NSG 552 EXAM 3 STUDY GUIDE & PRACTICE QUESTIONS
2026/2027
naloxone - Correct answer ✔✔ MOA: Pure opioid antagonist that competes and displaces
opioids at opioid receptor sites.
methadone, buprenorphine, buprenorphine + naloxone - Correct answer ✔✔ Treatments for
opioid use disorder.
Buprenorphine + naloxone - Correct answer ✔✔ Treatment for opioid use disorder with
comorbid pain.
opioids - Correct answer ✔✔ Inappropriate use of what substance may be due to uncontrolled
pain?
tablet, injectable, implant - Correct answer ✔✔ Naltrexone delivery methods.
implant - Correct answer ✔✔ Form of naltrexone limited to inpatient use.
buprenorphine - Correct answer ✔✔ Mu receptor partial agonist for opioid withdrawal.
buprenorphine - Correct answer ✔✔ Taking this medication too soon after last opioid use
increases the chances of intense withdrawal that comes on very quickly (precipitated
withdrawal).
opioid intoxication - Correct answer ✔✔ Symptoms include nausea and vomiting, respiratory
depression, constipation, itching, mioisis (small pupil). Patient will experience euphoria and
sedation.
, opioid withdrawal - Correct answer ✔✔ Symptoms include N/V/D and dehydration, irritability,
restlessness, yawning, and twitching, increased HR/BP, chills, increased temperature,
rhinorrhea, lacrimation, dilated pupils.
naloxone - Correct answer ✔✔ Treatment for opioid intoxication during which cardiac or
respiratory depression is a concern.
cocaine intoxication - Correct answer ✔✔ Symptoms include dilated pupils, HA, tremor, hyper-
reflexia, twitching, seizures, or coma, increased HR/BP, arrhythmias, and MI, N/V,
incontinence/ARF, or rhabdomyolysis
alcohol intoxication - Correct answer ✔✔ Signs vary with blood levels, from decreased reaction
time, muscle incoordination, ataxia, dysarthria, to respiratory failure and coma.
severe alcohol intoxication - Correct answer ✔✔ Treatment includes cardiopulmonary function
maintenance, thiamine, and haloperidol PRN agitation.
thiamine - Correct answer ✔✔ Given IM/IV for 3 days to prevent Wernicke's encephalopathy,
along with IV fluids and a banana bag.
uncomplicated alcohol withdrawal - Correct answer ✔✔ Treatment includes BZD in either
symptom triggered or fixed dose; diazepam and chlordiazepoxide have a longer half life, and
oxazepam and lorazepam are suitable for patients with hepatic dysfunction.
benzodiazepines - Correct answer ✔✔ Class of drugs to avoid for acute alcohol intoxication.
cocaine intoxication - Correct answer ✔✔ Treatment includes BZD, antipsychotics, and
management of medical problems including HTN, stroke, cardiac arrhythmias, hyperthermia,
and seizures.
2026/2027
naloxone - Correct answer ✔✔ MOA: Pure opioid antagonist that competes and displaces
opioids at opioid receptor sites.
methadone, buprenorphine, buprenorphine + naloxone - Correct answer ✔✔ Treatments for
opioid use disorder.
Buprenorphine + naloxone - Correct answer ✔✔ Treatment for opioid use disorder with
comorbid pain.
opioids - Correct answer ✔✔ Inappropriate use of what substance may be due to uncontrolled
pain?
tablet, injectable, implant - Correct answer ✔✔ Naltrexone delivery methods.
implant - Correct answer ✔✔ Form of naltrexone limited to inpatient use.
buprenorphine - Correct answer ✔✔ Mu receptor partial agonist for opioid withdrawal.
buprenorphine - Correct answer ✔✔ Taking this medication too soon after last opioid use
increases the chances of intense withdrawal that comes on very quickly (precipitated
withdrawal).
opioid intoxication - Correct answer ✔✔ Symptoms include nausea and vomiting, respiratory
depression, constipation, itching, mioisis (small pupil). Patient will experience euphoria and
sedation.
, opioid withdrawal - Correct answer ✔✔ Symptoms include N/V/D and dehydration, irritability,
restlessness, yawning, and twitching, increased HR/BP, chills, increased temperature,
rhinorrhea, lacrimation, dilated pupils.
naloxone - Correct answer ✔✔ Treatment for opioid intoxication during which cardiac or
respiratory depression is a concern.
cocaine intoxication - Correct answer ✔✔ Symptoms include dilated pupils, HA, tremor, hyper-
reflexia, twitching, seizures, or coma, increased HR/BP, arrhythmias, and MI, N/V,
incontinence/ARF, or rhabdomyolysis
alcohol intoxication - Correct answer ✔✔ Signs vary with blood levels, from decreased reaction
time, muscle incoordination, ataxia, dysarthria, to respiratory failure and coma.
severe alcohol intoxication - Correct answer ✔✔ Treatment includes cardiopulmonary function
maintenance, thiamine, and haloperidol PRN agitation.
thiamine - Correct answer ✔✔ Given IM/IV for 3 days to prevent Wernicke's encephalopathy,
along with IV fluids and a banana bag.
uncomplicated alcohol withdrawal - Correct answer ✔✔ Treatment includes BZD in either
symptom triggered or fixed dose; diazepam and chlordiazepoxide have a longer half life, and
oxazepam and lorazepam are suitable for patients with hepatic dysfunction.
benzodiazepines - Correct answer ✔✔ Class of drugs to avoid for acute alcohol intoxication.
cocaine intoxication - Correct answer ✔✔ Treatment includes BZD, antipsychotics, and
management of medical problems including HTN, stroke, cardiac arrhythmias, hyperthermia,
and seizures.
