Addictive Disorders NCLEX Questions

1

Mental Health: Substance-Related and

Addictive Disorders NCLEX Questions and Answers Version

A nurse is caring for a client withdrawing from alcohol. Which symptom should the nurse monitor most closely?

• Slurred speech
• ✔✔ Tremors and seizures
• Sneezing
• Excessive hunger

Which of the following is a priority nursing diagnosis for a client detoxing from heroin?

• Risk for falls
• ✔✔ Risk for respiratory depression
• Risk for loneliness
• Risk for hyperactivity

A client says, “I can quit drinking whenever I want.” This statement is an example of: 1 / 4

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• Regression

✔✔ B. Denial

• Projection
• Displacement

What is the best immediate response when a client presents with signs of opioid overdose?✔✔ A. Administer naloxone

• Encourage fluids
• Apply restraints
• Offer a meal

Which medication is often used to support recovery from alcohol dependence by causing unpleasant effects if alcohol is consumed?✔✔ A. Disulfiram

• Lorazepam
• Fluoxetine
• Naloxone
• / 4

3

Which behavior is most characteristic of substance dependence?

• Occasional social use
• ✔✔ Continued use despite negative consequences
• Use only during celebrations
• Refusing all offers to use substances

Which symptom indicates stimulant intoxication?

• Drowsiness

✔✔ B. Increased energy and rapid speech

• Slowed breathing
• Muscle weakness

Which client statement indicates understanding of relapse prevention planning?✔✔ A. “I’ll avoid places where I used to use drugs.”

• “I’ll just hope I have more willpower next time.”
• “If I feel triggered, I’ll smoke instead.”
• “Relapse is inevitable, so I won’t plan.”
• / 4

4

Which is a common sign of cannabis use?

• Dry skin
• ✔✔ Red eyes and slowed reaction time
• Aggression and muscle stiffness
• Diarrhea

A nurse is teaching about nicotine addiction. Which of the following is accurate?✔✔ A. Nicotine stimulates the release of dopamine

• Nicotine causes sedation and confusion
• Nicotine improves liver function
• Nicotine reduces heart rate

What is a priority nursing intervention during the detox phase of alcohol use disorder?✔✔ A. Monitor for delirium tremens

• Increase socialization
• Encourage group therapy
• Provide sugary snacks
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