1. What is the primary goal of medication-assisted treatment (MAT) for opioid
use disorder?
A. To eliminate all opioid use
B. To reduce withdrawal symptoms and cravings
C. To detoxify the individual immediately
D. To prevent relapse through social support
Answer: B. To reduce withdrawal symptoms and cravings
Rationale: Medication-assisted treatment (MAT) aims to reduce cravings and withdrawal
symptoms associated with opioid use disorder, thus improving treatment retention and
supporting long-term recovery.
2. Which of the following is the most common symptom of alcohol withdrawal?
A. Delirium tremens
B. Increased appetite
C. Tremors
D. Hypertension
Answer: C. Tremors
Rationale: Tremors are one of the most common initial symptoms of alcohol withdrawal.
Delirium tremens and seizures can occur, but they are less frequent and tend to develop later in
the withdrawal process.
3. Which of the following is a major risk factor for developing a substance use
disorder?
A. High socioeconomic status
B. Family history of addiction
C. Strong social support network
D. Being a non-smoker
Answer: B. Family history of addiction
Rationale: A family history of addiction is a significant genetic risk factor for developing a
substance use disorder, alongside environmental and behavioral factors.
4. What is the recommended first-line treatment for opioid overdose?
,A. Naloxone (Narcan)
B. Flumazenil
C. Ativan (lorazepam)
D. Naloxone + diazepam
Answer: A. Naloxone (Narcan)
Rationale: Naloxone is an opioid antagonist that rapidly reverses opioid overdose symptoms,
including respiratory depression.
5. Which of the following is an example of a stimulant drug?
A. Heroin
B. Alcohol
C. Cocaine
D. Marijuana
Answer: C. Cocaine
Rationale: Cocaine is a stimulant that increases the release of dopamine in the brain, leading to
increased energy and euphoria.
6. A nurse is assessing a patient for alcohol use disorder. Which question is most
appropriate for screening?
A. “Do you drink alcohol every day?”
B. “Have you ever experienced withdrawal symptoms from alcohol?”
C. “Do you ever use alcohol with your medications?”
D. “How many drinks do you consume on weekends?”
Answer: B. “Have you ever experienced withdrawal symptoms from alcohol?”
Rationale: Withdrawal symptoms are a hallmark of alcohol use disorder. A thorough screening
assesses for both the frequency of use and the presence of withdrawal symptoms.
7. Which of the following is a common side effect of benzodiazepines?
A. Insomnia
B. Weight loss
C. Sedation
D. Hyperactivity
, Answer: C. Sedation
Rationale: Benzodiazepines are central nervous system depressants that commonly cause
sedation, drowsiness, and relaxation.
8. What is the primary neurotransmitter involved in addiction?
A. Serotonin
B. Dopamine
C. Norepinephrine
D. Acetylcholine
Answer: B. Dopamine
Rationale: Dopamine plays a key role in the brain's reward system, and its release is
significantly altered in individuals with addiction.
9. Which of the following is a key feature of a dual diagnosis?
A. A history of physical health problems
B. Co-occurring mental illness and substance use disorder
C. A primary diagnosis of addiction without mental illness
D. Chronic relapse despite treatment
Answer: B. Co-occurring mental illness and substance use disorder
Rationale: Dual diagnosis refers to the coexistence of a mental illness and a substance use
disorder, requiring integrated treatment approaches.
10. What is the role of a nurse in harm reduction strategies?
A. To prevent patients from engaging in substance use
B. To encourage complete abstinence from all substances
C. To minimize the negative consequences of substance use
D. To punish substance-using behaviors
Answer: C. To minimize the negative consequences of substance use
Rationale: Harm reduction focuses on reducing the negative health and social consequences of
substance use through practical strategies like needle exchange programs and safe consumption
spaces.
use disorder?
A. To eliminate all opioid use
B. To reduce withdrawal symptoms and cravings
C. To detoxify the individual immediately
D. To prevent relapse through social support
Answer: B. To reduce withdrawal symptoms and cravings
Rationale: Medication-assisted treatment (MAT) aims to reduce cravings and withdrawal
symptoms associated with opioid use disorder, thus improving treatment retention and
supporting long-term recovery.
2. Which of the following is the most common symptom of alcohol withdrawal?
A. Delirium tremens
B. Increased appetite
C. Tremors
D. Hypertension
Answer: C. Tremors
Rationale: Tremors are one of the most common initial symptoms of alcohol withdrawal.
Delirium tremens and seizures can occur, but they are less frequent and tend to develop later in
the withdrawal process.
3. Which of the following is a major risk factor for developing a substance use
disorder?
A. High socioeconomic status
B. Family history of addiction
C. Strong social support network
D. Being a non-smoker
Answer: B. Family history of addiction
Rationale: A family history of addiction is a significant genetic risk factor for developing a
substance use disorder, alongside environmental and behavioral factors.
4. What is the recommended first-line treatment for opioid overdose?
,A. Naloxone (Narcan)
B. Flumazenil
C. Ativan (lorazepam)
D. Naloxone + diazepam
Answer: A. Naloxone (Narcan)
Rationale: Naloxone is an opioid antagonist that rapidly reverses opioid overdose symptoms,
including respiratory depression.
5. Which of the following is an example of a stimulant drug?
A. Heroin
B. Alcohol
C. Cocaine
D. Marijuana
Answer: C. Cocaine
Rationale: Cocaine is a stimulant that increases the release of dopamine in the brain, leading to
increased energy and euphoria.
6. A nurse is assessing a patient for alcohol use disorder. Which question is most
appropriate for screening?
A. “Do you drink alcohol every day?”
B. “Have you ever experienced withdrawal symptoms from alcohol?”
C. “Do you ever use alcohol with your medications?”
D. “How many drinks do you consume on weekends?”
Answer: B. “Have you ever experienced withdrawal symptoms from alcohol?”
Rationale: Withdrawal symptoms are a hallmark of alcohol use disorder. A thorough screening
assesses for both the frequency of use and the presence of withdrawal symptoms.
7. Which of the following is a common side effect of benzodiazepines?
A. Insomnia
B. Weight loss
C. Sedation
D. Hyperactivity
, Answer: C. Sedation
Rationale: Benzodiazepines are central nervous system depressants that commonly cause
sedation, drowsiness, and relaxation.
8. What is the primary neurotransmitter involved in addiction?
A. Serotonin
B. Dopamine
C. Norepinephrine
D. Acetylcholine
Answer: B. Dopamine
Rationale: Dopamine plays a key role in the brain's reward system, and its release is
significantly altered in individuals with addiction.
9. Which of the following is a key feature of a dual diagnosis?
A. A history of physical health problems
B. Co-occurring mental illness and substance use disorder
C. A primary diagnosis of addiction without mental illness
D. Chronic relapse despite treatment
Answer: B. Co-occurring mental illness and substance use disorder
Rationale: Dual diagnosis refers to the coexistence of a mental illness and a substance use
disorder, requiring integrated treatment approaches.
10. What is the role of a nurse in harm reduction strategies?
A. To prevent patients from engaging in substance use
B. To encourage complete abstinence from all substances
C. To minimize the negative consequences of substance use
D. To punish substance-using behaviors
Answer: C. To minimize the negative consequences of substance use
Rationale: Harm reduction focuses on reducing the negative health and social consequences of
substance use through practical strategies like needle exchange programs and safe consumption
spaces.
