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Substance Abuse and Abuse NCLEX
Practice Quiz: 75 Questions and
Answers Version
Which symptom is most commonly associated with alcohol withdrawal?
- Drowsiness
- Constipation
- Rash
✔✔ B. Tremors
Which behavior indicates a patient is experiencing substance dependence?
- Occasionally missing appointments
- Sleeping more than usual
- Forgetting names
✔✔ B. Needing higher doses to feel the same effect
What is the nurse’s priority action when a client is intoxicated and aggressive?
- Offer a snack
✔✔ B. Maintain safety for the client and others 1 / 4
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- Give caffeine
- Start a group therapy session
Which substance is most likely to cause pinpoint pupils during overdose?✔✔ A. Heroin
- Cocaine
- Alcohol
- Marijuana
Which question is most appropriate to assess substance use history?
- "Do you think drugs are fun?"
- "Why are you addicted?"
- "Do you take medicine from strangers?"
✔✔ B. "Can you tell me about any substances you've used in the past?"
What is a priority nursing diagnosis for a client with a history of substance abuse who is now vomiting and shaking?
- Ineffective coping 2 / 4
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✔✔ B. Risk for injury
- Disturbed thought processes
- Risk for loneliness
A patient tells the nurse, “I can quit whenever I want.” What defense mechanism is this?✔✔ A. Denial
- Displacement
- Regression
- Projection
Which sign would indicate stimulant intoxication?✔✔ A. Increased heart rate and alertness
- Slurred speech
- Shallow breathing
- Excessive yawning
Which nursing intervention is most important during detoxification?
- Discuss relapse prevention 3 / 4
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✔✔ B. Monitor vital signs frequently
- Schedule family visits
- Encourage group singing
Which medication is often used to prevent alcohol relapse?✔✔ A. Disulfiram
- Diazepam
- Naloxone
- Methadone
What is the action of naloxone (Narcan)?✔✔ A. Reverses opioid overdose
- Prevents alcohol craving
- Treats anxiety attacks
- Enhances the effects of morphine
Which finding suggests cocaine use?
- Sedation and drooling
- / 4
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