Download NURS 302 module 1 practice Questions With Complete Solutions 2025 Graded A+ and more Exams Nursing in PDF only on Docsity!
NURS 302 module 1 practice Questions With Complete
Solutions 2025 Graded A+
Which of the following nursing assessment findings are consistent with alcohol withdrawal? A. Patient is diaphoretic, constipated, cannot eat his lunch, p = 70, BP = 140/85, T = 101°F B. Patient is agitated and tremulous, p = 100, BP = 110/70, T = 101°F C. Patient is disoriented when awake, sleeping on and off throughout the shift, skin cool and dry, T = 98.4°F D. Patient is vomiting, tremulous, having difficulty sleeping, p = 100, BP = 160/95, T = 99°F - ANSWERS-D. Patient is vomiting, tremulous, having difficulty sleeping, p = 100, BP = 160/95, T = 99°F The nurse would expect to find which of the following diagnostic criteria in a patient with a substance use disorder? Select all that apply. A. Cravings B. Tolerance C. Conditioning D. Withdrawal E. Genetics - ANSWERS-A. Cravings B. Tolerance
D. Withdrawal Which of the following complications would the nurse expect to find with cirrhosis of the liver? Select all that apply. A. Gastritis B. Ascites C. Hepatic encephalopathy D. Esophageal varices E. Portal hypotension - ANSWERS-A. Gastritis B. Ascites C. Hepatic encephalopathy D. Esophageal varices E. Portal hypotension You suspect a newborn has fetal alcohol syndrome, but the mother has denied alcohol use during pregnancy. What should the nurse assess for in the newborn? Select all that apply. A. Larger head circumference B. Thick upper lip C. Short nose D. Small midface E. Low nasal bridge - ANSWERS-C. Short nose D. Small midface
E. Does not need approval from others F. Usually happy with oneself G. Has a stable functional family H. Feels responsible for fixing problems of others - ANSWERS-A. Relinquishes personal identity C. Forgoes own needs to take care of others D. Never feels good enough H. Feels responsible for fixing problems of others Can you differentiate the substance-related and addictive disorders? Drag and drop relevant clinical manifestations, assessment findings, and other pertinent data for each disorder. Effects of opioid use disorder: A. Euphoria B. Drowsiness C. Respiratory depression D. Diarrhea E. Increased sexual function F. Mood changes G. Pupillary dilation H. Hypotension - ANSWERS-A. Euphoria B. Drowsiness
C. Respiratory depression F. Mood changes H. Hypotension Can you differentiate the substance-related and addictive disorders? Drag and drop relevant clinical manifestations, assessment findings, and other pertinent data for each disorder. Effects of large doses of sedative, hypnotic, and anxiolytic drugs: A. Euphoria B. Drowsiness C. Respiratory depression D. Diarrhea E. Increased sexual function F. Mood changes G. Decreased body temperature H. Hypotension - ANSWERS-B. Drowsiness C. Respiratory depression G. Decreased body temperature H. Hypotension Can you differentiate the substance-related and addictive disorders? Drag and drop relevant clinical manifestations, assessment findings, and other pertinent data for each disorder.
