Question 1

During detoxification,an alcoholic client becomes hypoglycemic.Which of these actions should the nurse take FIRST?

Accepted Answer

A) Administer dextrose. 
B) Encourage the client to eat to minimize withdrawal symptoms. 
C) Give the client thiamine prior to dextrose administration. 
D) Administer oxygen before starting an IV. 
A) Administer dextrose. 
B) Encourage the client to eat to minimize withdrawal symptoms. 
C) Give the client thiamine prior to dextrose administration. 
D) Administer oxygen before starting an IV.

Question 2

During the past 6 months,a client has gradually withdrawn from friends and family,choosing instead to spend time alone and obtain increasing amounts of cocaine.While the client initially limited drug use to weekends,more frequent "hits" are needed to make it through the week and this involves use at work.This client meets the criteria for:

Accepted Answer

A) detoxification 
B) narcotics anonymous 
C) substance abuse 
D) substance dependence 
A) detoxification 
B) narcotics anonymous 
C) substance abuse 
D) substance dependence

Question 3

When collecting a specimen from a client suspected of substance abuse,the nurse is aware of which of the following? (Select all that apply. )

Accepted Answer

A) Marijuana may be detected in urine for up to 3 to 30 days. 
B) Cocaine may be detected in urine for up to 2 to 3 days. 
C) Cocaine may be detected in hair for up to months to years. 
D) Alcohol may be detected in urine for up to 3 to 30 days. 
E) Methamphetamine may be detected in blood up to 3 to 6 months.
F)Marijuana may be detected in blood for up to 3 to 30 days. 
A) Marijuana may be detected in urine for up to 3 to 30 days. 
B) Cocaine may be detected in urine for up to 2 to 3 days. 
C) Cocaine may be detected in hair for up to months to years. 
D) Alcohol may be detected in urine for up to 3 to 30 days. 
E) Methamphetamine may be detected in blood up to 3 to 6 months.
F)Marijuana may be detected in blood for up to 3 to 30 days.

Question 4

The teratogenic effects of alcohol may cause which of these conditions?

Accepted Answer

A) cirrhosis 
B) fetal alcohol syndrome 
C) Korsakoff's psychosis 
D) Wernicke's encephalopathy 
A) cirrhosis 
B) fetal alcohol syndrome 
C) Korsakoff's psychosis 
D) Wernicke's encephalopathy

Question 5

A learned pattern of behavior and feelings in which a person always tries to meet the needs of others,demand love from others,and manipulate and control the lives of others is known as:

Accepted Answer

A) addiction 
B) behavioral tolerance 
C) confabulation 
D) codependency 
A) addiction 
B) behavioral tolerance 
C) confabulation 
D) codependency

Question 6

Which of these terms describes the recurrent use of a substance where abstinence does not cause withdrawal symptoms?

Accepted Answer

A) abuse 
B) dependence 
C) intoxication 
D) tolerance 
A) abuse 
B) dependence 
C) intoxication 
D) tolerance

Question 7

Which of these drugs is classified as a central nervous system stimulant?

Accepted Answer

A) alcohol 
B) cocaine 
C) barbiturates 
D) benzodiazepines 
A) alcohol 
B) cocaine 
C) barbiturates 
D) benzodiazepines

Question 8

The student nurse is aware that alcohol is classified as:

Accepted Answer

A) an amphetamine 
B) a barbiturate 
C) a central nervous system (CNS)depressant 
D) an opiate 
A) an amphetamine 
B) a barbiturate 
C) a central nervous system (CNS)depressant 
D) an opiate

Question 9

A male client has been using a compound made from testosterone that causes both masculinizing and tissue-building effects to his body.The nurse recognizes that this client is using:

Accepted Answer

A) anabolic steroids 
B) barbiturates 
C) hallucinogens 
D) opioids 
A) anabolic steroids 
B) barbiturates 
C) hallucinogens 
D) opioids

Question 10

A client undergoing treatment for cocaine addiction is at risk for which of these complications?

