Mastery EAQ Ch. 17

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Question #1

The nurse assesses a patient who was receiving treatment for narcolepsy. Which sign will the nurse monitor in the patient?

A Lacrimation, Hyperthermia

B Hyperthermia, Rhinorrhea

C Hyperphagia, Paranoid delusions

D Rhinorrhea, Lacrimation

Question #2

Which medication is most suitable for a patient with alcohol addiction and opioid dependence?

A Naloxone

B Naltrexone

C Buprenorphine

D Levallorphan

Question #3

Which manifestation is seen in a person who smokes marijuana?

A Anorexia, Tachycardia, Unsteady gait, Hypersomnia

B Anorexia, Hypersomnia, Mild euphoria, Hallucinations

C Tachycardia, Unsteady gait, Mild euphoria, Hallucinations

D Anorexia, Hypersomnia, Unsteady gait, Mild euphoria

Question #4

A patient received the benzodiazepine midazolam to aid with anesthesia. Which drug may the nurse administer to the patient after the surgery to reverse the sedative effect of the midazolam?

A Clonidine

B Naltrexone

C Flumazenil

D Acamprosate

Question #5

Which screening tool does the nurse use to assess an adolescent for possible substance abuse?

A MAST-G

B SASSI

C MMSE

D POSIT

Question #6

Which drug will the nurse expect to administer to cease immediate cigarette craving in a patient being treated at a rehabilitation center?

A Varenicline

B Nicotine patch

C Bupropion

D Nicotine chewing gum

Question #7

A patient with alcoholism has a blood pressure of 200/140 mm Hg and is agitated and having tremors. Which drug does the nurse expect to be prescribed for this patient?

A Bupropion

B Methamphetamine

C Alprazolam

D Disulfiram

Question #8

An inpatient prescribed disulfiram reports throbbing headache and nausea to the nurse. On further assessment, the nurse finds that the patient has a flushed face and low blood pressure. After these symptoms abated, the patient slept for a long time. Which condition is the patient being treated for?

A Tobacco abstinence

B Alcohol withdrawal

C Depressant abuse

D Opioid abuse

Question #9

An adolescent’s parents report to the nurse that their child who was bright and motivated has become sullen and withdrawn in the past year. The parents also report that the adolescent has had a cough for a year. Which drug abuse does the nurse suspect in the adolescent?

A Nicotine

B Naltrexone

C Methamphetamine

D Marijuana

Question #10

Which adverse effect of alcohol consumption will a ski instructor most likely warn a snow-skiing trainee about?

A Hypothermia

B Dystonia

C Liver failure

D Diuresis

Question #11

After stopping morphine therapy for acute pain after knee replacement surgery, the patient has nausea, dysphoria, lacrimation, and piloerection. Further assessment reveals the patient’s increased desire to ingest opioids. Which medication does the nurse expect to be beneficial to the patient?

A Clonidine, Methadone

B Bupropion, Vivitrol

C Vivitrol, Diazepam

D Diazepam, Bupropion

Question #12

A patient has increased psychomotor activity, agitation, and tremors of the eyelids, tongue, and hands. Which medication does the nurse expect to be beneficial to the patient?

A Varenicline

B Diazepam

C Clonidine

D Bupropion

Question #13

Which complication will occur if a patient consumes alcohol during metronidazole therapy?

A Hepatotoxicity

B Disulfiram reaction

C Urinary retention

D Increased bleeding

Question #14

A patient reports craving cigarettes, irritability, and restlessness. On assessment, a nurse finds that the patient has a decreased heart rate and blood pressure. Which medication does the nurse expect to be beneficial for the patient?

A Clonidine

B Naltrexone

C Varenicline

D Flumazenil

Question #15

The patient has been taking morphine after an appendectomy. The patient’s blood pressure is 100/60 mm Hg, and the patient reports constipation, dizziness, and a severe headache. Which side effect is observed in a patient taking morphine?

A Diuresis, Tremors, Delirium

B Tremors, Miosis, Delirium

C Pruritus, Delirium, Tremors

D Miosis, Diuresis, Pruritus

Question #16

A patient who consumed high doses of a benzodiazepine under the influence of alcohol is found to be lethargic and unable to speak. Which emergency action by the nurse will prevent further complications?

