Show:
Nicotine
Cocaine
Opioids
Hallucinogens
Amphetamines
100
What is Nicotine? A. Stimulant B. Depression C. Opioid D. Analgesic
What is a stimulant.
100
A client has been admitted to the emergency department and states he just used cocaine. The nurse monitors client for which condition? A.Tachycardia B.Hyperthermia C.Hypotension D.Bradypnea
What is Tachycardia
100
The nurse administers morphine sulfate 4 mg IV to a client for treatment of severe pain. Which of the following assessments requires immediate nursing interventions? A. Blood pressure 110/70 B. The client is drowsy. C. Pain is unrelieved in 15 minutes. D. Respiratory rate 10/minute
What is Respiratory rate 10/minute. Rationale: Opioids activate mu and kappa receptors that can cause profound respiratory depression. Respiratory rate should remain above 12. The BP is not significantly low. Drowsiness is an expected effect of morphine. Unrelieved pain warrants further assessment, but not as immediately as do decreased respirations.
100
Signs that a client is having auditory hallucinations are? (SATA) A. Listening intently when no one is talking B. Sleepiness C. Talking to self D. inappropriate ginning and/or laughter
What are Listening intently when no one is talking, Talking to self, Inappropriate ginning and/ or laughter.
100
A nurse is assessing a patient for possible substance abuse. Which findings indicates possible use of Amphetamines? A. Lethargy and fatigue B. Cardiovascular depression C. Talkativeness and euphoria D. Difficulty swallowing and constipation
What are Talkativeness and Euphoria.
200
How fast does Nicotine reach the brain? A. 5 seconds B. 10 seconds C. 8 seconds D. 7 seconds
What is 7 seconds.
200
A pregnant client is thinking about stopping cocaine use. The nurse determines that teaching about drug use and pregnancy has been effective when the client makes which statement? A. "Right after birth, I'll give up the baby for adoption." B. "I'll help the baby get through the withdrawal period." C. "I don't want the baby to have withdrawal symptoms." D." It's scary to think the baby may have down syndrome."
What is " I don't want the baby to have withdrawal symptoms."
200
Nursing intervention for a client receiving opioid analgesics over an extended period of time should include: A. Referring the client to a drug treatment center. B. Encouraging increased fluids and fiber in the diet. C. Monitoring for G.I. bleeding. D. Teaching the client to take her own blood pressure.
What is Encouraging increased fluids and fiber in the diet. Rationale: Opioids suppress intestinal contractility, increase anal sphincter tone, and inhibit fluids into the intestines, which can lead to constipation. There is nothing to indicate the drug is related to addiction problems. Opioids do not cause GI bleeding.
200
The student health nurse at a large university is assessing the client who was just brought in by friends after a night of partying. The friends report no drug use by the client but report unusual behavior for the last couple of hours. Which of the following hallucinogens could be given to the client without knowledge? A. Ecstasy B. PCP C. Ketamine D. Marijuana
What is Ecstasy. Rationale: MDMA, commonly known as Ecstasy, had high use in the 1980’s as a popular recreational “club drug” associated with dance clubs or “raves”. It has reappeared in recent years as a date or rape drug. Parties where there are other drugs or alcohol present may lead to easier access or availability of Ecstasy. This client may have been given Ecstasy without any knowledge or consent. 
The client would have to agree to take all of the other drugs.
200
What are the uses of Amphetamines?(SATA) A. Focus B. Dizziness C. Insomnia D. Narcolepsy E. Sinus problems
What are (a)Focus, (c)Insomnia, (d)Narcolepsy, (e) Sinus problems
300
Which receptors have the highest nicotine affinity? A. Neurological B. Skeletal C. Muscular D. Skeletal-Muscular
What is Muscular.
300
A client with a history of cocaine abuse exhibits changes following return from an inpatient treatment facility. The nurse anticipates that the physician will order which test? A. Antibody screen B. Glucose screen C. Hepatic testing D. Urine screen
What is a Urine Screen.
