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NUR 355 Exam 1 Newest 2026-2027 Actual Exam
Preparation With Complete Questions And Correct
Answers With Rationales | Already Graded A+||Brand
New Version!!
The patient with an SUD diagnosis may demonstrate which
symptoms? (Select all that apply.)
A. Failure to fulfill major role obligations at work, home, or
school
B. Recurrent use in situations in which it is physically hazardous
C. Continued use despite having persistent or recurrent social or
interpersonal problems caused or exacerbated by the effects of
the substance
D. Withdrawal from the substance when the dose is decreased or
stopped E. Successful attempts to cut down
Answer: A, B, C, and D
Rationale: The individual who has a SUD may not adhere to an
expressed plan to cut back on the amount or frequency of
substance use
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The nurse recognizes which patient(s) are at risk for developing
problems with substance abuse? (Select all that apply.)
A. The 14-year-old girl whose family has just moved and is
smoking and drinking after school with friends
B. The 17-year-old senior in high school who has untreated
ADHD and whose mother has an AUD
C. The 32-year-old mother of two with a past history of binge
drinking in college whose husband just left her
D. The 52-year-old executive with severe back pain who
typically drinks cocktails in the evenings after work
E. The 64-year-old recently retired man who has an occasional
drink in the evening after work
Answer: A, B, C, and D
Rationale: The 14-year-old girl who is drinking and smoking
with friends after school is at risk because of her young age at
initial use and the fact that this is a time of stress and transition
for her with the recent family move, having to go to a new
school, and worry about fitting in, etc. The 17-year-old boy is at
increased risk because males are almost twice as likely as
females to have problems with substance abuse. Additionally, he
has comorbid, untreated ADHD along with family history of
alcoholism. The 32-year-old mother with a past history of
problematic drinking in college is at increased risk of
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developing problems as she goes through the stress and
transition of a divorce. Lastly, the 52-year-old executive is at
increased risk because of his pain issues and his routine drinking
in the evening. While a life change such as retirement is a risk
factor, the man in choice E has limited/less risk due to his
limited prior drinking history.
Which reaction in the brain results from drugs causing
overwhelming surges of dopamine?
A. Produce more of the neurotransmitter
B. Increase the number of receptors that can receive and
transmit signals
C. Have increased ability to respond to any pleasure
D. Have decreased ability to respond to pleasure
Answer: D
Rationale: Addictive drugs, directly or indirectly, target the
brain's reward system by flooding the circuit with dopamine. As
a person continues hazardous use of drugs or alcohol, the brain
starts to adapt to these chemical changes by producing less
dopamine, reducing the substance user's ability to enjoy drugs
and the things that previously brought pleasure.
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The nurse working in the pediatric clinic is performing
substance abuse screenings on all children aged 12 to 18 as part
of a community effort to identify at-risk teens. The nurse should
consider which teen at greatest risk?
A. The 13-year-old girl who has recently been irritable and
moody
B. The 14-year-old boy being treated for diagnosed ADHD with
prescription stimulants
C. The 15-year-old who recently entered high school and
appears down, reports trouble sleeping, and has difficulty
concentrating
D. The 17-year-old cheerleader who quits the squad, suddenly
changes her group of friends, and has been acting very secretive
at home Answer: D
ANSWER: D
Rationale: While all of the teens may be at risk, the cheerleader
who quit the squad, changed her peer group, and is being
secretive at home is displaying several classic behavioral and
psychological signs of a substance use disorder.
NUR 355 Exam 1 Newest 2026-2027 Actual Exam
Preparation With Complete Questions And Correct
Answers With Rationales | Already Graded A+||Brand
New Version!!
The patient with an SUD diagnosis may demonstrate which
symptoms? (Select all that apply.)
A. Failure to fulfill major role obligations at work, home, or
school
B. Recurrent use in situations in which it is physically hazardous
C. Continued use despite having persistent or recurrent social or
interpersonal problems caused or exacerbated by the effects of
the substance
D. Withdrawal from the substance when the dose is decreased or
stopped E. Successful attempts to cut down
Answer: A, B, C, and D
Rationale: The individual who has a SUD may not adhere to an
expressed plan to cut back on the amount or frequency of
substance use
,2|Page
The nurse recognizes which patient(s) are at risk for developing
problems with substance abuse? (Select all that apply.)
A. The 14-year-old girl whose family has just moved and is
smoking and drinking after school with friends
B. The 17-year-old senior in high school who has untreated
ADHD and whose mother has an AUD
C. The 32-year-old mother of two with a past history of binge
drinking in college whose husband just left her
D. The 52-year-old executive with severe back pain who
typically drinks cocktails in the evenings after work
E. The 64-year-old recently retired man who has an occasional
drink in the evening after work
Answer: A, B, C, and D
Rationale: The 14-year-old girl who is drinking and smoking
with friends after school is at risk because of her young age at
initial use and the fact that this is a time of stress and transition
for her with the recent family move, having to go to a new
school, and worry about fitting in, etc. The 17-year-old boy is at
increased risk because males are almost twice as likely as
females to have problems with substance abuse. Additionally, he
has comorbid, untreated ADHD along with family history of
alcoholism. The 32-year-old mother with a past history of
problematic drinking in college is at increased risk of
,3|Page
developing problems as she goes through the stress and
transition of a divorce. Lastly, the 52-year-old executive is at
increased risk because of his pain issues and his routine drinking
in the evening. While a life change such as retirement is a risk
factor, the man in choice E has limited/less risk due to his
limited prior drinking history.
Which reaction in the brain results from drugs causing
overwhelming surges of dopamine?
A. Produce more of the neurotransmitter
B. Increase the number of receptors that can receive and
transmit signals
C. Have increased ability to respond to any pleasure
D. Have decreased ability to respond to pleasure
Answer: D
Rationale: Addictive drugs, directly or indirectly, target the
brain's reward system by flooding the circuit with dopamine. As
a person continues hazardous use of drugs or alcohol, the brain
starts to adapt to these chemical changes by producing less
dopamine, reducing the substance user's ability to enjoy drugs
and the things that previously brought pleasure.
, 4|Page
The nurse working in the pediatric clinic is performing
substance abuse screenings on all children aged 12 to 18 as part
of a community effort to identify at-risk teens. The nurse should
consider which teen at greatest risk?
A. The 13-year-old girl who has recently been irritable and
moody
B. The 14-year-old boy being treated for diagnosed ADHD with
prescription stimulants
C. The 15-year-old who recently entered high school and
appears down, reports trouble sleeping, and has difficulty
concentrating
D. The 17-year-old cheerleader who quits the squad, suddenly
changes her group of friends, and has been acting very secretive
at home Answer: D
ANSWER: D
Rationale: While all of the teens may be at risk, the cheerleader
who quit the squad, changed her peer group, and is being
secretive at home is displaying several classic behavioral and
psychological signs of a substance use disorder.