A Administer flumazenil, Provide mechanical ventilation.

B Administer naloxone, Provide magnesium replacement therapy

C Provide hydration, Provide magnesium replacement therapy

D Provide hydration, Administer naloxone

Question #17

A nurse is assessing a patient who underwent treatment for attention-deficit disorder. The patient is experiencing hypersomnia, suicidal thoughts, and hyperphagia. The nurse suspects the patient is withdrawing from which medication?

A Loperamide

B Naltrexone

C Amphetamine

D Morphine

Question #18

Which necessary precaution will the nurse take while administering naltrexone to a patient who is addicted to hydromorphone?

A Administer naltrexone a week after discontinuing hydromorphone.

B Give a test dose of naltrexone before administering the actual dose.

C Administer naltrexone along with hydromorphone regularly.

D Administer a reduced dose of naltrexone to the patient.

Question #19

A nurse is caring for a patient who is taking bupropion. Effective treatment is indicated when the patient no longer has which characteristic?

A Has delirium tremens

B Has narcolepsy

C Craves alcohol

D Smokes cigarettes

Question #20

Which assessment finding is a contraindication for prescribed clonidine therapy for opioid withdrawal?

A Excess pain

B Low heart rate

C Hypotension

D Nausea

Question #21

The nurse is assessing a patient who is hospitalized due to abrupt cessation of alcohol consumption. Which vital signs are consistent with the patient’s condition?

A Blood pressure 210/150 mm Hg, pulse rate 140, temperature 104° F (40° C)

B Blood pressure 170/100 mm Hg, pulse rate 130, temperature 100° F (37.7° C)

C Blood pressure 120/80 mm Hg, pulse rate 75, temperature 98.6° F (37° C)

D Blood pressure 150/90 mm Hg, pulse rate 110, temperature 100° F (38.3° C)

Question #22

Two unresponsive patients are carried by friends into the emergency department. The patients’ friends tell you they were too scared to call 911 because they were “popping roofies.” Which medication would the nurse expect to administer to these patients?

A Naltrexone

B Chlordiazepoxide

C Naloxone

D Flumazenil

Question #23

As a nurse escorts a discharged patient from an alcohol treatment center, which comment would be therapeutic?

A “Members of Alcoholics Anonymous will welcome you to meetings.”

B “Do not drink anymore. Alcohol is destroying your liver.”

C “I hope you can stay sober from now on and get back to work soon.”

D “I hope you’ve learned how to manage your drinking.”

Question #24

A patient at an alcohol rehabilitation center has a flushed face and is vomiting. Which antialcohol therapy has the patient undergone?

A Naltrexone

B Alprazolam

C Disulfiram

D Acamprosate

Question #25

The nurse is assessing a patient who has involuntary muscle contractions and sleep disturbance. On reviewing the patient’s prescription, the nurse finds that the patient has to be administered 20 mg of diazepam on day 1 and tapered to 5 mg by day 7 of the treatment. Withdrawal of which drug would be the probable reason for giving such a prescription?

A Barbiturates

B Heroin

C Cocaine

D Benzodiazepines

Question #26

A patient withdrawing from alcohol suddenly begins to slap at the sheets, saying, “Get the snakes away! They’re everywhere!” Which response would the nurse make?

A “Tell me more about what these snakes look like.”

B “Relax; the snakes are not poisonous and will go away soon.”

C “The snakes seem real, but you’re seeing them because you haven’t been drinking.”

D “The snakes are frightening, but don’t worry because you are safe here.”

Question #27

A patient admitted to the medical unit 3 days ago is now very irritable and restless and says to the nurse, “There are roaches everywhere in this hospital, and they’ve been crawling on me. I’m so scared of bugs.” The nursing admission assessment shows that the patient drinks socially. Which conclusion does the nurse make?

A The patient probably has dementia, which was inadequately assessed at the time of admission.

B The facility’s infection control nurse should be consulted about the insect infestation.

C Caring behaviors by the nursing staff have most likely been inadequate, and the patient is lonely.

D The patient may have minimized alcohol use and may be experiencing withdrawal.

Question #28

The nurse finds that the patient’s Substance Abuse Subtle Screening Inventory (SASSI) screening is positive, and on further testing finds that the patient has a decreased respiratory rate. The nurse will infer abuse of which substance from these findings?

