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ATI Engage Fundamentals RN 2.0: Fluid, Electrolyte,
and Acid-Base Regulation EXAM Questions and
Answers (Verified Answers) (Latest Update 2025)
UPDATE!!
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? - (ANSWER)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? - (ANSWER)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 the following responses should the nurse make? (Select
all that apply.) - (ANSWER)A+
AB-
AB+
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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? -
(ANSWER)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? - (ANSWER)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? - (ANSWER)"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.
ATI Engage Fundamentals RN 2.0: Fluid, Electrolyte,
and Acid-Base Regulation EXAM Questions and
Answers (Verified Answers) (Latest Update 2025)
UPDATE!!
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? - (ANSWER)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? - (ANSWER)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 the following responses should the nurse make? (Select
all that apply.) - (ANSWER)A+
AB-
AB+
, 2|Page
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? -
(ANSWER)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? - (ANSWER)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? - (ANSWER)"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.
