ATI Engage Fundamentals RN 2.0: Fluid,
Electrolyte, and Acid-Base Regulation
Exam (2025/2026) — Updated Edition (
Verified Questions & Answers |
NCLEX®-RN® Readiness)
,
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?
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?
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.)
A+
AB-
, ATI Engage Fundamentals RN 2.0: Fluid,
Electrolyte, and Acid-Base Regulation
Exam (2025/2026) — Updated Edition (
Verified Questions & Answers |
NCLEX®-RN® Readiness)
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?
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?
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?
Electrolyte, and Acid-Base Regulation
Exam (2025/2026) — Updated Edition (
Verified Questions & Answers |
NCLEX®-RN® Readiness)
,
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?
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?
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.)
A+
AB-
, ATI Engage Fundamentals RN 2.0: Fluid,
Electrolyte, and Acid-Base Regulation
Exam (2025/2026) — Updated Edition (
Verified Questions & Answers |
NCLEX®-RN® Readiness)
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?
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?
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?