B. Phase 1 - tolerance begins to develop C. Phase 2 - blackouts occur D. Phase 2 - not worried about drinking E. Phase 3 - still has control F. Phase 3 - periods of binge drinking G. Phase 4 - withdrawal symptoms occur when not drinking H. Phase 4 - feels helpless and depressed - ANSWERS-A. Phase 1 - alcohol is used to relive everyday stress B. Phase 1 - tolerance begins to develop C. Phase 2 - blackouts occur F. Phase 3 - periods of binge drinking G. Phase 4 - withdrawal symptoms occur when not drinking H. Phase 4 - feels helpless and depressed Can you differentiate the substance-related and addictive disorders? Drag and drop relevant clinical manifestations, assessment findings, and other pertinent data for each disorder. Physical effects of chronic alcohol use disorder: A. Wernicke-Korasakoff syndrome B. Cardiomyopathy C. Esophagitis D. Hepatitis
E. Esophageal varices F. Leukopenia G. Thrombocytopenia H. Pancreatitis - ANSWERS-A. Wernicke-Korasakoff syndrome B. Cardiomyopathy C. Esophagitis D. Hepatitis E. Esophageal varices F. Leukopenia G. Thrombocytopenia H. Pancreatitis Can you differentiate the substance-related and addictive disorders? Drag and drop relevant clinical manifestations, assessment findings, and other pertinent data for each disorder. Substance use disorder predisposing factors: A. Culture and ethnicity B. Depression C. Conditioned response D. Punitive superego E. Fixation in anal stage of psychosexual development
H. Codependency - ANSWERS-A. Withdrawal B. Tolerance C. Control D. Risky use E. Cravings G. Recurrent use Which of the following nursing implications arises from the fact that the majority of individuals with a substance use disorder have a dual diagnosis of mental illness? A. The nurse will address the psychiatric diagnosis first as it preceded the development of the substance use disorder. B. The nurse will ensure that any psychiatric diagnoses are identified and resolved before substance use disorder treatment. C. The nurse will approach the patient from an integrated health-care model and tailor the care plan to address both the psychiatric and substance use diagnoses. D. The nurse knows that a substance use disorder will always exacerbate a psychiatric diagnosis, so it must be treated first. - ANSWERS-C. The nurse will approach the patient from an integrated health-care model and tailor the care plan to address both the psychiatric and substance use diagnoses. The nurse recognizes that a problematic pattern of substance use disorder is characterized by which of the following? Select all that apply. A. A shift from use by choice use to compulsive use that is manifested in a narrowing of focus regarding the substance.
B. The development of tolerance to the effects of and withdraw from the substance. C. Continued risky use despite consequences to physical and psychological health. D. Issues with impaired control, social impairment, risky use, and pharmacological criteria. E. Use of the substance to produce relaxation and reduce inhibition. - ANSWERS-B. The development of tolerance to the effects of and withdraw from the substance. C. Continued risky use despite consequences to physical and psychological health. D. Issues with impaired control, social impairment, risky use, and pharmacological criteria. Which of the following are predisposing factors to substance use disorders? Select all that apply. A. Depression B. Genetics C. Peer pressure D. Modeling E. Irrational thinking patterns - ANSWERS-A. Depression B. Genetics D. Modeling E. Irrational thinking patterns A nurse is assessing a patient who presents to the emergency department with a history of blackouts, has been binge drinking, and was just expelled from college. Which phase of drinking with alcohol use disorder is this client in?
year-old son and the possibility of drug abuse. What indication of substance abuse in adolescents should the nurse plan to teach the mother? A. Improved academic performance. B. Introducing new friends to family. C. Headaches D. Unexplained moodiness. - ANSWERS-D. Unexplained moodiness. A client who has been on the unit for two (2) weeks relates a 15-year history of polysubstance abuse with several detoxifications followed by relapses. The client mentions that when he is released from the hospital, he tries to "get on with my life and put this other stuff in the past." The nurse identifies an appropriate outcome as being that client will: A. View recovery is a lifelong process occurring a day at a time. B. Discuss childhood factors that impact on his drug use. C. Recognize his need for methadone maintenance. D. Identify reasons for past episodes of noncompliance. - ANSWERS-A. View recovery is a lifelong process occurring a day at a time. A priority nursing diagnosis for a 25-year-old client admitted to a drug rehabilitation program 4 days ago for chronic cocaine abuse would be: A. Risk for self-directed violence related to hyperactivity. B. Risk for self-directed violence related to suicidal depression. C. Risk for noncompliance related to chronic drug use.
