PSYCHIA-COMPREHENSIVE NURSING EXAM
QUESTIONS WITH ANSWERS GRADED A+ 2022
1
Substance abuse
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 safety issues at the next staff
meeting. C. Report the coworker’s behavior to the appropriate
supervisor.
D. Warn the co-worker that this practice is unsafe.
2. Elsa is being treated in a chemical dependency unit. She tells the nurse that she only uses drugs when
under stress and therefore does not have a substance problem. Which defense mechanism is the client
using?
A. Compensation
B. Denial
C. Suppression
D. Undoing
3. Nurse Tara is teaching a community group about substance abuse. She explains that a genetic
component has been implicated in which of the following commonly abused substances?
A. Alcohol
B. Barbiturates
C. Heroin
D. Marijuana
4. Nurse Julie recommends that the family of a client with substance-related disorder attend a support group,
such as Al-Anon and Alateen. The purpose of these groups is to help family members understand the problem
and to:
A. Change the problem behaviors of the abuser.
B. Learn how to assist the abuser in getting help.
PSYCHIA-COMPREHENSIVE NURSING EXAM
QUESTIONS WITH ANSWERS GRADED A+ 2022
, PSYCHIA-COMPREHENSIVE NURSING EXAM
QUESTIONS WITH ANSWERS GRADED A+ 2022
C. Maintain focus on changing their own
behaviors.
D. Prevent substance problems in vulnerable family members.
5. Ryan who is a chronic alcohol abuser is being assessed by Nurse Gina. Which problems are related to
thiamin deficiency?
A. Cardiovascular symptoms, such as decreased hemoglobin and hematocrit
levels B. CNS symptoms, such as ataxia and peripheral neuropathy
C. Gastrointestinal symptoms, such as nausea and vomiting
D. Respiratory symptoms, such as cough and sore throat
6. Nurse Wilma is teaching a client about disulfiram (Antabuse), which the client is taking to deter his use
of alcohol. She explains that using alcohol when taking this medication can result in:
A. Abdominal cramps and diarrhea.
B. Drowsiness and decreased
respiration. C. Flushing, vomiting, and
dizziness.
D. Increased pulse and blood pressure.
7. The nurse administers bromocriptine (Parlodel) to Bryan who is undergoing detoxification for
amphetamine abuse. The rationale for this medication is to:
A. Aid in GABA inhibition.
B. Prevent norepinephrine excess.
C. Restore depleted dopamine levels.
D. Treat psychotic symptoms.
8. Which medication is commonly used in treatment programs for heroinabusers to produce a non-
euphoric state and to replace heroin use?
A. Diazepam
B. Carbamazepine
C. Clonidine
D. Methadone
PSYCHIA-COMPREHENSIVE NURSING EXAM
QUESTIONS WITH ANSWERS GRADED A+ 2022
, PSYCHIA-COMPREHENSIVE NURSING EXAM
QUESTIONS WITH ANSWERS GRADED A+ 2022
9. Nurse Christine is teaching an adolescent health class about the dangers of inhalant abuse; the nurse
warns about the possibility of:
A. Contracting an infectious disease, such as hepatitis or AIDS
B. Recurrent flashback events
C. Psychological dependence after initial use
D. Sudden death from cardiac or respiratory depression
10. 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. Anxiety, tremors, and tachycardia
B. Respiratory depression, stupor, and bradycardia
C. Muscle aches, cramps, and lacrimation
D. Paranoia, depression, and agitation
11. 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
12. 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. Depressant.
B. Hallucinogenic.
C. Stimulant.
D. Tranquilizing.
13. When a client abuses a CNS depressant, withdrawal symptoms will be caused by which of the following?
A. Acetylcholine excess
B. Dopamine depletion
PSYCHIA-COMPREHENSIVE NURSING EXAM
QUESTIONS WITH ANSWERS GRADED A+ 2022
, PSYCHIA-COMPREHENSIVE NURSING EXAM
QUESTIONS WITH ANSWERS GRADED A+ 2022
C. Serotonin inhibition
D. Norepinephrine rebound
14. 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.
15. During an initial assessment of a client admitted to a substance abuse unit for detoxification and
treatment, the nurse asks questions to determine patterns of use of substances. Which of the following
questions are most appropriate at this time? Select all that apply.
A. How long have you used
substances? B. How often do you use
substances?
C. How do you get substances into your body?
D. Do you feel bad or guilty about your use of substances?
E. How much of each substance do you use?
F. Have you ever felt you should cut down substance use?
G. What substances do you use?
2
1. Flumazenil (Romazicon) has been ordered for a male client who has overdosed on oxazepam (Serax).
Before administering the medication, nurse Gina should be prepared for which common adverse
effect?