Accepted Answer

A) heart attack 
B) relapse 
C) stroke 
D) suicide 
A) heart attack 
B) relapse 
C) stroke 
D) suicide

Question 11

Which of these terms describes a complete arching of the body that occurs with seizures after a person takes PCP?

Accepted Answer

A) confabulation 
B) opisthotonos 
C) synthesis 
D) tonic-clonic seizure 
A) confabulation 
B) opisthotonos 
C) synthesis 
D) tonic-clonic seizure

Question 12

Which population group is unaffected by substance-abuse disorders?

Accepted Answer

A) female teenagers 
B) male professionals,ages 24 to 45 
C) older adults 
D) none 
A) female teenagers 
B) male professionals,ages 24 to 45 
C) older adults 
D) none

Question 13

What is considered to be the drug of choice for substance abuse?

Accepted Answer

A) cocaine 
B) marijuana 
C) alcohol 
D) barbiturates 
A) cocaine 
B) marijuana 
C) alcohol 
D) barbiturates

Question 14

Primary prevention of substance abuse focuses mainly on which of these groups?

Accepted Answer

A) school-age children 
B) adolescents 
C) anyone who is presently using drugs 
D) current drug abusers 
A) school-age children 
B) adolescents 
C) anyone who is presently using drugs 
D) current drug abusers

Question 15

The most advanced stage of alcohol withdrawal,which develops 2 to 3 days after alcohol drinking has stopped and includes symptoms such as disorientation and inability to recognize familiar objects or persons,is called:

Accepted Answer

A) alcohol withdrawal syndrome 
B) delirium tremens 
C) detoxification 
D) teratogenic effect 
A) alcohol withdrawal syndrome 
B) delirium tremens 
C) detoxification 
D) teratogenic effect

Question 16

The nurse suspects a client has a substance abuse problem.Which of the following data would support the use? (Select all that apply. )

Accepted Answer

A) laughing at inappropriate times 
B) unkept or inappropriate appearance 
C) controlled emotions 
D) memory loss 
E) insomnia alternating with long periods of sleep
F)consistently punctual 
A) laughing at inappropriate times 
B) unkept or inappropriate appearance 
C) controlled emotions 
D) memory loss 
E) insomnia alternating with long periods of sleep
F)consistently punctual

Question 17

When a person has prolonged abuse of opioids,which of these conditions may occur?

Accepted Answer

A) cirrhosis 
B) esophageal varices 
C) fecal impaction 
D) overdose 
A) cirrhosis 
B) esophageal varices 
C) fecal impaction 
D) overdose

Exam 49: Substance Abuse

During detoxification,an alcoholic client becomes hypoglycemic.Which of these actions should the nurse take FIRST?

When collecting a specimen from a client suspected of substance abuse,the nurse is aware of which of the following? (Select all that apply. )

The teratogenic effects of alcohol may cause which of these conditions?

A learned pattern of behavior and feelings in which a person always tries to meet the needs of others,demand love from others,and manipulate and control the lives of others is known as:

Which of these terms describes the recurrent use of a substance where abstinence does not cause withdrawal symptoms?

Which of these drugs is classified as a central nervous system stimulant?

The student nurse is aware that alcohol is classified as:

A male client has been using a compound made from testosterone that causes both masculinizing and tissue-building effects to his body.The nurse recognizes that this client is using:

A client undergoing treatment for cocaine addiction is at risk for which of these complications?

Which of these terms describes a complete arching of the body that occurs with seizures after a person takes PCP?

Which population group is unaffected by substance-abuse disorders?

What is considered to be the drug of choice for substance abuse?

Primary prevention of substance abuse focuses mainly on which of these groups?

The most advanced stage of alcohol withdrawal,which develops 2 to 3 days after alcohol drinking has stopped and includes symptoms such as disorientation and inability to recognize familiar objects or persons,is called:

The nurse suspects a client has a substance abuse problem.Which of the following data would support the use? (Select all that apply. )

When a person has prolonged abuse of opioids,which of these conditions may occur?

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