EXAM 3
Psychopharmacology
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Wilkes University
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,Table of Contents
NSG 552 Exam 3........................................................... 2
NSG 552 Exam 3 Study Guide .................................... 63
NSG 552 Exam 3
SECTION 1: SUBSTANCE USE DISORDERS
Question 1
A 34-year-old male is brought to the emergency department by EMS. His
girlfriend reports finding him unresponsive in the bathroom with a syringe
nearby. On examination, he has pinpoint pupils, respiratory rate of 6
breaths/minute, and blood pressure of 88/52 mmHg. Which medication
should be administered first?
• A. Naloxone (Narcan)
• B. Methadone
• C. Buprenorphine (Suboxone)
• D. Naltrexone
Correct Answer: A. Naloxone (Narcan)
Rationale: The patient presents with the classic triad of opioid intoxication:
miosis (pinpoint pupils), respiratory depression (RR 6), and hypotension
(88/52). Naloxone is a potent opioid antagonist and the treatment of
choice for acute opioid overdose. It rapidly reverses respiratory depression.
Methadone and buprenorphine are maintenance medications, not
, emergency treatments. Naltrexone is an antagonist used after
detoxification and would not be appropriate in an acute overdose.
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Question 2 [SELECT ALL THAT APPLY]
A nurse is assessing a patient suspected of opioid intoxication. Which
findings are consistent with this diagnosis? Select all that apply.
• A. Miosis (pinpoint pupils)
• B. Respiratory depression
• C. Tachycardia
• D. Hypotension
• E. Bradycardia
• F. Hypertension
Correct Answer: A, B, D, E
Rationale: Opioid intoxication presents with miosis (pinpoint pupils),
respiratory depression, bradycardia, hypotension, and unconsciousness.
Tachycardia and hypertension are NOT features of opioid intoxication;
these are more consistent with stimulant intoxication (e.g., cocaine). The
classic presentation is the triad of pinpoint pupils, respiratory depression,
and decreased level of consciousness.
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Question 3
A 28-year-old female presents to the clinic 24 hours after her last heroin
use. She reports severe anxiety, lacrimation (excessive tearing), muscle
aches, diarrhea, and abdominal cramps. Her vital signs show mild
tachycardia and hypertension. Which medication is most appropriate for
managing her symptoms?
• A. Naloxone