ATI RevieW ACTUAL EXAM 250 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