A Opioids

B Alcohol

C Methamphetamine

D Nicotine

Question #29

The nurse is caring for a patient with a history of alcoholism who is undergoing long-term alcohol treatment. Which intervention would the nurse take?

A Teaching the patient about flumazenil

B Monitoring the patient with methadone administration

C Ensuring the patient knows to avoid alcohol when taking disulfiram

D Administering propranolol daily

Question #30

The nurse is assessing a patient with severe alcohol withdrawal. Which severe symptom of withdrawal would the nurse monitor in the patient?

A Pulse rate 145 beats/min, Diastolic blood pressure 100 mm Hg, Respiratory rate 6 breaths/min

B Body temperature 103° F, Pulse rate 145 beats/min, Systolic blood pressure 220 mm Hg

C Diastolic blood pressure 100 mm Hg, Body temperature 103° F, Respiratory rate 6 breaths/min

D Respiratory rate 6 breaths/min, Systolic blood pressure 220 mm Hg, Diastolic blood pressure 100 mm Hg,

Question #31

Findings from a nursing assessment of a patient in the emergency department include mydriasis, rhinorrhea, diaphoresis, lacrimation, blood pressure 160/84 mm Hg, heart rate 116 beats/min, and respiratory rate 24 breaths/min. Which condition would the nurse suspect?

A Barbiturate overdose

B Amphetamine overdose

C Ethanol intoxication

D Opioid withdrawal

Question #32

An adult with a long history of multiple hospitalizations for alcohol withdrawal is brought to the emergency department. The health care provider prescribes daily administration of thiamine. Which goal is the rationale for this prescription?

A Suppress pancreatic enzymes

B Restore gait and balance

C Prevent Wernicke’s encephalopathy

D Prevent alcoholic hepatitis

Question #33

Varenicline is prescribed for a middle-aged patient for smoking cessation. Which action would the nurse take for this patient?

A Telling the patient that nausea and vomiting are likely

B Monitoring the patient for increased temperature

C Teaching the patient to avoid sunlight while on the medication

D Monitoring every 4 hours for orthostatic hypotension

Question #34

A patient who is a drug addict tells the nurse, “I get a better kick if I smoke it than when I swallow it.” Which drug does the nurse expect the patient to be abusing?

A Crystallized cocaine

B Powdered methamphetamine

C Powdered cocaine

D Crystallized methamphetamine

Question #35

Which symptom is likely to be produced by use of cannabis?

A Euphoria, Hallucinations, Memory lapses, Increased appetite

B Increased appetite, Heightened sensation of time, Hallucinations, Memory lapses

C Heightened sensation of time, Euphoria, Hallucinations, Memory lapses

D Hallucinations, Memory lapses, Increased appetite, Heightened sensation of time

Question #36

Which phrase describes the end goal of treatment for an individual with a long history of alcoholism?

A Recognition of the reasons for drinking alcohol

B Controlled social drinking of alcohol

C Systematic substitution of cross-tolerant substances

D Complete abstinence from alcohol use

Question #37

A patient in the emergency department reports headache and weakness and is noted to have dysrhythmias on an electrocardiogram. The patient is talkative, restless, anxious, and asking to leave. The nurse suspects that the patient might be taking which substance of abuse?

A Stimulants

B Depressants

C Opioids

D Marijuana

Question #38

A patient with attention-deficit/hyperactivity disorder has accidentally consumed an excess dose of prescribed amphetamine. Which type of medication will the nurse expect to administer?

A An opioid

B A sedative

C An analgesic

D A beta-adrenergic blocker

Question #39

How would the nurse respond when asked what to expect if the patient goes through withdrawal from opioids?

A “Dizziness will occur from a drop in blood pressure.”

B “Withdrawal from opioids will peak in 4 days.”

C “There will be strong cravings for the drug during withdrawal.”

D “Paranoid delusions are common with opioid withdrawal.”

Question #40

Which supplement is given to a patient who has severe alcohol withdrawal syndrome?

A Iron, Calcium

B Thiamine, Magnesium

C Iron, Dextrose

D Dextrose, Calcium

Question #41

The nurse prepares to assess a 74-year-old male patient who abuses alcohol. Which assessment tool is the best choice for this patient?

