Page 1 of 67
NURSING - A CONCEPT-BASED APPROACH TO LEARNING, VOLUME 2
(5TH EDITION) — PEARSON EXAM QUESTIONS AND CORRECT ANSWERS
LATEST EDITION 2026
Nursing: A Concept-Based Approach to Learning, Volume 2 (5th Edition) — Pearson
1. A nurse is assessing a patient who reports drinking alcohol daily and has experienced
tremors, sweating, and anxiety when trying to stop. Which finding is most concerning for
alcohol withdrawal?
A) Mild anxiety
B) Seizure activity
C) Increased appetite
D) Sleepiness
Answer: B
Rationale: Seizures are a severe manifestation of alcohol withdrawal and require immediate
medical intervention. Other signs include tachycardia, hypertension, and hallucinations.
2. A patient with nicotine use disorder asks about methods to quit smoking. Which
combination is most effective?
A) Willpower alone
B) Nicotine replacement therapy combined with behavioral counseling
C) Hypnosis only
D) Reducing cigarettes gradually without support
Answer: B
Rationale: The combination of pharmacotherapy and behavioral counseling significantly
increases quit rates.
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3. A patient presents with opioid overdose. Which medication is the antidote?
A) Naloxone
B) Flumazenil
C) Naltrexone
D) Buprenorphine
Answer: A
Rationale: Naloxone is an opioid antagonist that reverses respiratory depression and overdose.
4. A nurse is screening for alcohol use disorder. Which screening tool is appropriate?
A) CAGE questionnaire
B) PHQ-9
C) GAD-7
D) MMSE
Answer: A
Rationale: The CAGE questionnaire (Cut down, Annoyed, Guilty, Eye-opener) is a validated
screening tool for alcohol use disorder.
5. A patient in alcohol withdrawal is prescribed a benzodiazepine. What is the rationale?
A) To prevent seizures and manage withdrawal symptoms
B) To treat depression
C) To reduce pain
D) To increase blood pressure
Answer: A
Rationale: Benzodiazepines are used to manage alcohol withdrawal symptoms and prevent
seizures.
6. A patient with substance use disorder asks about medication-assisted treatment. Which
medication is used for opioid use disorder?
A) Methadone
B) Fluoxetine
C) Lithium
D) Haloperidol
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Answer: A
Rationale: Methadone, buprenorphine, and naltrexone are FDA-approved for opioid use
disorder.
7. A nurse is teaching a patient about nicotine withdrawal. Which symptom should the
patient expect?
A) Increased appetite
B) Bradycardia
C) Hypotension
D) Decreased heart rate
Answer: A
Rationale: Increased appetite and weight gain are common during nicotine withdrawal.
8. A patient with alcohol use disorder is at risk for which nutritional deficiency?
A) Thiamine (Vitamin B1)
B) Vitamin C
C) Calcium
D) Iron
Answer: A
Rationale: Thiamine deficiency is common in alcohol use disorder and can lead to Wernicke-
Korsakoff syndrome.
9. A nurse is assessing a patient for signs of opioid withdrawal. Which finding is expected?
A) Dilated pupils, yawning, and diaphoresis
B) Constricted pupils and respiratory depression
C) Bradycardia and hypotension
D) Increased sedation
Answer: A
Rationale: Opioid withdrawal produces symptoms opposite of intoxication: dilated pupils,
yawning, diaphoresis, and agitation.
10. A patient asks about the health effects of long-term alcohol use. Which condition is
associated with chronic alcohol use?
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A) Cirrhosis
B) Osteoporosis
C) Hyperthyroidism
D) Asthma
Answer: A
Rationale: Chronic alcohol use is a leading cause of cirrhosis and liver disease.
Module 23: Cognition (Questions 11–20)
11. A patient with Alzheimer disease is admitted to the hospital. Which nursing intervention is
most appropriate?
A) Frequently reorient the patient and maintain a consistent routine
B) Keep the patient in bed to prevent wandering
C) Limit family visits to reduce stimulation
D) Use restraints as needed
Answer: A
Rationale: Reorientation and consistent routines reduce confusion and agitation in patients with
dementia.
12. A patient develops acute confusion and inattention 2 days after surgery. Which condition
is most likely?
A) Delirium
B) Alzheimer disease
C) Schizophrenia
D) Depression
Answer: A
Rationale: Delirium is characterized by acute onset, fluctuating course, and inattention. It is
common postoperatively in older adults.
13. A patient with schizophrenia is experiencing auditory hallucinations. Which nursing
intervention is most appropriate?
