Anxiety Disorders Nursing Care
Management Test Bank | NCLEX RN
Exam Prep Graded A+
1. 1. Question
Situation: The nurse assigned to the detoxification unit attends to various
patients with substance-related disorders. A 45 years old male revealed that he
experienced a marked increase in his intake of alcohol to achieve the desired
effect. This indicates:
A. Withdrawal
B. Tolerance
C. Intoxication
D. Psychological dependence
Correct Answer: B. Tolerance
Tolerance refers to the increase in the amount of the substance to achieve the
same effects. Tolerance means that after continued drinking, consumption of a
constant amount of alcohol produces a lesser effect or increasing amounts of
alcohol are necessary to produce the same effect. Despite this uncomplicated
definition, scientists distinguish between several types of tolerance that are
produced by different mechanisms.
2. 2. Question
The client admitted for alcohol detoxification develops increased tremors,
irritability, hypertension, and fever. The nurse should be alert for impending:
A. Delirium tremens
B. Korsakoff’s syndrome
C. Esophageal varices
D. Wernicke’s syndrome
Correct Answer: A. Delirium tremens
Page 1 of 26
, Delirium tremens is the most extreme central nervous system irritability due to
withdrawal from alcohol. Delirium tremens was first recognized as a disorder
attributed to excessive alcohol abuse in 1813. It is now commonly known to occur
as early as 48 hours after abrupt cessation of alcohol in those with chronic abuse
and can last up to 5 days. It has an anticipated mortality of up to 37% without
appropriate treatment. It is crucial to identify early signs of withdrawal because it
can become fatal.
3. 3. Question
The care for the client places priority on which of the following:
A. Monitoring his vital signs every hour.
B. Providing a quiet, dim room.
C. Encouraging adequate fluids and nutritious foods.
D. Administering Librium as ordered.
Correct Answer: A. Monitoring his vital signs every hour
Pulse and blood pressure are usually elevated during withdrawal; Elevation may
indicate impending delirium tremens. Patients with severe withdrawal symptoms
may require escalating doses and intensive care level monitoring. Alcohol
withdrawal can range from very mild symptoms to the severe form, which is
named delirium tremens. The hallmark is autonomic dysfunction resulting from
the excitation of the central nervous system.
4. 4. Question
Another client is brought to the emergency room by friends who state that he
took something an hour ago. He is actively hallucinating, agitated, with an
irritated nasal septum.
A. Heroin
B. Cocaine
C. LSD
D. Marijuana
Correct Answer: B. Cocaine
Page 2 of 26
, The manifestations indicate intoxication with cocaine, a CNS stimulant. These
patients present to the hospital with agitation, chest pain, anxiety, psychosis, and
blunt and penetrating traumatic injuries. They are frequently hypertensive and
tachycardic. Patients with acute cocaine toxicity presenting to the emergency
department (ED) may require urgent treatment for tachycardia, dysrhythmia,
hypertension, and coronary vasospasm, leading to pathological sequelae such as
acute coronary syndrome, stroke, and death.
5. 5. Question
A client is admitted with needle tracks on his arm, stuporous and with pinpoint
pupil will likely be managed with:
A. naltrexone (Revia)
B. naloxone hydrochloride (Narcan)
Correct answer
C. disulfiram (Antabuse)
D. methadone (Dolophine)
Correct Answer: B. naloxone hydrochloride (Narcan)
Narcan is a narcotic antagonist used to manage the CNS depression due to
overdose with heroin. Naloxone is indicated for the treatment of opioid toxicity,
specifically to reverse respiratory depression from opioid use. It is useful in
accidental or intentional overdose and acute or chronic toxicity. Common opioid
overdoses treated with naloxone include heroin, fentanyl, carfentanil,
hydrocodone, oxycodone, methadone, and others.
