NUR 388: EXAM 1 (MIDTERM)
NUR 388: EXAM 1 (MIDTERM) NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 350 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
A man who takes a prescribed narcotic for pain on a regular basis reports that he
does not like the way the medicine makes him feel. He has tried to change to an
alternate analgesic but experienced withdrawal symptoms when he stopped
taking the narcotic. Which of the following problems is the man experiencing?
a. Drug abuse
b. Drug addiction
c. Drug dependence
d. Substance abuse
Drug dependence
Drug dependence is a state of neuroadaptation (a physiological change in the
central nervous system) and alterations in other systems caused by the long-term,
regular administration of a drug. People who are dependent on drugs must
continue using them to prevent withdrawal symptoms. Drug addiction is a pattern
of abuse characterized by an overwhelming preoccupation with the compulsive
use of a drug and securing its supply and a high tendency to relapse if the drug is
removed. Substance abuse does not apply in this case, because the man is taking a
prescribed medication for a legitimate purpose. The term drug abuse is no longer
meaningful.
A school health nurse is asked by a parent group to explain risk factors for
alcoholism. Which of the following information should the nurse include?
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, NUR 388: EXAM 1 (MIDTERM)
a. Alcoholism is determined primarily by the family environment.
b. Alcoholism is determined partly by genetic factors.
c. Persons who are alcoholics are usually women.
d. Persons born with fetal alcohol syndrome are alcoholics from birth.
Alcoholism is determined partly by genetic factors.
Research demonstrates that genes are responsible for about half of the risk for
abuse of alcohol. Multiple genes play a role in a person's risk for the development
of alcoholism. Research has not shown that the family environment is the main
risk factor for alcoholism. Alcoholism is more common among men than women.
Persons who are born with fetal alcohol syndrome are not alcoholics from birth
and are likely to have metabolic or other disturbances.
A movie shows a woman and a man having a contest to see who can drink more
shots of whiskey. Who is more likely to "win" the drinking contest when and one is
unable to continue drinking?
a. If their alcohol consumption is the same size, they'll both pass out about the
same time.
b. Whoever has food in their stomach will probably vomit and be unable to
continue drinking.
c. The man will likely win because of an inborn tendency to greater alcohol
tolerance.
d. The woman will likely win due to the tendency to have more adipose tissue
The man will likely win because of an inborn tendency to greater alcohol
tolerance.
2|Page
, NUR 388: EXAM 1 (MIDTERM)
Women are more affected by alcohol than men, because women have less alcohol
dehydrogenase activity than men; thus men have an increased tolerance for
alcohol. It is also unlikely that they will both "win" at the same time because the
alcohol will likely affect the woman factor than the man. The adipose tissue ratio is
not a factor in alcohol tolerance. While vomiting may occur, it will not necessarily
affect the ability to continue to consume alcohol.
Students at first-day orientation at the local community college are discussing
alcohol and drug abuse with their freshmen advisor. During a break, some
students go outside for soft drinks and snacks. Soon after, the advisor walks by
and notices several of these students smoking cigarettes. Based on this, which of
the following topics of the drug and alcohol orientation would be most important
for the advisor to reemphasize after the break?
a. A discussion of which drugs are commonly used on campus
b. How students can learn to "just say no" when offered drugs or drinks
c. How to recognize and overcome peer pressure to continue bad habits
d. The fact that tobacco smoking causes more premature deaths than any other
behavior
The fact that tobacco smoking causes more premature deaths than any other
behavior
The most relevant action in this case is making it clear to students that tobacco is
a drug—and that smoking cigarettes accounts for one in five deaths in the United
States. Smoking is the foremost preventable cause of death in the United States.
Because the students are engaging in tobacco use, this is the most important topic
to address with them at this time. If the students were not engaging in this
3|Page
, NUR 388: EXAM 1 (MIDTERM)
behavior, the other topics of commonly used drugs on campus, just "saying no",
and overcoming peer pressure may have been just as appropriate.
A nurse sees the father of a newborn baby push his wife in a wheelchair out onto
the patio. The man and woman each smoke a cigarette while the baby sleeps in
the mother’s arms. Which of the following information should the nurse share
with the parents?
a. Fetal nicotine syndrome may cause complications in the newborn.
b. The sidestream smoke that the baby is exposed to is more dangerous than the
mainstream smoke that the parents are inhaling themselves.
c. The baby will eventually develop tolerance to tobacco smoke.
d. The parents should switch to chewing tobacco as long as the child lives in the
home.
The sidestream smoke that the baby is exposed to is more dangerous than the
mainstream smoke that the parents are inhaling themselves.
Sidestream smoke contains higher concentrations of toxic and carcinogenic
compounds than mainstream smoke. Sidestream smoke contains higher
concentrations of toxic and carcinogenic compounds than mainstream smoke.
Fetal alcohol syndrome is a cause of newborn congenital dysfunctions. There is not
known tolerance to tobacco smoke. While chewing tobacco doesn’t produce
smoke, the parents would still be at a considerable health risk from the nicotine.
Which of the following addictive drugs is both legal and culturally acceptable
throughout almost all of the United States?
