SUBSTANCE DISORDER QUIZ

1. Which of the following nursing interventions is a 6. The priority nursing intervention in caring for a
priority when planning nursing care for the client client experiencing flashbacks from hallucinogenic
experiencing alcohol withdrawal? intoxication is which of the following?
a. Teach techniques to reduce anxiety a. Assisting the client with reduction of anxiety
b. Administer a benzodiazepine b. Exploring with the client relapse triggers
c. Encourage fluid intake c. Providing intrapersonal skills training
d. Provide a diet low in fat d. Teaching the client the medical consequences of
hallucinogen abuse
2. Which of the following orders should the nurse
question when planning the nursing care for a client 7. The nurse is caring for a client who drank large
beginning to experience alcohol withdrawal? amounts of alcohol for more than 2 years and
a. Eliminate caffeine from the diet abruptly stopped drinking alcohol 30 hours ago.
b. Assess vital signs every 2 to 4 hours Which of the following nursing measures
c. Nothing by mouth should receive priority in this client’s plan of care?
d. Teach relaxation techniques a. Perform a cranial nerve exam
b. Provide adequate nutrition
3. After collecting data on a client suspected of c. Encourage fluids
being in a narcotic withdrawal, which of the d. Monitor vital signs frequently
following should the nurse report? Select all that
apply: 8. The nurse is admitting a client for alcohol
a. Slurred speech withdrawal. The client states that the last drink of
b. Decreased blood pressure alcohol was at 08:00pm. The nurse should begin to
c. Psychomotor retardation assess this client for clinical manifestations of
d. Diarrhea alcohol withdrawal at
e. Muscle aches _________________________.
f. Rhinorrhea 9. The nurse is asked to teach a class to a group of
clients in a drug rehabilitation clinic on the medical
4. Which of the following would provide the nurse complications of cocaine abuse. Which of the
with the most beneficial assessment data on alcohol following complications should the nurse include in
abuse? the class?
a. Complete blood cell count a. Hypotension
b. Chemistry panel b. Cardiac arrhythmias
c. The CAGE questionnaire c. Constipation
d. Beck Depression Inventory d. Kidney failure

5. The nurse should monitor which of the following 10. Which of the following does a coworker notice
for a client experiencing alcohol withdrawal? in a fellow nurse suspected of being an impaired
Select all that apply: nurse? Select all that apply:
a. Hypertension a. The narcotic count is wrong when checked
b. Tinnitus b. Heightened ability to concentrate
c. Pupil constriction c. Promptly reports to work
d. Tachycardia d. Inability to concentrate
e. Sedation e. Client reports a decrease in pain after
f. Startles easily receiving a pain medication
f. Alcohol breath

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last use. The appropriate response by the nurse is
how many days?

11. A client repeatedly returns to the hospital with 16. A client presents to the emergency room
an unsteady gait and slurred speech after several complaining of trails of images, moving objects,
failed inpatient treatment attempts for alcohol and flashes of color. The nurse notifies the
dependence. Which of the following nursing physician that the client has been abusing which
interventions is appropriate for the nurse to substance?
implement for this client? a. Caffeine
a. Promote safety and transition to the hospital b. Hallucinogens
b. Administer a benzodiazepine and a barbiturate c. Alcohol
c. Provide a diet high in protein d. Sedatives
d. Administer a nonnarcotic analgesic
17. Which of the following should the nurse
12. The nurse monitors for which of the following include when preparing to teach a nicotinecessation
assessment findings in hallucinogen intoxication? program?
Select all of the following: a. Nicotine withdrawal clinical manifestations
a. Cardiac arrhythmias include hot flashes, decreased appetite, and muscle
b. Labile affect cramps
c. Nervousness b. The nicotine withdrawal syndrome lasts less than
d. Floating feeling 1 week
e. Anorexia c. The nurse’s personal experience with nicotine
f. Diuresis withdrawal
d. Decreased psychomotor performance, mental
13. Which of the following should the nurse include dullness, and decreased judgment may be
in the plan of care for a client experiencing a experienced by the client
morphine sulfate withdrawal?
a. Provide a cool room 18. The nurse is caring for a client who is
b. Administer diazepam (Valium) experiencing cocaine intoxication. Which would
c. Administer clonidine (Catapres) indicate to the nurse that the client’s condition is
d. Restrict fluids deteriorating? Select all that apply:
a. Dyskinesias
14. The nurse documents which of the following b. C hest pain
clinical manifestations to be present in a client who c. Decreased urine output
is experiencing cannabis intoxication? Select all that d. H ypertension
apply: e. A nxiety
a. Anorexia f. T achycardia
b. Dry mouth
c. Euphoria 19. The nurse is caring for a client admitted with
d. Bradycardia cocaine intoxication who has a fever and is
e. Sensation of slowed time experiencing chest pain, palpitations, and increased
f. Drowsiness blood pressure and pulse. The nursing priority
action is to do which of the following?
15. A client admitted for cannabis intoxication asks a. Establish a patent airway
the nurse what the average time in days is for urine b. Perform a cranial nerve exam
drug screens to be positive for cannabis after the c. Provide comfort measures
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d. Instruct client about medical complications b. Instruct the client on the medical complications
of PCP abuse
20. The nurse is preparing to teach a class to a c. Encourage the client to participate in a
group of new graduate nurses on substance use withdrawal program
disorders. Which of the following should the d. Ensure the safety of the client
nurse include in the class?
a. A client with substance dependence must 24. A client who is seeing “pink elephants on the
take the same drug to relieve withdrawal wall,” hearing voices, constantly picking at the
symptoms face and hands, and stating “people are out to
kill me” and who has a blood pressure of
b. Substance abuse is both a physical and 168/90 is admitted. The nurse assesses this client to
psychological disorder be experiencing which of the following?
c. A client with substance dependence who is a. Amphetamine toxicity
motivated to do so can overcome the addiction by b. Opioid withdrawal
stopping use of the substance c. Inhalant side effects
d. A substance must be abused over a long period of d. Alcohol dependence
time before an addiction develops
25. A mother brings her adolescent son into a clinic
21. The nurse should monitor a client who is and expresses concerns that the son has been
suspected of having abused dextroamphetamine experiencing blurred vision, dizziness, a sense of
(Dexedrine) for which of the following? well-being, and slurred speech. Which of the
Select all that apply: following questions is a priority for the nurse to
a. Constipation ask?
b. Increased urine output a. “How long have you noticed these clinical
c. Chest pain manifestations and behavior?”
d. Pupil dilation b. “Has your son’s school work declined?”
e. Tachycardia c. “Has your son withdrawn and seems to
f. Increased muscular endurance spend more time alone?”
d. “Have you noticed your son inhaling
22. The registered nurse is preparing the clinical paint and cleaning or aerosol
assignments for a psychiatric unit. Which of the products?”
following assignments is appropriate for the nurse
to delegate to a licensed practical nurse?
a. Assess a client for cannabis intoxication
b. Instruct a client on nicotine withdrawal
c. Provide a safe environment for a client with
alcohol dependence
d. Report the clinical manifestations a client
suspected of dextroamphetamine (Dexedrine) is
experiencing

23. The nurse is admitting a client who has

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