,
,
,
,Heart rate of 135 beats/min
E)
Normal blood pressure
5.
A nurse is talking with a 57-year-old client who has been a heavy drinker for many years. The
client is being treated for alcoholism, and this is her second week as an inpatient on the
psychiatric unit. It is 5:00 AM, and the client has been having difficulty sleeping. The client is an
orthopedic nurse, and although she is clothed in a hospital-issued gown and robe, she is wearing
a stethoscope around her neck that the nurse recognizes as belonging to one of the staff nurses.
When the nurse asks her why she is wearing the stethoscope and where she got it, the client gives
her a long and involved reply that basically describes how her nursing supervisor came to visit
and gave it to her to wear so shed remember to get well. The nurse suspects that the client may
be experiencing which of the following?
A)
Wernickes syndrome
B)
Delirium tremens
C)
Korsakoffs psychosis
D)
Malignant hyperthermia
6.
A nurse is using motivational therapy with a female client with alcoholism. The client, who is
unwilling to consider changing her drinking behavior, emphatically states, I am not an alcoholic;
you cant make me stop drinking. Which response by the nurse would be most appropriate?
A)
You have to stop drinking and driving; you could kill someone.
B)
www.nursylab.com
,Youre right; youre not an alcoholic.
C)
You should consider what you are doing to your marital relationship.
D)
Youre the only one who can make yourself stop drinking.
7.
A 52-year-old male client who has a history of alcohol dependence is admitted to a
detoxification unit. He has tremors, he is anxious, his pulse has risen from 98 to 110 beats/min,
his blood pressure has risen from 140/88 to 152/100 mm Hg, and his temperature is six tenths of
a degree above normal. He is slightly diaphoretic. Which nursing diagnosis would be the
priority?
A)
Disturbed Thought Processes
B)
Risk for Injury
C)
Ineffective Coping
D)
Ineffective Denial
8.
A nurse is working with a client who is addicted to heroin. The nurse engages in harm reduction
by teaching the client about which of the following?
A)
Using bleach solution to disinfect dirty needles
B)
www.nursylab.com
,Problem solving
C)
Healthy coping skills
D)
Proper use of naltrexone (Trexan)
9.
A 20-year-old man arrives at the emergency department by ambulance. He is unconscious, with
slow respirations and pinpoint pupils. There are tracks visible on his arms. The friend who came
with him reports that the client had just shot up heroin when he became unconscious. Which
medication would the nurse most likely expect to administer?
A)
Naloxone
B)
Naltrexone
C)
Bupropion
D)
Varenicline
10.
A nurse is obtaining a history from a client who drinks about 6 cups of coffee and several diet
cola drinks per day. The client states, I just cut down my coffee and soda intake to one per day.
Which of the following would the nurse most likely expect to assess? Select all that apply.
A)
Headache
B)
www.nursylab.com
,Fatigue
C)
Yawning
D)
Flushing
E)
Diuresis
11.
A group of nursing students is reviewing information about substances that are abused. The
students demonstrate understanding of the information when they identify which of the following
as stimulants? Select all that apply.
A)
Alcohol
B)
Cocaine
C)
Heroin
D)
Nicotine
E)
Phencyclidine
12.
www.nursylab.com
,A client is receiving methadone maintenance therapy. After teaching the client about this
treatment, the nurse determines that the teaching was successful when the client states which of
the following?
A)
I can have a glass of wine with dinner if I choose.
B)
I should eat small frequent meals if I get nauseated.
C)
I should take the drug on an empty stomach.
D)
I might experience diarrhea with this drug.
13.
A client with a history of alcohol abuse is participating in a 12-step Alcoholics Anonymous (AA)
program. The nurse determines that the client is at step two when he states which of the
following?
A)
Ive admitted to myself and others the wrongdoings Ive done.
B)
I realize that there is a higher power that can help me.
C)
I know now that I am powerless over alcohol.
D)
I am making amends to all those that Ive harmed.
14.
www.nursylab.com
, A nurse is preparing an inservice program about substance abuse and its etiology. Which of the
following would the nurse most likely include in the presentation when discussing possible
psychologic etiologies?
A)
Low self-esteem
B)
Genetic predisposition
C)
Dysfunctional family
D)
Peer influence
15.
A client is brought into the emergency department because he was involved in an automobile
accident. His blood alcohol level (BAL) is 0.10 mg %. Based on this finding, the nurse would
expect to assess which of the following?
A)
Difficulty with coordination
B)
Stupor
C)
Emotional lability
D)
Ataxia
16.
www.nursylab.com
,
,
,Heart rate of 135 beats/min
E)
Normal blood pressure
5.
