N4410 EAQ Behavior Exam Questions with
complete solutions
An adolescent has pinpoint pupils, respiratory depression, and cyanosis. Upon assessment,
the school nurse observes needle marks on arms and legs. Which drug is the adolescent
probably abusing?
Narcotics
Rationale: Opioids such as morphine, heroin, codeine, and fentanyl are grouped under narcotic
drugs. Physical signs of narcotic abuse include constricted pupils, respiratory depression and
cyanosis. Cocaine creates a state of indefinable high or euphoria; withdrawal signs include
depression, irritability, seizures, and cardiovascular manifestations. Hallucinogens produce vivid
hallucinations and euphoria; they do not produce physical dependence. Clients with acute
intoxication of central nervous system (CNS) stimulants may display aggressive behavior along
with psychotic episodes of agitation and restlessness.
A client is admitted to the drug detoxification unit for cocaine withdrawal. What is the
nurse's primary concern while working with clients withdrawing from cocaine?
Risk for self-injury
Rationale: The greatest risk in cocaine withdrawal is risk for self-injury. The risk for seizure is
increased while a person is under the influence of cocaine, not during withdrawal. Although
dehydration may occur during cocaine use and withdrawal, it is not the priority concern. People
in cocaine withdrawal, although irritable, are more apt to hurt themselves than others.
, A client who was in an automobile accident is admitted to the hospital with multiple
injuries. Approximately 14 hours after admission, the client begins to experience signs and
symptoms of withdrawal from alcohol. Which songs and symptoms should the nurse
connect to alcohol withdrawal? Select all that apply.
Anxiety
Diaphoresis
Psychomotor agitation
Rationale: Anxiety is commonly associated with withdrawal from alcohol. When a person is
withdrawing from alcohol, associated autonomic hyperactivity causes an increased heart rate and
diaphoresis. The withdrawal of alcohol affects the central nervous system, resulting in excited
motor activity. Fatigue is associated with withdrawal from caffeine or stimulants. A runny nose
and tearing of the eyes are associated with withdrawal from opioids.
After an automobile accident a person is arrested for driving while intoxicated and is
admitted to the hospital. When the client becomes angry and blames the family for
personal problems, the nurse can be most therapeutic by using which statement?
"I can see that you're upset about your family, but we need to focus on what you need right
now."
complete solutions
An adolescent has pinpoint pupils, respiratory depression, and cyanosis. Upon assessment,
the school nurse observes needle marks on arms and legs. Which drug is the adolescent
probably abusing?
Narcotics
Rationale: Opioids such as morphine, heroin, codeine, and fentanyl are grouped under narcotic
drugs. Physical signs of narcotic abuse include constricted pupils, respiratory depression and
cyanosis. Cocaine creates a state of indefinable high or euphoria; withdrawal signs include
depression, irritability, seizures, and cardiovascular manifestations. Hallucinogens produce vivid
hallucinations and euphoria; they do not produce physical dependence. Clients with acute
intoxication of central nervous system (CNS) stimulants may display aggressive behavior along
with psychotic episodes of agitation and restlessness.
A client is admitted to the drug detoxification unit for cocaine withdrawal. What is the
nurse's primary concern while working with clients withdrawing from cocaine?
Risk for self-injury
Rationale: The greatest risk in cocaine withdrawal is risk for self-injury. The risk for seizure is
increased while a person is under the influence of cocaine, not during withdrawal. Although
dehydration may occur during cocaine use and withdrawal, it is not the priority concern. People
in cocaine withdrawal, although irritable, are more apt to hurt themselves than others.
, A client who was in an automobile accident is admitted to the hospital with multiple
injuries. Approximately 14 hours after admission, the client begins to experience signs and
symptoms of withdrawal from alcohol. Which songs and symptoms should the nurse
connect to alcohol withdrawal? Select all that apply.
Anxiety
Diaphoresis
Psychomotor agitation
Rationale: Anxiety is commonly associated with withdrawal from alcohol. When a person is
withdrawing from alcohol, associated autonomic hyperactivity causes an increased heart rate and
diaphoresis. The withdrawal of alcohol affects the central nervous system, resulting in excited
motor activity. Fatigue is associated with withdrawal from caffeine or stimulants. A runny nose
and tearing of the eyes are associated with withdrawal from opioids.
After an automobile accident a person is arrested for driving while intoxicated and is
admitted to the hospital. When the client becomes angry and blames the family for
personal problems, the nurse can be most therapeutic by using which statement?
"I can see that you're upset about your family, but we need to focus on what you need right
now."
