Substance Abuse
Pain
Nervous System Disorders
Complications of Aging
Mixed Bag
100

A client who drinks alcohol daily is at risk for which vitamin deficiency?

Thiamine (B1)
100

A patient describes pain as dull and aching for 7 months. What type is this?

Chronic pain.

100

Which early sign of increased intracranial pressure (ICP) should the nurse monitor?

Decreased level of consciousness.

100

What is the most common cause of fractures in older women?

Osteoporosis 

100

Which interventions prevents falls in elderly patients with osteoporosis?

Examples: Remove loose rugs and ensure good lighting

200

Which finding is a hallmark of opioid withdrawal?

Pupillary dilation, rhinorrhea, diaphoresis.

200

Which nonpharmacologic technique uses mild electrical currents to relieve pain?

Transcutaneous electrical nerve stimulation (TENS).

200

A client with Parkinson’s disease should receive which medication to restore dopamine balance?

Levodopa-carbidopa.

200

What is presbycusis?

Age-related hearing loss.

200

A patient with alcohol withdrawal should receive which vitamin B1, why?

Prevents Wernicke-Korsakoff syndrome.

300

A client presents with paranoia, hallucinations, and dilated pupils after using a substance. Which is most likely?

Cocaine

300

Which assessment finding indicates ischemic pain?

Cramping in calves relieved by rest.

300

Which condition is characterized by autoimmune destruction of acetylcholine receptors?

Myasthenia Gravis

300

An older adult male experiences urinary dribbling and incomplete emptying. What condition is likely?

Benign prostatic hypertrophy (BPH).

300

What is something a patient may report that indicates neuropathic pain?

“Burning and tingling in my feet.”

400

Which nursing action is priority for a patient experiencing delirium tremens?

Maintain airway and administer IV benzodiazepines.

400

 A client with cancer reports escalating pain despite opioids. What is the best next step?

Add adjuvant therapy (e.g., antidepressants, anticonvulsants).


400

A patient with MS reports blurred vision and weakness. What is the underlying pathophysiology?

Demyelination of CNS neurons.

400

Why are older adults at higher risk for drug toxicity?


Decreased renal clearance.

400

What is phantom pain? 

Pain in a limb that is no longer there (amputation)

500

Which intervention best reduces relapse risk in clients with substance use disorders?

Participation in support groups like Alcoholics Anonymous.

500

A patient reports severe right shoulder pain after laparoscopic gallbladder surgery. Which type of pain is this?

Referred pain.

500

Which intervention is priority for a patient with Guillain-Barre Syndrome?

Monitor respiratory status and prepare for mechanical ventilation.

500

Which cardiovascular change is common with aging and increases risk for MI or stroke?

Arteriosclerosis.

500

A patient with Alzheimer’s disease becomes increasingly agitated in the evening. What is this called?

Sundowning.

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