A) Ask the patient what the voices are saying
B) Tell the patient the voices are not real
C) Ignore the hallucinations
D) Restrict the patient's activity
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NURSING - A CONCEPT-BASED APPROACH TO LEARNING, VOLUME 2
(5TH EDITION) — PEARSON EXAM QUESTIONS AND CORRECT ANSWERS
LATEST EDITION 2026
Nursing: A Concept-Based Approach to Learning, Volume 2 (5th Edition) — Pearson
1. A nurse is assessing a patient who reports drinking alcohol daily and has experienced
tremors, sweating, and anxiety when trying to stop. Which finding is most concerning for
alcohol withdrawal?
A) Mild anxiety
B) Seizure activity
C) Increased appetite
D) Sleepiness
Answer: B
Rationale: Seizures are a severe manifestation of alcohol withdrawal and require immediate
medical intervention. Other signs include tachycardia, hypertension, and hallucinations.
2. A patient with nicotine use disorder asks about methods to quit smoking. Which
combination is most effective?
A) Willpower alone
B) Nicotine replacement therapy combined with behavioral counseling
C) Hypnosis only
D) Reducing cigarettes gradually without support
Answer: B
Rationale: The combination of pharmacotherapy and behavioral counseling significantly
increases quit rates.
1|Page
,Page 2 of 67
3. A patient presents with opioid overdose. Which medication is the antidote?
A) Naloxone
B) Flumazenil
C) Naltrexone
D) Buprenorphine
Answer: A
Rationale: Naloxone is an opioid antagonist that reverses respiratory depression and overdose.
4. A nurse is screening for alcohol use disorder. Which screening tool is appropriate?
A) CAGE questionnaire
B) PHQ-9
C) GAD-7
D) MMSE
Answer: A
Rationale: The CAGE questionnaire (Cut down, Annoyed, Guilty, Eye-opener) is a validated
screening tool for alcohol use disorder.
5. A patient in alcohol withdrawal is prescribed a benzodiazepine. What is the rationale?
A) To prevent seizures and manage withdrawal symptoms
B) To treat depression
C) To reduce pain
D) To increase blood pressure
Answer: A
Rationale: Benzodiazepines are used to manage alcohol withdrawal symptoms and prevent
seizures.
6. A patient with substance use disorder asks about medication-assisted treatment. Which
medication is used for opioid use disorder?
A) Methadone
B) Fluoxetine
C) Lithium
D) Haloperidol
2|Page
,Page 3 of 67
Answer: A
Rationale: Methadone, buprenorphine, and naltrexone are FDA-approved for opioid use
disorder.
7. A nurse is teaching a patient about nicotine withdrawal. Which symptom should the
patient expect?
A) Increased appetite
B) Bradycardia
C) Hypotension
D) Decreased heart rate
Answer: A
Rationale: Increased appetite and weight gain are common during nicotine withdrawal.
8. A patient with alcohol use disorder is at risk for which nutritional deficiency?
A) Thiamine (Vitamin B1)
B) Vitamin C
C) Calcium
D) Iron
Answer: A
Rationale: Thiamine deficiency is common in alcohol use disorder and can lead to Wernicke-
Korsakoff syndrome.
9. A nurse is assessing a patient for signs of opioid withdrawal. Which finding is expected?
A) Dilated pupils, yawning, and diaphoresis
B) Constricted pupils and respiratory depression
C) Bradycardia and hypotension
D) Increased sedation
Answer: A
Rationale: Opioid withdrawal produces symptoms opposite of intoxication: dilated pupils,
yawning, diaphoresis, and agitation.
10. A patient asks about the health effects of long-term alcohol use. Which condition is
associated with chronic alcohol use?
3|Page
, Page 4 of 67
A) Cirrhosis
B) Osteoporosis
C) Hyperthyroidism
D) Asthma
Answer: A
Rationale: Chronic alcohol use is a leading cause of cirrhosis and liver disease.
Module 23: Cognition (Questions 11–20)
11. A patient with Alzheimer disease is admitted to the hospital. Which nursing intervention is
most appropriate?
A) Frequently reorient the patient and maintain a consistent routine
B) Keep the patient in bed to prevent wandering
C) Limit family visits to reduce stimulation
D) Use restraints as needed
Answer: A
Rationale: Reorientation and consistent routines reduce confusion and agitation in patients with
dementia.
12. A patient develops acute confusion and inattention 2 days after surgery. Which condition
is most likely?
A) Delirium
B) Alzheimer disease
C) Schizophrenia
D) Depression
Answer: A
Rationale: Delirium is characterized by acute onset, fluctuating course, and inattention. It is
common postoperatively in older adults.
13. A patient with schizophrenia is experiencing auditory hallucinations. Which nursing
intervention is most appropriate?
A) Ask the patient what the voices are saying
B) Tell the patient the voices are not real
C) Ignore the hallucinations
D) Restrict the patient's activity
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