WASTEWATER TREATMENT
OPERATOR EXAM
COMPREHENSIVE SCRIPT TESTED
QUESTIONS VERIFIED SOLUTIONS
◉ A nurse is caring for a client who has hyponatremia and is
receiving an infusion of a prescribed hypertonic solution. Which of
the following findings should indicate to the nurse that the
treatment is effective?
a. Absent Chvostek's sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent. Answer: b. Improved cognition
◉ A nurse is teaching a client who has a new prescription for a
nitroglycerin transdermal patch. Which of the following instructions
should the nurse include?
a. "Discontinue the patch if you experience a headache."
b. "Apply a new patch if you have chest pain."
c. "Cover the patch with dry gauze when taking a shower."
d. "Remove the patch prior to going to bed.". Answer: d. "Remove the
patch prior to going to bed."
,◉ A nurse is reviewing he laboratory results of a client who has a
prescription for sodium polystyrene sulfonate (Kayexalate) every 6
hr. which of the following should the nurse report to the provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L. Answer: d. Potassium 5.2 mEq/L -
Hyperkalemia (serum potassium level greater than 5.0 mEq/L)
increases the client risk for fatal cardiac dysrhythmias. Kayexalate is
used to decrease the serum potassium level so the PN should
monitor the client's serum potassium level
◉ A nurse is caring for a client who has tuberculosis and is taking
isoniazid and rifampin. Which of the following outcomes indicates
that the client is adhering to the medication regimen?
a. The client has a negative sputum culture
b. The client tests negative for HIV
c. The client has a positive purified protein derivative test
d. The client's liver function test results are within the expected
reference range. Answer: a. The client has a negative sputum culture
◉ A client is caring for a client who develops an anaphylactic
reaction to IV administration. After assessing the client's respiratory
status and stopping the medication infusion. Which of the following
actions should the nurse take next?
,a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the client's legs and feet
d. Administer epinephrine IM. Answer: d. Administer epinephrine
IM
◉ A nurse is caring for a client who is taking sertraline and reports a
desire to begin taking supplements. Which of the following
supplements should the nurse advise the client to avoid?
a. St. John's Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10. Answer: a. St. John's Wort
◉ A nurse is caring for a client who has heart failure and a new
prescription for lisinopril. For which of the following adverse effects
should the nurse monitor when administering lisinopril?
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension. Answer: d. Hypotension
, ◉ A nurse is assessing a client who is receiving heparin IV
continuous IV. The client has an PPT of 90 seconds. They should
monitor the client for which of the following changes in their vital
signs?
a. Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure. Answer: d. Increased blood pressure
◉ A nurse is preparing to administer medication to a client and
discovers a medication error. The nurse should recognize that which
of the following staff members is responsible for completing an
incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error
d. The charge nurse. Answer: b. The nurse who identifies the error
◉ A nurse is planning care for a client who is receiving morphine via
continuous epidural infusion. The nurse should monitor the client
for which of the following?
a. Pruritus
b. Cough
c. Tachypnea
OPERATOR EXAM
COMPREHENSIVE SCRIPT TESTED
QUESTIONS VERIFIED SOLUTIONS
◉ A nurse is caring for a client who has hyponatremia and is
receiving an infusion of a prescribed hypertonic solution. Which of
the following findings should indicate to the nurse that the
treatment is effective?
a. Absent Chvostek's sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent. Answer: b. Improved cognition
◉ A nurse is teaching a client who has a new prescription for a
nitroglycerin transdermal patch. Which of the following instructions
should the nurse include?
a. "Discontinue the patch if you experience a headache."
b. "Apply a new patch if you have chest pain."
c. "Cover the patch with dry gauze when taking a shower."
d. "Remove the patch prior to going to bed.". Answer: d. "Remove the
patch prior to going to bed."
,◉ A nurse is reviewing he laboratory results of a client who has a
prescription for sodium polystyrene sulfonate (Kayexalate) every 6
hr. which of the following should the nurse report to the provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L. Answer: d. Potassium 5.2 mEq/L -
Hyperkalemia (serum potassium level greater than 5.0 mEq/L)
increases the client risk for fatal cardiac dysrhythmias. Kayexalate is
used to decrease the serum potassium level so the PN should
monitor the client's serum potassium level
◉ A nurse is caring for a client who has tuberculosis and is taking
isoniazid and rifampin. Which of the following outcomes indicates
that the client is adhering to the medication regimen?
a. The client has a negative sputum culture
b. The client tests negative for HIV
c. The client has a positive purified protein derivative test
d. The client's liver function test results are within the expected
reference range. Answer: a. The client has a negative sputum culture
◉ A client is caring for a client who develops an anaphylactic
reaction to IV administration. After assessing the client's respiratory
status and stopping the medication infusion. Which of the following
actions should the nurse take next?
,a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the client's legs and feet
d. Administer epinephrine IM. Answer: d. Administer epinephrine
IM
◉ A nurse is caring for a client who is taking sertraline and reports a
desire to begin taking supplements. Which of the following
supplements should the nurse advise the client to avoid?
a. St. John's Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10. Answer: a. St. John's Wort
◉ A nurse is caring for a client who has heart failure and a new
prescription for lisinopril. For which of the following adverse effects
should the nurse monitor when administering lisinopril?
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension. Answer: d. Hypotension
, ◉ A nurse is assessing a client who is receiving heparin IV
continuous IV. The client has an PPT of 90 seconds. They should
monitor the client for which of the following changes in their vital
signs?
a. Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure. Answer: d. Increased blood pressure
◉ A nurse is preparing to administer medication to a client and
discovers a medication error. The nurse should recognize that which
of the following staff members is responsible for completing an
incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error
d. The charge nurse. Answer: b. The nurse who identifies the error
◉ A nurse is planning care for a client who is receiving morphine via
continuous epidural infusion. The nurse should monitor the client
for which of the following?
a. Pruritus
b. Cough
c. Tachypnea
