Category Archives: Substance Abuse and Abuse NCLEX Practice

Substance Abuse and Abuse Q 1

Nurse Rob has observed a co-worker arriving to work drunk at least three times in the past month. Which action by Nurse Rob would best ensure client safety and obtain necessary assistance for the co-worker?         A. Ignore the co worker’s behavior, and frequently assess the clients assigned to the co-worker.      B. Make general statements about… Read More »

Substance Abuse and Abuse Q 2

The newly hired nurse at Nurseslabs Medical Center is assessing a client who abuses barbiturates and benzodiazepine. The nurse would observe for evidence of which withdrawal symptoms?         A. Respiratory depression, stupor, and bradycardia      B. Anxiety, tremors, and tachycardia      C. Muscle aches, cramps, and lacrimation      D. Paranoia, depression, and agitation     … Read More »

Substance Abuse and Abuse Q 3

The community nurse practicing primary prevention of alcohol abuse would target which groups for educational efforts?         A. Adolescents in their late teens and young adults in their early twenties.      B. Elderly men who live in retirement communities.      C. Women working in careers outside the home.      D. Women working in the home.… Read More »

Substance Abuse and Abuse Q 4

Johnette is reviewing her lessons in Pharmacology. She is aware that the general classification of drugs belonging to the opioid category is analgesic and:         A. Tranquilizing      B. Hallucinogenic      C. Stimulant      D. Depressant           Correct Answer: D. Depressant Opiates are both analgesics and CNS depressants because they decrease the… Read More »

Substance Abuse and Abuse Q 5

When a client abuses a CNS depressant, withdrawal symptoms will be caused by which of the following?         A. Acetylcholine excess      B. Dopamine depletion      C. Serotonin inhibition      D. Norepinephrine rebound           Correct Answer: D. Norepinephrine rebound CNS depressants, when abused, cause depletion of stimulating neurotransmitters. When the CNS depressant… Read More »

Substance Abuse and Abuse Q 6

Kendall, the sister of a client with a substance-related disorder, tells the nurse she calls out sick for her sister Kylie occasionally when the latter has too much to drink and cannot work. This behavior can be described as:         A. Caretaking      B. Codependent      C. Helpful      D. Supportive          … Read More »

Substance Abuse and Abuse Q 7

The nurse is planning activities for a client who has bipolar disorder with aggressive social behavior. Which of the following activities would be most appropriate for this client?         A. Ping pong      B. Writing      C. Chess      D. Basketball           Correct Answer: B. Writing Solitary activities that require a short attention span… Read More »

Substance Abuse and Abuse Q 8

A client is admitted to the hospital with a diagnosis of major depression, severe, single episode. The nurse assesses the client and identifies a nursing diagnosis of imbalanced nutrition related to poor nutritional intake. The most appropriate nursing intervention related to this diagnosis is:         A. Explain to the client the importance of a good nutritional intake.… Read More »

Substance Abuse and Abuse Q 9

In planning activities for the depressed client, especially during the early stages of hospitalization, which of the following plans is best?         A. Provide an activity that is quiet and solitary to avoid increased fatigue, such as working on a puzzle or reading a book.      B. Plan nothing until the client asks to participate in… Read More »

Substance Abuse and Abuse Q 10

The depressed client verbalizes feelings of low self-esteem and self-worth typified by statements such as “I’m such a failure… I can’t do anything right!” The best nursing response would be:         A. To tell the client this is not true; that we all have a purpose in life.      B. To remain with the client and sit… Read More »