A nurse is talking with a 57-year-old client who has been a heavy drinker for many years. The
client is being treated for alcoholism, and this is her second week as an inpatient on the
psychiatric unit. It is 5:00 AM, and the client has been having difficulty sleeping. The client is an
orthopedic nurse, and although she is clothed in a hospital-issued gown and robe, she is wearing
a stethoscope around her neck that the nurse recognizes as belonging to one of the staff nurses.
When the nurse asks her why she is wearing the stethoscope and where she got it, the client gives
her a long and involved reply that basically describes how her nursing supervisor came to visit
and gave it to her to wear so shed remember to get well. The nurse suspects that the client may
be experiencing which of the following?
A)
Wernickes syndrome
B)
Delirium tremens
C)
Korsakoffs psychosis
D)
Malignant hyperthermia
6.
A nurse is using motivational therapy with a female client with alcoholism. The client, who is
unwilling to consider changing her drinking behavior, emphatically states, I am not an alcoholic;
you cant make me stop drinking. Which response by the nurse would be most appropriate?
A)
You have to stop drinking and driving; you could kill someone.
B)
www.nursylab.com
,Youre right; youre not an alcoholic.
C)
You should consider what you are doing to your marital relationship.
D)
Youre the only one who can make yourself stop drinking.
7.
A 52-year-old male client who has a history of alcohol dependence is admitted to a
detoxification unit. He has tremors, he is anxious, his pulse has risen from 98 to 110 beats/min,
his blood pressure has risen from 140/88 to 152/100 mm Hg, and his temperature is six tenths of
a degree above normal. He is slightly diaphoretic. Which nursing diagnosis would be the
priority?
A)
Disturbed Thought Processes
B)
Risk for Injury
C)
Ineffective Coping
D)
Ineffective Denial
8.
A nurse is working with a client who is addicted to heroin. The nurse engages in harm reduction
by teaching the client about which of the following?
A)
Using bleach solution to disinfect dirty needles
B)
www.nursylab.com
,Problem solving
C)
Healthy coping skills
D)
Proper use of naltrexone (Trexan)
9.
A 20-year-old man arrives at the emergency department by ambulance. He is unconscious, with
slow respirations and pinpoint pupils. There are tracks visible on his arms. The friend who came
with him reports that the client had just shot up heroin when he became unconscious. Which
medication would the nurse most likely expect to administer?
A)
Naloxone
B)
Naltrexone
C)
Bupropion
D)
Varenicline
10.
A nurse is obtaining a history from a client who drinks about 6 cups of coffee and several diet
cola drinks per day. The client states, I just cut down my coffee and soda intake to one per day.
Which of the following would the nurse most likely expect to assess? Select all that apply.
A)
Headache
B)
www.nursylab.com
,Fatigue
C)
Yawning
D)
Flushing
E)
Diuresis
11.
A group of nursing students is reviewing information about substances that are abused. The
students demonstrate understanding of the information when they identify which of the following
as stimulants? Select all that apply.
A)
Alcohol
B)
Cocaine
C)
Heroin
D)
Nicotine
E)
Phencyclidine
12.
www.nursylab.com
,A client is receiving methadone maintenance therapy. After teaching the client about this
treatment, the nurse determines that the teaching was successful when the client states which of
the following?
A)
I can have a glass of wine with dinner if I choose.
B)
I should eat small frequent meals if I get nauseated.
C)
I should take the drug on an empty stomach.
D)
I might experience diarrhea with this drug.
13.
A client with a history of alcohol abuse is participating in a 12-step Alcoholics Anonymous (AA)
program. The nurse determines that the client is at step two when he states which of the
following?
A)
Ive admitted to myself and others the wrongdoings Ive done.
B)
I realize that there is a higher power that can help me.
C)
I know now that I am powerless over alcohol.
D)
I am making amends to all those that Ive harmed.
14.
www.nursylab.com
, A nurse is preparing an inservice program about substance abuse and its etiology. Which of the
following would the nurse most likely include in the presentation when discussing possible
psychologic etiologies?
A)
Low self-esteem
B)
Genetic predisposition
C)
Dysfunctional family
D)
Peer influence
15.
A client is brought into the emergency department because he was involved in an automobile
accident. His blood alcohol level (BAL) is 0.10 mg %. Based on this finding, the nurse would
expect to assess which of the following?
A)
Difficulty with coordination
B)
Stupor
C)
Emotional lability
D)
Ataxia
16.
www.nursylab.com
