Substance Use & Addiction MCQs for Nursing Exams

223 questions with explanations · 26 free to practise now.

Substance Use & Addiction questions for NORCET, RRB, ESIC, CHO and state nursing officer exams, split into 6 topics. Open a topic to read sample questions with answers, or start free practice. Every question comes with a simple-English explanation.

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Substance Use & Addiction topics

General 136Substance Abuse 32Alcohol Withdrawal 28The Nursing Care Of Clients With Mental Health Needs 11Mental Health/Psychiatric Nursing 10The Client With An Alcohol-Related Disorder 6

Sample Substance Use & Addiction questions

Q1. A patient on disulfiram should avoid which products?

  1. Fresh fruit
  2. Alcohol-containing mouthwash and cough syrups
  3. Rice
  4. Water
Show answer and explanation

Answer: B. Alcohol-containing mouthwash and cough syrups

Even small amounts of alcohol can trigger a reaction.

Q2. The nurse explains to the patient's family the alcoholic's recovery process. What is the first step in recovering from alcohol?

  1. Forming a close support network
  2. Checking into an inpatient rehabilitation unit
  3. Relying on some form of religious belief
  4. Admitting an inability to control drinking
Show answer and explanation

Answer: D. Admitting an inability to control drinking

Denial is the major barrier to recovery from alcoholism. The first step of Alcoholics Anonymous (AA) and other treatment programs is to admit powerlessness over alcohol. AA does emphasize belief in a higher power, but relying on and participating in an organized religion is not a prerequisite for participation in the treatment program. Forming a close support network is important because the patient undergoes many physical, emotional, and lifestyle changes, but this is not the first step to the recovery process. Admission to an inpatient rehabilitation unit is also not a prerequisite to treatment because patients often attend treatment programs after work and on the weekends as outpatients.

Q3. Which person is displaying behaviors that most strongly suggest the need for additional screening for possible substance abuse?

  1. Person with cancer progressively needs more pain medication to achieve relief
  2. College student reports occasionally smoking marijuana during semester break
  3. Stay-at-home mom reports drinking while her kids are in school and after they go to bed
  4. Person with a fractured leg reports taking opioids and tapering off when pain subsides
Show answer and explanation

Answer: C. Stay-at-home mom reports drinking while her kids are in school and after they go to bed

A woman who is drinking when her children are out of sight is displaying substance use that is not based on medical needs or social norms. The college student is using an illegal substance, but at this point, the frequency does not suggest that it is a compulsive problem. Person with cancer and person with a fracture are using medications for pain as indicated.

Q4. What should a nurse identify as the most important factor in rehabilitation of a patient addicted to alcohol?

  1. Motivational readiness
  2. Availability of community resources
  3. Accepting attitude of the patient's family
  4. Qualitative level of the patient's physical state
Show answer and explanation

Answer: A. Motivational readiness

Intrinsic motivation, stimulated from within the learner, is essential if rehabilitation is to be successful. Often patients are most emotionally ready for help when they have "hit bottom." Only then are they motivationally ready to face reality and put forth the necessary energy and effort to change behavior. 514 CHAPTER 22 Mental Health/Psychiatric Nursing 2, 4 This is an important factor but not the most MENTAL HEALTH/PSYCHIATRIC NURSING important one. 3 This is an important factor and a helpful one, but not the most important one.

Q5. A patient is admitted to the hospital with the diagnosis of alcohol withdrawal syndrome. What body organ should the nurse teach the patient will be protected by the ingestion of a high calorie diet fortified with vitamins?

  1. Adrenal
  2. Pancreas
  3. Heart
  4. Liver
Show answer and explanation

Answer: D. Liver

More than 90% of absorbed alcohol is metabolized in the liver, so this organ is exposed to alcohol and its toxic metabolites and is vulnerable to severe acute and chronic injury. The nurse should teach that a high calorie diet fortified with vitamins protects the liver.

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Frequently asked questions

Are the Substance Use & Addiction questions free?

A set of 26 questions is free to practise after you enter your name and mobile number (no OTP). The full set of 223 questions is in NurseRank Premium.

Is Substance Use & Addiction asked in NORCET and other nursing officer exams?

Nursing exams test the core nursing subjects, so this subject is useful for NORCET, RRB, ESIC, CHO and state exams. Check your exam's official syllabus for exact weightage.

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