D. Disturbed sensory perception related to stimulant drug use. - ANSWERS-B. Risk for self-directed violence related to suicidal depression. A 19-year-old client has been admitted to the ED after snorting heroin with her boyfriend. She has pinpoint pupils and is unconscious. The client's priority nursing diagnosis is: A. Risk for imbalanced fluid volume. B. Ineffective breathing pattern. C. Disturbed sensory perception. D. Impaired physical mobility. - ANSWERS-B. Ineffective breathing pattern. A client recently discharged from an alcohol rehabilitation program is brought to the hospital in a state of prostration with severe throbbing headache, tachycardia, a beet-red face, dyspnea, and continuous vomiting. The client's significant other states the client got sick about 15 minutes after drinking a glass of wine. The nurse should be guided in assessment by the suspicion that the client: A. Is exhibiting symptoms of cross dependence. B. Is having a stroke. C. Has alcohol intoxication. D. Is reacting to disulfiram (Antabuse). - ANSWERS-D. Is reacting to disulfiram (Antabuse). The most effective nursing approach to deal with denial in a client who abuses substances is: A. confronting the client regarding his or her hopeless life situation.
A. Ineffective individual coping. B. Fluid volume excess. C. Imbalanced nutrition: less than body requirements. D. Knowledge deficit. - ANSWERS-C. Imbalanced nutrition: less than body requirements. A patient presents to the clinic with a report of fatigue and difficulty concentrating. Which additional statement made by the patient would alert the healthcare provider to possible marijuana use? A. "I feel anxious and have trouble sleeping." B. "I feel nauseous and don't feel like eating." C. "I've noticed that my eyes are red lately." D. "I keep having really vivid and scary nightmares." - ANSWERS-C. "I've noticed that my eyes are red lately." A patient is admitted to the medical unit after experiencing chest pain. Which of these additional findings would support a diagnosis of cocaine abuse? A. Jaundice B. Profuse diarrhea C. Hypotension D. Perforated nasal septum - ANSWERS-D. Perforated nasal septum A nurse is planning a staff education program on substance use in older adults. Which of the following information should the nurse to include in the
presentation? A. Older adults require higher doses of a substance to achieve a desired effect. B. Older adults commonly use rationalization to cope with a substance use disorder. C. Older adults are at an increased risk for substance use following retirement. D. Older adults develop substance use to mask manifestations of dementia. - ANSWERS-C. Older adults are at an increased risk for substance use following retirement. A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? (Select all that apply.) A. Bradycardia B. Fine tremors of both hands C. Hypotension D. Vomiting E. Restlessness - ANSWERS-B. Fine tremors of both hands D. Vomiting E. Restlessness A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. Which of the following interventions should the nurse identify as the priority?
recovery." D. "The primary goal of treatment is abstinence from substance use." E. "Our sibling needs to discuss personal feelings about substance use to help with recovery." A nurse is caring for a client who has cocaine use disorder and is experiencing severe effects of intoxication. Identify three expected findings. - ANSWERS- Objective:
- Seizures
- Extreme fever
- Tachycardia
- Hypertension Subjective:
- Hallucinations
- Chest pain A nurse is caring for a client who has cocaine use disorder and is experiencing severe effects of intoxication. Describe two nursing interventions. - ANSWERS-- Perform a nursing self assessment.‐
- Maintain a safe environment.
- Implement seizure precautions.
- Orient the client to time, place, and person.
- Create a low stimulation environment.‐
- Monitor the client's vital signs and neurologic status.
A nurse is caring for a client who has cocaine use disorder and is experiencing severe effects of intoxication. Describe two forms of nonpharmacological therapy.
- ANSWERS-- Cognitive behavioral therapies decrease anxiety and promote a change in behavior.
- Acceptance and commitment therapy promotes acceptance of the client and promotes a commitment to change.
- Relapse prevention therapy assists clients in identifying relapse and promotes self control.‐
- Group therapy allows clients who have similar diagnoses to work together toward recovery.
- Family therapy allows the client and family members to work together toward recovery.
- Narcotics Anonymous provides a 12 step program to promote recovery and‐ abstinence from future substance use. A nurse is caring for a client who has cocaine use disorder and is experiencing severe effects of intoxication. Identify two client outcomes. - ANSWERS-- The client will verbalize coping strategies to use in times of stress.
- The client will remain substance free.‐
- The client will remain free from injury.
- The client will attend a 12 step program regularly.‐ A nurse is providing teaching to a client who has alcohol use disorder and a new prescription for carbamazepine. Which of the following information should the nurse include in the teaching? A. "This medication will help prevent seizures during alcohol withdrawal."