6. 6. Question
Situation: An old woman was brought for evaluation due to the hospital for
evaluation due to increasing forgetfulness and limitations in daily function. The
daughter revealed that the client used her toothbrush to comb her hair. She is
manifesting:
A. Apraxia
B. Aphasia
C. Agnosia
Page 3 of 26
Management Test Bank | NCLEX RN
Exam Prep Graded A+
1. 1. Question
Situation: The nurse assigned to the detoxification unit attends to various
patients with substance-related disorders. A 45 years old male revealed that he
experienced a marked increase in his intake of alcohol to achieve the desired
effect. This indicates:
A. Withdrawal
B. Tolerance
C. Intoxication
D. Psychological dependence
Correct Answer: B. Tolerance
Tolerance refers to the increase in the amount of the substance to achieve the
same effects. Tolerance means that after continued drinking, consumption of a
constant amount of alcohol produces a lesser effect or increasing amounts of
alcohol are necessary to produce the same effect. Despite this uncomplicated
definition, scientists distinguish between several types of tolerance that are
produced by different mechanisms.
2. 2. Question
The client admitted for alcohol detoxification develops increased tremors,
irritability, hypertension, and fever. The nurse should be alert for impending:
A. Delirium tremens
B. Korsakoff’s syndrome
C. Esophageal varices
D. Wernicke’s syndrome
Correct Answer: A. Delirium tremens
Page 1 of 26
, Delirium tremens is the most extreme central nervous system irritability due to
withdrawal from alcohol. Delirium tremens was first recognized as a disorder
attributed to excessive alcohol abuse in 1813. It is now commonly known to occur
as early as 48 hours after abrupt cessation of alcohol in those with chronic abuse
and can last up to 5 days. It has an anticipated mortality of up to 37% without
appropriate treatment. It is crucial to identify early signs of withdrawal because it
can become fatal.
3. 3. Question
The care for the client places priority on which of the following:
A. Monitoring his vital signs every hour.
B. Providing a quiet, dim room.
C. Encouraging adequate fluids and nutritious foods.
D. Administering Librium as ordered.
Correct Answer: A. Monitoring his vital signs every hour
Pulse and blood pressure are usually elevated during withdrawal; Elevation may
indicate impending delirium tremens. Patients with severe withdrawal symptoms
may require escalating doses and intensive care level monitoring. Alcohol
withdrawal can range from very mild symptoms to the severe form, which is
named delirium tremens. The hallmark is autonomic dysfunction resulting from
the excitation of the central nervous system.
4. 4. Question
Another client is brought to the emergency room by friends who state that he
took something an hour ago. He is actively hallucinating, agitated, with an
irritated nasal septum.
A. Heroin
B. Cocaine
C. LSD
D. Marijuana
Correct Answer: B. Cocaine
Page 2 of 26
, The manifestations indicate intoxication with cocaine, a CNS stimulant. These
patients present to the hospital with agitation, chest pain, anxiety, psychosis, and
blunt and penetrating traumatic injuries. They are frequently hypertensive and
tachycardic. Patients with acute cocaine toxicity presenting to the emergency
department (ED) may require urgent treatment for tachycardia, dysrhythmia,
hypertension, and coronary vasospasm, leading to pathological sequelae such as
acute coronary syndrome, stroke, and death.
5. 5. Question
A client is admitted with needle tracks on his arm, stuporous and with pinpoint
pupil will likely be managed with:
A. naltrexone (Revia)
B. naloxone hydrochloride (Narcan)
Correct answer
C. disulfiram (Antabuse)
D. methadone (Dolophine)
Correct Answer: B. naloxone hydrochloride (Narcan)
Narcan is a narcotic antagonist used to manage the CNS depression due to
overdose with heroin. Naloxone is indicated for the treatment of opioid toxicity,
specifically to reverse respiratory depression from opioid use. It is useful in
accidental or intentional overdose and acute or chronic toxicity. Common opioid
overdoses treated with naloxone include heroin, fentanyl, carfentanil,
hydrocodone, oxycodone, methadone, and others.
6. 6. Question
Situation: An old woman was brought for evaluation due to the hospital for
evaluation due to increasing forgetfulness and limitations in daily function. The
daughter revealed that the client used her toothbrush to comb her hair. She is
manifesting:
A. Apraxia
B. Aphasia
C. Agnosia
Page 3 of 26
