Substance Abuse Nclex Questions and

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Substance Abuse Nclex Questions and Answers Version

A client admitted for heroin overdose is drowsy with shallow respirations. What is the nurse’s priority action?

• Administer IV fluids

✔✔ B. Administer naloxone per protocol

• Encourage fluid intake
• Reorient the client

Which of the following is a sign of alcohol withdrawal?

• Bradycardia and pinpoint pupils

✔✔ B. Tremors, sweating, and anxiety

• Dry skin and constipation
• Hallucinations and constricted pupils

Which lab value is most concerning in a client with long-term alcohol use?

• Increased calcium
• Decreased creatinine 1 / 2

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✔✔ C. Elevated liver enzymes

• Low hemoglobin A1C

A nurse is educating a client about the dangers of binge drinking. Which statement indicates understanding?

• “Drinking heavily one night a week is safe.”

✔✔ B. “Binge drinking can increase the risk of alcohol poisoning.”

• “As long as I eat before drinking, I’m fine.”
• “Binge drinking is only a problem in older adults.”

Which behavior may indicate stimulant abuse?✔✔ A. Excessive energy, rapid speech, and decreased appetite

• Lethargy, slowed movements, and memory loss
• Difficulty swallowing and blurry vision
• Confusion and muscle twitching

A client is withdrawing from benzodiazepines. What symptom should the nurse monitor closely for?

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