Substance Abuse and Abuse NCLEX
Practice Quiz: 75 Questions and
Answers Latest Version Already Passed
Which symptom is most commonly associated with alcohol withdrawal?
A. Drowsiness
✔✔ B. Tremors
C. Constipation
D. Rash
Which behavior indicates a patient is experiencing substance dependence?
A. Occasionally missing appointments
✔✔ B. Needing higher doses to feel the same effect
C. Sleeping more than usual
D. Forgetting names
What is the nurse’s priority action when a client is intoxicated and aggressive?
A. Offer a snack
✔✔ B. Maintain safety for the client and others
1
,C. Give caffeine
D. Start a group therapy session
Which substance is most likely to cause pinpoint pupils during overdose?
✔✔ A. Heroin
B. Cocaine
C. Alcohol
D. Marijuana
Which question is most appropriate to assess substance use history?
A. "Do you think drugs are fun?"
✔✔ B. "Can you tell me about any substances you've used in the past?"
C. "Why are you addicted?"
D. "Do you take medicine from strangers?"
What is a priority nursing diagnosis for a client with a history of substance abuse who is now
vomiting and shaking?
A. Ineffective coping
2
,✔✔ B. Risk for injury
C. Disturbed thought processes
D. Risk for loneliness
A patient tells the nurse, “I can quit whenever I want.” What defense mechanism is this?
✔✔ A. Denial
B. Displacement
C. Regression
D. Projection
Which sign would indicate stimulant intoxication?
✔✔ A. Increased heart rate and alertness
B. Slurred speech
C. Shallow breathing
D. Excessive yawning
Which nursing intervention is most important during detoxification?
A. Discuss relapse prevention
3
, ✔✔ B. Monitor vital signs frequently
C. Schedule family visits
D. Encourage group singing
Which medication is often used to prevent alcohol relapse?
✔✔ A. Disulfiram
B. Diazepam
C. Naloxone
D. Methadone
What is the action of naloxone (Narcan)?
✔✔ A. Reverses opioid overdose
B. Prevents alcohol craving
C. Treats anxiety attacks
D. Enhances the effects of morphine
Which finding suggests cocaine use?
A. Sedation and drooling
4
Practice Quiz: 75 Questions and
Answers Latest Version Already Passed
Which symptom is most commonly associated with alcohol withdrawal?
A. Drowsiness
✔✔ B. Tremors
C. Constipation
D. Rash
Which behavior indicates a patient is experiencing substance dependence?
A. Occasionally missing appointments
✔✔ B. Needing higher doses to feel the same effect
C. Sleeping more than usual
D. Forgetting names
What is the nurse’s priority action when a client is intoxicated and aggressive?
A. Offer a snack
✔✔ B. Maintain safety for the client and others
1
,C. Give caffeine
D. Start a group therapy session
Which substance is most likely to cause pinpoint pupils during overdose?
✔✔ A. Heroin
B. Cocaine
C. Alcohol
D. Marijuana
Which question is most appropriate to assess substance use history?
A. "Do you think drugs are fun?"
✔✔ B. "Can you tell me about any substances you've used in the past?"
C. "Why are you addicted?"
D. "Do you take medicine from strangers?"
What is a priority nursing diagnosis for a client with a history of substance abuse who is now
vomiting and shaking?
A. Ineffective coping
2
,✔✔ B. Risk for injury
C. Disturbed thought processes
D. Risk for loneliness
A patient tells the nurse, “I can quit whenever I want.” What defense mechanism is this?
✔✔ A. Denial
B. Displacement
C. Regression
D. Projection
Which sign would indicate stimulant intoxication?
✔✔ A. Increased heart rate and alertness
B. Slurred speech
C. Shallow breathing
D. Excessive yawning
Which nursing intervention is most important during detoxification?
A. Discuss relapse prevention
3
, ✔✔ B. Monitor vital signs frequently
C. Schedule family visits
D. Encourage group singing
Which medication is often used to prevent alcohol relapse?
✔✔ A. Disulfiram
B. Diazepam
C. Naloxone
D. Methadone
What is the action of naloxone (Narcan)?
✔✔ A. Reverses opioid overdose
B. Prevents alcohol craving
C. Treats anxiety attacks
D. Enhances the effects of morphine
Which finding suggests cocaine use?
A. Sedation and drooling
4