A. Seizures
B. Shivering
PSYCHIA-COMPREHENSIVE NURSING EXAM
QUESTIONS WITH ANSWERS GRADED A+ 2022
QUESTIONS WITH ANSWERS GRADED A+ 2022
1
Substance abuse
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 safety issues at the next staff
meeting. C. Report the coworker’s behavior to the appropriate
supervisor.
D. Warn the co-worker that this practice is unsafe.
2. Elsa is being treated in a chemical dependency unit. She tells the nurse that she only uses drugs when
under stress and therefore does not have a substance problem. Which defense mechanism is the client
using?
A. Compensation
B. Denial
C. Suppression
D. Undoing
3. Nurse Tara is teaching a community group about substance abuse. She explains that a genetic
component has been implicated in which of the following commonly abused substances?
A. Alcohol
B. Barbiturates
C. Heroin
D. Marijuana
4. Nurse Julie recommends that the family of a client with substance-related disorder attend a support group,
such as Al-Anon and Alateen. The purpose of these groups is to help family members understand the problem
and to:
A. Change the problem behaviors of the abuser.
B. Learn how to assist the abuser in getting help.
PSYCHIA-COMPREHENSIVE NURSING EXAM
QUESTIONS WITH ANSWERS GRADED A+ 2022
, PSYCHIA-COMPREHENSIVE NURSING EXAM
QUESTIONS WITH ANSWERS GRADED A+ 2022
C. Maintain focus on changing their own
behaviors.
D. Prevent substance problems in vulnerable family members.
5. Ryan who is a chronic alcohol abuser is being assessed by Nurse Gina. Which problems are related to
thiamin deficiency?
A. Cardiovascular symptoms, such as decreased hemoglobin and hematocrit
levels B. CNS symptoms, such as ataxia and peripheral neuropathy
C. Gastrointestinal symptoms, such as nausea and vomiting
D. Respiratory symptoms, such as cough and sore throat
6. Nurse Wilma is teaching a client about disulfiram (Antabuse), which the client is taking to deter his use
of alcohol. She explains that using alcohol when taking this medication can result in:
A. Abdominal cramps and diarrhea.
B. Drowsiness and decreased
respiration. C. Flushing, vomiting, and
dizziness.
D. Increased pulse and blood pressure.
7. The nurse administers bromocriptine (Parlodel) to Bryan who is undergoing detoxification for
amphetamine abuse. The rationale for this medication is to:
A. Aid in GABA inhibition.
B. Prevent norepinephrine excess.
C. Restore depleted dopamine levels.
D. Treat psychotic symptoms.
8. Which medication is commonly used in treatment programs for heroinabusers to produce a non-
euphoric state and to replace heroin use?
A. Diazepam
B. Carbamazepine
C. Clonidine
D. Methadone
PSYCHIA-COMPREHENSIVE NURSING EXAM
QUESTIONS WITH ANSWERS GRADED A+ 2022
, PSYCHIA-COMPREHENSIVE NURSING EXAM
QUESTIONS WITH ANSWERS GRADED A+ 2022
9. Nurse Christine is teaching an adolescent health class about the dangers of inhalant abuse; the nurse
warns about the possibility of:
A. Contracting an infectious disease, such as hepatitis or AIDS
B. Recurrent flashback events
C. Psychological dependence after initial use
D. Sudden death from cardiac or respiratory depression
10. 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. Anxiety, tremors, and tachycardia
B. Respiratory depression, stupor, and bradycardia
C. Muscle aches, cramps, and lacrimation
D. Paranoia, depression, and agitation
11. 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
12. 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. Depressant.
B. Hallucinogenic.
C. Stimulant.
D. Tranquilizing.
13. When a client abuses a CNS depressant, withdrawal symptoms will be caused by which of the following?
A. Acetylcholine excess
B. Dopamine depletion
PSYCHIA-COMPREHENSIVE NURSING EXAM
QUESTIONS WITH ANSWERS GRADED A+ 2022
, PSYCHIA-COMPREHENSIVE NURSING EXAM
QUESTIONS WITH ANSWERS GRADED A+ 2022
C. Serotonin inhibition
D. Norepinephrine rebound
14. 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.
15. During an initial assessment of a client admitted to a substance abuse unit for detoxification and
treatment, the nurse asks questions to determine patterns of use of substances. Which of the following
questions are most appropriate at this time? Select all that apply.
A. How long have you used
substances? B. How often do you use
substances?
C. How do you get substances into your body?
D. Do you feel bad or guilty about your use of substances?
E. How much of each substance do you use?
F. Have you ever felt you should cut down substance use?
G. What substances do you use?
2
1. Flumazenil (Romazicon) has been ordered for a male client who has overdosed on oxazepam (Serax).
Before administering the medication, nurse Gina should be prepared for which common adverse
effect?
A. Seizures
B. Shivering
PSYCHIA-COMPREHENSIVE NURSING EXAM
QUESTIONS WITH ANSWERS GRADED A+ 2022