4|Page
NUR 388: EXAM 1 (MIDTERM) NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 350 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
A man who takes a prescribed narcotic for pain on a regular basis reports that he
does not like the way the medicine makes him feel. He has tried to change to an
alternate analgesic but experienced withdrawal symptoms when he stopped
taking the narcotic. Which of the following problems is the man experiencing?
a. Drug abuse
b. Drug addiction
c. Drug dependence
d. Substance abuse
Drug dependence
Drug dependence is a state of neuroadaptation (a physiological change in the
central nervous system) and alterations in other systems caused by the long-term,
regular administration of a drug. People who are dependent on drugs must
continue using them to prevent withdrawal symptoms. Drug addiction is a pattern
of abuse characterized by an overwhelming preoccupation with the compulsive
use of a drug and securing its supply and a high tendency to relapse if the drug is
removed. Substance abuse does not apply in this case, because the man is taking a
prescribed medication for a legitimate purpose. The term drug abuse is no longer
meaningful.
A school health nurse is asked by a parent group to explain risk factors for
alcoholism. Which of the following information should the nurse include?
1|Page
, NUR 388: EXAM 1 (MIDTERM)
a. Alcoholism is determined primarily by the family environment.
b. Alcoholism is determined partly by genetic factors.
c. Persons who are alcoholics are usually women.
d. Persons born with fetal alcohol syndrome are alcoholics from birth.
Alcoholism is determined partly by genetic factors.
Research demonstrates that genes are responsible for about half of the risk for
abuse of alcohol. Multiple genes play a role in a person's risk for the development
of alcoholism. Research has not shown that the family environment is the main
risk factor for alcoholism. Alcoholism is more common among men than women.
Persons who are born with fetal alcohol syndrome are not alcoholics from birth
and are likely to have metabolic or other disturbances.
A movie shows a woman and a man having a contest to see who can drink more
shots of whiskey. Who is more likely to "win" the drinking contest when and one is
unable to continue drinking?
a. If their alcohol consumption is the same size, they'll both pass out about the
same time.
b. Whoever has food in their stomach will probably vomit and be unable to
continue drinking.
c. The man will likely win because of an inborn tendency to greater alcohol
tolerance.
d. The woman will likely win due to the tendency to have more adipose tissue
The man will likely win because of an inborn tendency to greater alcohol
tolerance.
2|Page
, NUR 388: EXAM 1 (MIDTERM)
Women are more affected by alcohol than men, because women have less alcohol
dehydrogenase activity than men; thus men have an increased tolerance for
alcohol. It is also unlikely that they will both "win" at the same time because the
alcohol will likely affect the woman factor than the man. The adipose tissue ratio is
not a factor in alcohol tolerance. While vomiting may occur, it will not necessarily
affect the ability to continue to consume alcohol.
Students at first-day orientation at the local community college are discussing
alcohol and drug abuse with their freshmen advisor. During a break, some
students go outside for soft drinks and snacks. Soon after, the advisor walks by
and notices several of these students smoking cigarettes. Based on this, which of
the following topics of the drug and alcohol orientation would be most important
for the advisor to reemphasize after the break?
a. A discussion of which drugs are commonly used on campus
b. How students can learn to "just say no" when offered drugs or drinks
c. How to recognize and overcome peer pressure to continue bad habits
d. The fact that tobacco smoking causes more premature deaths than any other
behavior
The fact that tobacco smoking causes more premature deaths than any other
behavior
The most relevant action in this case is making it clear to students that tobacco is
a drug—and that smoking cigarettes accounts for one in five deaths in the United
States. Smoking is the foremost preventable cause of death in the United States.
Because the students are engaging in tobacco use, this is the most important topic
to address with them at this time. If the students were not engaging in this
3|Page
, NUR 388: EXAM 1 (MIDTERM)
behavior, the other topics of commonly used drugs on campus, just "saying no",
and overcoming peer pressure may have been just as appropriate.
A nurse sees the father of a newborn baby push his wife in a wheelchair out onto
the patio. The man and woman each smoke a cigarette while the baby sleeps in
the mother’s arms. Which of the following information should the nurse share
with the parents?
a. Fetal nicotine syndrome may cause complications in the newborn.
b. The sidestream smoke that the baby is exposed to is more dangerous than the
mainstream smoke that the parents are inhaling themselves.
c. The baby will eventually develop tolerance to tobacco smoke.
d. The parents should switch to chewing tobacco as long as the child lives in the
home.
The sidestream smoke that the baby is exposed to is more dangerous than the
mainstream smoke that the parents are inhaling themselves.
Sidestream smoke contains higher concentrations of toxic and carcinogenic
compounds than mainstream smoke. Sidestream smoke contains higher
concentrations of toxic and carcinogenic compounds than mainstream smoke.
Fetal alcohol syndrome is a cause of newborn congenital dysfunctions. There is not
known tolerance to tobacco smoke. While chewing tobacco doesn’t produce
smoke, the parents would still be at a considerable health risk from the nicotine.
Which of the following addictive drugs is both legal and culturally acceptable
throughout almost all of the United States?
4|Page
