nurse identify as an indication that
the client has developed thrombophlebitis? - ✔✔CORRECT ANSWER ✔✔-
Complications of Immobility
-swelling, redness and tenderness in calf muscle may indicate thrombophlebitis
- bladder distention indicates urinary retention due to loss of muscle tone and
detrusor muscles in bladder
- hypoventilation, hypoxia, hypercapnia = respiratory acidosis (low pH, CO2
above 45)
- decreased peristalsis and intestinal motility = decreased bowel sounds may
indicate constipation
- decreased cardiac output, decreased BP, and tachycardia
,- hypercalcemia as bones demineralize from a lack of weight bearing exercise
and excess calcium is deposited into joints causing stiffness and pain
A nurse is caring for a PT who requires 24-hour urine collection. Which of the
following statements by the client indicates an understanding of the teaching?
- ✔✔CORRECT ANSWER ✔✔-- collect urine that is free of feces
- place any urine in container immediately and keep it on ice or in a refrigerator.
- discard first voiding and save all subsequent voidings.
- collection takes place over 24 hrs with no specified amoun
A nurse is teaching an older adult PT who is at risk for osteoporosis about
beginning a program of regular physical activity. Which of the following types
of activity should the nurse recommend? - ✔✔CORRECT ANSWER ✔✔-Regular
Physical Exercise for Older Adult
- walking briskly
- weight bearing exercises to maintain bone mass
- cycling and isometric exercises have no weight bearing advantages
and do not prevent osteoporosis
- high impact aerobics can injure bones with density loss therefore they are
not recommended for osteoporosis patients
A nurse is assessing an adult client who has been immobile for the past 3
,weeks. The nurse should identify that which of the following findings requires
further intervention? - ✔✔CORRECT ANSWER ✔✔--
, using trapeze bar to assist with repositioning and transfer helps to avoid
friction and shearing caused by sliding up and down in bed which reduces the
risk of pressure ulcers
- consume balanced diet with adequate fluid intake (2-3 L/day)
- less than 3 bowel movements per week indicates constipation and the need
for intervention
-pulse strength of +2 on lower extremities is norma
Risks for Skin BReakdown
- report any signs of erythema on pressure points
- High Fowler's position places additional pressure on sacrum and heels
- massage can cause capillary breakdown of subcutaneous tissue
A nurse is caring for a PT who requires bed rest and has a prescription for
antiembolic stockings. Which of the following actions should the nurse
take?
- ✔✔CORRECT ANSWER ✔✔-- turn stocking inside out up to heel before
applying
- apply stockings in the morning before client gets out of bed
- slide top of stocking up over calf all at once to lesson constrictive wrinkles
- ensure there are no creases or wrinkles
- if stocking is too long, apply another size stocking
EXAM QUESTIONS AND
CORRECT ANSWERS
2025-2026 LATEST
GRADED A+
A nurse is assessing a client who has been on bed rest for the past month.
Which of the following findings should the nurse identify as an indication that
the client has developed thrombophlebitis? - ✔✔CORRECT ANSWER ✔✔-
Complications of Immobility
-swelling, redness and tenderness in calf muscle may indicate thrombophlebitis
- bladder distention indicates urinary retention due to loss of muscle tone and
detrusor muscles in bladder
- hypoventilation, hypoxia, hypercapnia = respiratory acidosis (low pH, CO2
above 45)
- decreased peristalsis and intestinal motility = decreased bowel sounds may
indicate constipation
- decreased cardiac output, decreased BP, and tachycardia
,- hypercalcemia as bones demineralize from a lack of weight bearing exercise
and excess calcium is deposited into joints causing stiffness and pain
A nurse is caring for a PT who requires 24-hour urine collection. Which of the
following statements by the client indicates an understanding of the teaching?
- ✔✔CORRECT ANSWER ✔✔-- collect urine that is free of feces
- place any urine in container immediately and keep it on ice or in a refrigerator.
- discard first voiding and save all subsequent voidings.
- collection takes place over 24 hrs with no specified amoun
A nurse is teaching an older adult PT who is at risk for osteoporosis about
beginning a program of regular physical activity. Which of the following types
of activity should the nurse recommend? - ✔✔CORRECT ANSWER ✔✔-Regular
Physical Exercise for Older Adult
- walking briskly
- weight bearing exercises to maintain bone mass
- cycling and isometric exercises have no weight bearing advantages
and do not prevent osteoporosis
- high impact aerobics can injure bones with density loss therefore they are
not recommended for osteoporosis patients
A nurse is assessing an adult client who has been immobile for the past 3
,weeks. The nurse should identify that which of the following findings requires
further intervention? - ✔✔CORRECT ANSWER ✔✔--
, using trapeze bar to assist with repositioning and transfer helps to avoid
friction and shearing caused by sliding up and down in bed which reduces the
risk of pressure ulcers
- consume balanced diet with adequate fluid intake (2-3 L/day)
- less than 3 bowel movements per week indicates constipation and the need
for intervention
-pulse strength of +2 on lower extremities is norma
Risks for Skin BReakdown
- report any signs of erythema on pressure points
- High Fowler's position places additional pressure on sacrum and heels
- massage can cause capillary breakdown of subcutaneous tissue
A nurse is caring for a PT who requires bed rest and has a prescription for
antiembolic stockings. Which of the following actions should the nurse
take?
- ✔✔CORRECT ANSWER ✔✔-- turn stocking inside out up to heel before
applying
- apply stockings in the morning before client gets out of bed
- slide top of stocking up over calf all at once to lesson constrictive wrinkles
- ensure there are no creases or wrinkles
- if stocking is too long, apply another size stocking
