ATI ENGAGE FUNDAMENTALS RN 2.0:
FLUID, ELECTROLYTE, AND ACID-
BASE REGULATION EXAM 2025
QUESTIONS AND ANSWERS
A nurse is caring for a client who has a prescription to receives one unit of packed red blood
cells. The client's blood type is AB+, and the nurse receives a unit of A- blood from the blood
bank. Which of the following actions should the nurse take? - ANS Verify the unit of blood
with another nurse.
Rationale: The unit of blood is compatible with the client's blood type. However, the nurse
should ensure that the blood unit had been verified by two nurses before initiating the
transfusion.
A nurse is preparing to start an IV for a client who has a high risk for bleeding. Which of the
following actions should the nurse take? - ANS Apply a blood pressure cuff set to 30 mm Hg.
Rationale: Instead of using a tourniquet, the nurse should apply a blood pressure cuff set to 30
mm Hg prior to starting an IV for this client. This will help protect the client's extremity from
bruising and bleeding.
A nurse is participating in a blood drive and is taking a donation from a client who has type A-
blood. The client asks the nurse what blood types can receive their blood donation. Which of
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the following responses should the nurse make? (Select all that apply.) - ANS A+
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, AB-
AB+
A-
A nurse is caring for a client who has an acid-base imbalance and is experiencing hypoxia.
Which of the following actions should the nurse take first? - ANS Elevate the head of the
client's bed.
Rationale: The first action the nurse should take when using the airway, breathing, circulation
approach to client care is to elevate the head of the client's bed. Placing the client in the
Fowler's or semi-Fowler's position will promote effective breathing and chest expansion.
A nurse is reviewing a client's laboratory results. Which of the following results should the
nurse report to the provider? - ANS Magnesium 3 mEq/L
Rationale: A magnesium level of 3 mEq/L is above the expected reference range of 1.3 to 2.1
mEq/L. Therefore, the nurse should report this finding to the provider.
A nurse is participating in blood drive and is taking a donation from a client who has type O+
blood. The client asks the nurse what type of blood they can receive. Which of the following
statements should the nurse make? - ANS "You can receive a blood donation from donors
with type O- and type O+ blood."
Rationale: Clients who have type O+ blood can only receive blood from donors who have type
O- or type O+ blood. Clients who have type O- blood are universal donors, meaning that anyone
can receive their blood, regardless of blood type.
A nurse is calculating a client's intake and output for the last 4 hr. The client consumed 480 mL
of water and 240 mL of coffee. The client has also received IV fluids for 4 hr infusing at 100
mL/hr. Which of the following amounts represents the client's intake over the last 4 hr? -
ANS 1,120 mL
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@COPYRIGHT @THEBRIGHT 2025/2026
FLUID, ELECTROLYTE, AND ACID-
BASE REGULATION EXAM 2025
QUESTIONS AND ANSWERS
A nurse is caring for a client who has a prescription to receives one unit of packed red blood
cells. The client's blood type is AB+, and the nurse receives a unit of A- blood from the blood
bank. Which of the following actions should the nurse take? - ANS Verify the unit of blood
with another nurse.
Rationale: The unit of blood is compatible with the client's blood type. However, the nurse
should ensure that the blood unit had been verified by two nurses before initiating the
transfusion.
A nurse is preparing to start an IV for a client who has a high risk for bleeding. Which of the
following actions should the nurse take? - ANS Apply a blood pressure cuff set to 30 mm Hg.
Rationale: Instead of using a tourniquet, the nurse should apply a blood pressure cuff set to 30
mm Hg prior to starting an IV for this client. This will help protect the client's extremity from
bruising and bleeding.
A nurse is participating in a blood drive and is taking a donation from a client who has type A-
blood. The client asks the nurse what blood types can receive their blood donation. Which of
1
Page
the following responses should the nurse make? (Select all that apply.) - ANS A+
@COPYRIGHT @THEBRIGHT 2025/2026
, AB-
AB+
A-
A nurse is caring for a client who has an acid-base imbalance and is experiencing hypoxia.
Which of the following actions should the nurse take first? - ANS Elevate the head of the
client's bed.
Rationale: The first action the nurse should take when using the airway, breathing, circulation
approach to client care is to elevate the head of the client's bed. Placing the client in the
Fowler's or semi-Fowler's position will promote effective breathing and chest expansion.
A nurse is reviewing a client's laboratory results. Which of the following results should the
nurse report to the provider? - ANS Magnesium 3 mEq/L
Rationale: A magnesium level of 3 mEq/L is above the expected reference range of 1.3 to 2.1
mEq/L. Therefore, the nurse should report this finding to the provider.
A nurse is participating in blood drive and is taking a donation from a client who has type O+
blood. The client asks the nurse what type of blood they can receive. Which of the following
statements should the nurse make? - ANS "You can receive a blood donation from donors
with type O- and type O+ blood."
Rationale: Clients who have type O+ blood can only receive blood from donors who have type
O- or type O+ blood. Clients who have type O- blood are universal donors, meaning that anyone
can receive their blood, regardless of blood type.
A nurse is calculating a client's intake and output for the last 4 hr. The client consumed 480 mL
of water and 240 mL of coffee. The client has also received IV fluids for 4 hr infusing at 100
mL/hr. Which of the following amounts represents the client's intake over the last 4 hr? -
ANS 1,120 mL
2
Page
@COPYRIGHT @THEBRIGHT 2025/2026
