NURS 5338 ACTUAL 2026 TEST PAPER QUESTIONS AND
ANSWERS GRADED A+
✔✔How does physical dependence develop? - ✔✔It can begin from low dose
therapeutic use of a drug with medications such as benzodiazepines, opiods, antileptics
and antidepressants; also recreational use
✔✔When a high dose of a drug is used for recreation - ✔✔there is a greater duration in
use and use began at an earlier age. This creates worsened physical dependence and
severe withdrawal
✔✔State the types of withdrawals - ✔✔- Acute withdrawal syndrome
- post-acute withdrawal syndrome (PAWS)
✔✔Describe acute withdrawal syndrome - ✔✔- Starts when a drug is stopped
- continues for days, weeks, or months
✔✔Describe protracted withdrawal - ✔✔- post-acute withdrawal syndrome (PAWS)
- low grade continuation of some symptoms of acute withdrawal
- occurs in a pattern of remitting-relapsing
- often results in relapse into addiction and prolonged disability that affects chances of
employment
- rarely, but can be indefinite
✔✔Protracted withdrawal syndrome is commonly caused by - ✔✔- benzodiazepines
- may be present with alcohol and opioid addiction
✔✔A patient has a plan to commit suicide, what's the next step? - ✔✔- Call 911
- file application for detention
- do not take no for an answer
✔✔What are the top 3 most harmful drugs? - ✔✔1. alcohol
2. heroin
3. crack cocaine
4. methamphetamine
5. cocaine
6. tobacco
✔✔What action do you take if a patient is homicidal? - ✔✔- Call 911
- file application for detention
- do not take no for an answer
✔✔If a patient is suicidal, agreeing to this will prevent detention - ✔✔- a contract to call
911 instead of suicide
- the patient and provider both must sign it
, ✔✔How long does it take for motrin to develop a therapeutic level? - ✔✔5 days or more
✔✔Describe assessment findings for tenosynovitis - ✔✔- Median paresthesias affecting
the thumb, index finger, middle finger, and radial side of the ring finger
- Nocturnal paresthesias
- Bilateral presentation common at first, but may be unilateral
- Positive Phalen's test
- Positive Tinel's test
✔✔Describe Phalen's test - ✔✔Hold pt's wrists in acute flexion for 60 seconds, or you
may ask pt's to press back of both hands together to form right angles.
✔✔Describe Tinel's test - ✔✔Done to diagnose carpal tunnel
Tap over the median nerve; Pain = positive
✔✔When prescribing NSAIDS for long-term always assess - ✔✔kidney function
✔✔Non-pharmacologic treatments for URI - ✔✔- commonly caused by viruses
- remove triggers, such as smoking, allergens-
✔✔What's important to remember when the assessment reveals AMS? - ✔✔It's a
Medical Emergency
✔✔It's important for the FNP to assess abdominal pain by - ✔✔- assessing the patient's
history of the presenting complaint and the physical exam
- this should derive the diagnosis in 90% of the cases
✔✔It's important for the FNP to understand that abdominal pain can - ✔✔be caused by
problems outside the abdomen, such as MI and pneumonias
✔✔What is the treatment for an abrasion? - ✔✔- an injury caused by grinding or rubbing
away layers of skin
- remove any debris from the wound
- apply a topical antibiotic
- apply dressing as necessary to keep the wound from drying out and interfering with
healing.
- apply a topical analgesia if painful
✔✔List the most common causes of an abscess - ✔✔- MRSA
- rarely caused by parasites in the US, but common in other areas of the world
- IV drug users often present with one at the injection site
✔✔When diagnosing an abscess, what are differential diagnosis? - ✔✔- cellulitis
- sebaceous cyst
ANSWERS GRADED A+
✔✔How does physical dependence develop? - ✔✔It can begin from low dose
therapeutic use of a drug with medications such as benzodiazepines, opiods, antileptics
and antidepressants; also recreational use
✔✔When a high dose of a drug is used for recreation - ✔✔there is a greater duration in
use and use began at an earlier age. This creates worsened physical dependence and
severe withdrawal
✔✔State the types of withdrawals - ✔✔- Acute withdrawal syndrome
- post-acute withdrawal syndrome (PAWS)
✔✔Describe acute withdrawal syndrome - ✔✔- Starts when a drug is stopped
- continues for days, weeks, or months
✔✔Describe protracted withdrawal - ✔✔- post-acute withdrawal syndrome (PAWS)
- low grade continuation of some symptoms of acute withdrawal
- occurs in a pattern of remitting-relapsing
- often results in relapse into addiction and prolonged disability that affects chances of
employment
- rarely, but can be indefinite
✔✔Protracted withdrawal syndrome is commonly caused by - ✔✔- benzodiazepines
- may be present with alcohol and opioid addiction
✔✔A patient has a plan to commit suicide, what's the next step? - ✔✔- Call 911
- file application for detention
- do not take no for an answer
✔✔What are the top 3 most harmful drugs? - ✔✔1. alcohol
2. heroin
3. crack cocaine
4. methamphetamine
5. cocaine
6. tobacco
✔✔What action do you take if a patient is homicidal? - ✔✔- Call 911
- file application for detention
- do not take no for an answer
✔✔If a patient is suicidal, agreeing to this will prevent detention - ✔✔- a contract to call
911 instead of suicide
- the patient and provider both must sign it
, ✔✔How long does it take for motrin to develop a therapeutic level? - ✔✔5 days or more
✔✔Describe assessment findings for tenosynovitis - ✔✔- Median paresthesias affecting
the thumb, index finger, middle finger, and radial side of the ring finger
- Nocturnal paresthesias
- Bilateral presentation common at first, but may be unilateral
- Positive Phalen's test
- Positive Tinel's test
✔✔Describe Phalen's test - ✔✔Hold pt's wrists in acute flexion for 60 seconds, or you
may ask pt's to press back of both hands together to form right angles.
✔✔Describe Tinel's test - ✔✔Done to diagnose carpal tunnel
Tap over the median nerve; Pain = positive
✔✔When prescribing NSAIDS for long-term always assess - ✔✔kidney function
✔✔Non-pharmacologic treatments for URI - ✔✔- commonly caused by viruses
- remove triggers, such as smoking, allergens-
✔✔What's important to remember when the assessment reveals AMS? - ✔✔It's a
Medical Emergency
✔✔It's important for the FNP to assess abdominal pain by - ✔✔- assessing the patient's
history of the presenting complaint and the physical exam
- this should derive the diagnosis in 90% of the cases
✔✔It's important for the FNP to understand that abdominal pain can - ✔✔be caused by
problems outside the abdomen, such as MI and pneumonias
✔✔What is the treatment for an abrasion? - ✔✔- an injury caused by grinding or rubbing
away layers of skin
- remove any debris from the wound
- apply a topical antibiotic
- apply dressing as necessary to keep the wound from drying out and interfering with
healing.
- apply a topical analgesia if painful
✔✔List the most common causes of an abscess - ✔✔- MRSA
- rarely caused by parasites in the US, but common in other areas of the world
- IV drug users often present with one at the injection site
✔✔When diagnosing an abscess, what are differential diagnosis? - ✔✔- cellulitis
- sebaceous cyst
