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Question 1 of 5

A 25-year-old outpatient presents with a diagnosis of compulsive personality disorder. His coworkers become annoyed with his rigid, perfectionistic manner and preoccupation with trivial details and schedules. A nursing intervention appropriate for this client would include:

Correct Answer: D

Rationale: This answer is incorrect. The client will work hard at the activity instead of enjoying it. This answer is incorrect. The nurse should allow the client to discuss these thoughts, within limits, not to avoid discussing them. This answer is incorrect. The compulsive client tends to control time to excess. It should not be encouraged. This answer is correct. A contract with the client regarding the amount of time that will be spent discussing the compulsive activities is appropriate. Time allotted should be gradually decreased.

Question 2 of 5

The client is admitted with a diagnosis of gestational trophoblastic disease. Which diagnostic test is most likely to be ordered?

Correct Answer: C

Rationale: Serum hCG levels are markedly elevated in gestational trophoblastic disease and ultrasound reveals a characteristic “snowstorm” pattern or grape-like vesicles. Both tests are essential for diagnosis.

Question 3 of 5

A 66-year-old female client has smoked 2 packs of cigarettes per day for 20 years. Her arterial blood gases on room air are as follows: pH 7.35; PO2 70 mm Hg; PCO2 55 mm Hg; HCO3 32 mEq/L. These blood gases reflect:

Correct Answer: B

Rationale: Normal pH with elevated PCO2 and HCO3 indicates compensated respiratory acidosis, common in chronic smokers due to CO2 retention.

Question 4 of 5

Which of the following factors affects the accuracy of pulse oximetry readings?

Question Image

Correct Answer: A, B, C

Rationale: Pulse oximetry accuracy is reduced by poor circulation (
A), improper probe placement (
B), and bright lighting (
C). Dark skin (
D) has minimal impact with modern sensors.

Question 5 of 5

A client's admission history reveals complaints of fatigue, chronic sore throat, and enlarged lymph nodes in the axilla and neck.

Correct Answer: A

Rationale: A complete blood count (CB
C) detects abnormal white blood cell counts, supporting a leukemia diagnosis. Chest x-ray (
B), bone marrow aspiration (
C), and CT scan (
D) are confirmatory but not initial tests.

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