300
When a recently hospitalized client has a tentative diagnosis of opioid addiction, the nurse should assess the client for signs and symptoms related to opioid withdrawal. List them in the order that they will occur as the client progresses through withdrawal. 1. Runny nose
 2. Muscle twitching
 3. Return of appetite 
4. Flulike syndromes

What are 1. Runny nose
, 2. Muscle twitching
, 4. Flulike syndromes, 3. Return of appetite
. Rationale: When opioids, which are CNS depressants, are withdrawn initially the client will experience a runny nose (rhinorrhea), tearing of the eyes (lacrimation), diaphoresis, yawning, and irritability. As withdrawal progresses a rebound hyperexcitability precipitates muscle twitching, restlessness, hypertension, tachycardia, temperature irregularities, tremors, and loss of appetite. Finally, flulike symptoms, insomnia and yawning occur. Once withdrawal is complete the appetite returns, vital signs become stable, and other withdrawal signs and symptoms subside and eventually disappear.
300
Which of the following is a hallucinogen? A. Crack B. Cocaine C. Heroin D. LSD
What is LSD.
300
The nurse is working night shift with another nurse who has been exhibiting some problematic behaviors, such as weight loss, tachypnea, tachycardia, insomnia, memory loss, and paranoia. Abuse of which of the following substances could contribute to this behavior? A. Caffeine B. Amphetamines C. Nicotine D. Alcohol
What is Amphetamines. Rationale: Amphetamines cause arousal and an elevation of mood with a sense of increased strength, mental capacity, self-confidence, and a decreased need for food and sleep. Methamphetamine users in treatment have reported physical symptoms associated with the use of methamphetamine including weight loss, tachycardia, tachypnea, hyperthermia, insomnia, and muscular tremors. The behavioral and psychiatric symptoms reported most often include violent behavior, repetitive activity, memory loss, paranoia, delusions of reference, auditory hallucinations, and confusion or fright.
400
What are the effects of a non-smoker? (SATA) A. Relaxation B. Stimulation C. Headache D. Nausea
What are Stimulation, Headache, & Nausea
400
A nurse is caring for a client recovering from cocaine abuse. The priority intervention for this client would be? A.Skin care B. Suicide precaution C. Frequent orientation D. Nutrition consultation
What is Suicide Precaution.
400
A nurse in an acute mental health facility is caring for a client who is withdrawing from opioid use and has a new prescription for Clonidine (Catapres). Which of the following is the priority nursing action? A. Adminster the clonidine as prescribed. B. Provide ice chips at the clients bedside. C. Inform the client about the affects of clonidine. D. Measure the clients baseline vital signs.
What is Measure the clients baseline vital signs.
400
What was Phencyclidine originally used for? A. Depression B. ADHD C. Animal Tranquilizer D. Animal Stimulant
What is Animal Tranquilizer.
400
A client is admitted for an overdose of Amphetamines.When assessing the client, the nurse should expect to see? A. Slow pulse B. Tension and irritability C. Hypotension D. Constipation
What is Tension and irritability. Rationale- Amphetamines are nerve system stimulant that is subject to abuse because of its ability to produce wakefulness and euphoria. An overdose increases tension and irritability.
500
All of the following are physiological effects of nicotine poisoning Except: A.Seizures B.Ototoxicity and Blurred vision C.Hyperthermia D.Syncope due to Orthostatic hypotension
What is Hyperthermia
500
A nurse is assessing a client who repeatedly abuses cocaine. It is important for the nurse to observe the client for which of the following? A. Panic attacks B. Bipolar cycling C. Attention deficits D. Expressive aphasia
What is Bipolar Cycling
500
Which of the following statements about opioids (morphine, heroin, codeine, Vicodin) is untrue? A. Opioids stimulate receptors in the brain that provide pain relief, pleasure and motivation, and regulate temperature, respiration and GI activity. B. Individuals who abuse illicit opioids are at high risk for poisoning, infection and overdose because the drugs may be cut with impurities and contaminated, and may vary in strength. C. Narcan, a narcotic antagonist is given to reverse respiratory depression and coma. D. Opioids rarely cross the placental barrier, and has no long term effect on children of abusers.
What is Opioids rarely cross the placental barrier, and has no long term effect on children of abusers. Rationale: This is not true. Children exposed to opioids prenatally are often uncoordinated, have feeding problems, and are they are often hypersensitive to noise and other stimuli.
500
A nursing is caring for a client who has a history of Phencyclidine(PCP). What psychological signs and symptoms would she monitor for?(SATA) A. Increased Blood pressure B. Belligerence C. Impulsive behavior D. Paranoia
What are Belligerence, Impulsive behavior, and Paranoia.
500
A client is withdrawing from amphetamines, what should the nurse monitor? A. wakefulness B. Anxiety C. Depression D. Weight Loss
What is Depression. Rationale- Originally used to treat Depression.