A CAGE-AID

B SASSI

C MAST-G

D POSIT

Question #42

Stimulants have the potential to be abused because they cause which sign or symptom to occur?

A Reduced fatigue, Narcosis, Decreased aggressiveness

B Decreased aggressiveness, Increased alertness, Narcosis

C Elevated mood, Reduced fatigue, Increased alertness

D Narcosis, Elevated mood, Decreased aggressiveness

Question #43

Which drug creates a sleepy, relaxed, drunken feeling in patients?

A Methamphetamine

B Morphine

C Naloxone

D Flunitrazepam

Question #44

Which chronic complication may occur in the patient who has been using marijuana for a long time?

A Liver failure

B Heart failure

C Respiratory failure

D Renal failure

Question #45

A patient is taking disulfiram and wants to know what will occur if alcohol is consumed while taking this drug. Which response would the nurse make?

A “You will have increased blood pressure and experience hyperactivity.”

B “You will experience nausea, weakness, and blurred vision.”

C “You will feel awake and alert after, as if you had consumed coffee.”

D “You will have severe lower back, leg, and abdominal pain.”

Question #46

While obtaining a medication history for a newly admitted patient, the nurse notes that the patient is currently prescribed naltrexone. The nurse would further question the patient regarding a history of which type of abuse?

A Barbiturate abuse

B Alcohol abuse

C Amphetamine abuse

D Opioid abuse

Question #47

Which drug is a partial nicotine agonist used for smoking cessation?

A Bupropion

B Nicotrol

C Varenicline

D Habitrol

Question #48

In order to help prevent liver failure in a patient who drinks alcohol frequently, which drug will the nurse instruct the patient to avoid?

A Acetaminophen

B Any antianxiety agent

C Any antihypertensive drug

D Methamphetamine

Question #49

Which definition is characteristic of drug tolerance?

A Dependence on another drug because of effects of the primary drug

B Experience of indicators of withdrawal when the drug is stopped

C Feeling an intense subjective need or craving for a particular drug

D Need for increased doses of a drug to get the desired effect

Question #50

Which phrase describes drug tolerance?

A Need for increased doses of a drug to get the desired effect

B Experience of indicators of withdrawal when the drug is stopped

C Feeling an intense subjective need or craving for a particular drug

D Dependence on another drug because of effects of the primary drug

Question #51

Which vitamin deficiency can result from long-term alcohol abuse and potentially lead to Wernicke’s encephalopathy?

A Thiamin

B Vitamin E

C Magnesium

D Vitamin A

Question #52

A patient who reports increasing opioid dosage to get the same effect is experiencing which outcome of opioid use?

A Physical dependence

B Habituation

C Tolerance

D Addiction

Question #53

Which substance is abused most by the adolescent population?

A Tobacco

B Marijuana

C Alcohol

D Opiates

Question #54

Which question would be included in the assessment interview of a patient with current opioid substance abuse?

A What is the cost of the drug you are using?
What other medications do you take?
When is the last time you used the drug?
Which routes do you use to take the drug?

B Which routes do you use to take the drug?
How long have you used the drug?
What other medications do you take?
What is the cost of the drug you are using?

C How long have you used the drug?
What other medications do you take?
When is the last time you used the drug?
Which routes do you use to take the drug?

D When is the last time you used the drug?
What is the cost of the drug you are using?
Which routes do you use to take the drug?
How long have you used the drug?

Question #55

A patient in the emergency department is experiencing tremors, agitation, and insomnia. The medical history reveals that the patient is being treated for alcoholism. After assessment, the patient was found to have a systolic blood pressure of 210 mm Hg, a diastolic blood pressure of 150 mm Hg, a pulse rate of 160 beats/min, and body temperature of 104° F. Which intervention does the nurse implement in this situation?

A Providing thiamine supplementation, Administering oral disulfiram, Providing doses of acamprosate

B Administering intravenous benzodiazepine, Providing doses of acamprosate, Administering oral disulfiram,

C Administering oral disulfiram, Applying restraints, Providing doses of acamprosate

D Applying restraints, Providing thiamine supplementation, Administering intravenous benzodiazepine

Question #56

Which drug will the nurse expect to administer to cease immediate cigarette craving in a patient being treated at a rehabilitation center?

A Nicotine patch

B Bupropion

C Nicotine chewing gum

D Varenicline