Wk. 14 - Substance Use Practice Questions

A patient with opioid use disorder abruptly stops using opioids. Which symptom would the nurse most likely expect during assessment? A. Bradycardia B. Hypotension C. Anxiety D. Constipation

C

Which clinical manifestation indicates severe alcohol withdrawal requiring immediate intervention? A. Mild hand tremors B. Hallucinations C. Irritability D. Increased appetite

B

A patient states, “I need more alcohol now to feel anything.” Which concept does this describe? A. Dependence B. Tolerance C. Withdrawal D. Addiction

B

Which medication is used in Medication Assisted Therapy (MAT) as a full opioid agonist? A. Buprenorphine B. Naltrexone C. Methadone D. Naloxone

C

What is the priority nursing action for a patient exhibiting symptoms of delirium tremens? A. Provide IV fluids B. Turn off the lights to keep the room dark C. Encourage independent ambulation D. Administer antibiotics

A

Which medication is an opioid antagonist used in overdose situations? A. Naloxone B. Methadone C. Disulfiram D. Buprenorphine

A

A patient is receiving buprenorphine. What is the most important nurse teaching? A. It can cause immediate intense withdrawal. B. It fully activates opioid receptors like heroin. C. It has a ceiling effect that limits respiratory depression. D. It cures opioid addiction permanently.

C

Which principle best defines harm reduction? A. Requiring complete abstinence B. Reducing the negative consequences of substance use C. Using punitive approaches to substance misuse D. Ignoring patient substance use patterns

B

Which vital sign finding is a priority concern during opioid withdrawal? A. Blood pressure 110/70 mmHg B. Pulse 122 bpm C. Temperature 98.6°F D. Respiratory rate 16/min

B

A nurse prepares to educate a patient about naltrexone. Which statement is correct? A. “You can use opioids while taking this safely.” B. “This medication will prevent opioid cravings.” C. “You should avoid this medication if you are currently using opioids.” D. “You will experience euphoria if you take opioids with this medication.”

C

Signs and symptoms of alcohol withdrawal syndrome include: (Select all that apply) A. Seizures B. Hallucinations C. Hypothermia D. Agitation E. Hypotension

A,B,D

Which nursing interventions are appropriate during alcohol withdrawal management? (Select all that apply) A. Frequent reorientation B. Strict bed rest C. Electrolyte monitoring D. Restraint use for all agitated patients E. Calm, quiet environment

A,C,E

Common symptoms of opioid withdrawal include: (Select all that apply) A. Diarrhea B. Restlessness C. Piloerection (goosebumps) D. Respiratory depression E. Mydriasis (dilated pupils)

A,B,C,E

Harm reduction strategies may involve: (Select all that apply) A. Distribution of clean syringes B. Mandatory abstinence counseling C. Designated driver programs D. Naloxone education and distribution E. Stigmatizing language to promote sobriety

A,C,D

Benefits of Medication Assisted Therapy (MAT) include: (Select all that apply) A. Stabilizes brain chemistry B. Increases relapse rates C. Reduces opioid cravings D. Decreases overdose deaths E. Replaces therapy with medication only

A,C,D

True or False: Tolerance is a physical need for a substance to prevent withdrawal symptoms.

False

True or False: Delirium tremens usually occur immediately (within 6 hours) after the last alcoholic drink.

False

True or False: Buprenorphine is a full opioid agonist used in MAT.

False

True or False: Harm reduction strategies are judgment-free and patient-centered.

True

True or False: Naloxone can reverse opioid overdose rapidly.

True

True or False: Opioid withdrawal is not life-threatening but can cause significant discomfort and lead to relapse.

True

True or False: Recovery focuses only on achieving abstinence.

True

True or False: Naltrexone can be used while opioids are still actively in the system.

False

True or False: Assessment of alcohol withdrawal severity can be guided by tools such as the CIWA scale.

True

True or False: Nurses should prioritize promoting patient dignity and autonomy during withdrawal treatment.

True