ATI Engage Fundamentals RN 2.0: Fluid,
Electrolyte, and Acid-Base Regulation Exam
Questions With 100% Correct 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 f...
ATI Engage Fundamentals RN 2.0: Fluid, Electrolyte, and Acid -Base Regulation Exam Questions With 100% Correct 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? - answer✔✔Verify the unit of blood with another nurse. Rationale: The unit of blood is compatible with the client's blood type. Howe ver, 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? (Sel ect all that apply.) - answer✔✔A+ 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? - 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 follo wing 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. A nurse is calculati ng 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? - answer✔✔1,120 mL Rationale: The client has taken in: 480 mL of water + 240 mL of coffee + (100 mL of fluids x 4 hr). 720 mL + 400 mL = 1,120 mL. The client's total intake in 4 hr is 1,120 mL. A nurse is reviewing the latest arterial blood gas (ABG ) values for a client who is experiencing metabolic alkalosis. The nurse should identify that this action is part of which of the following steps of the nursing process? - answer✔✔Evaluation Rationale: Reviewing the client's ABG values is part of the eval uation stage of the nursing process. During the evaluation stage, the nurse should determine if the actions taken in the implementation stage were successful in meeting the goals in the client's plan of care. A nurse is receiving report on four clients. Th e nurse should identify that which of the following clients may be experiencing hypomagnesemia? - answer✔✔A client who has vomited four times during the last 8 hr.
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