ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 17 Questions
Question 1 of 5
A 38-year-old male patient stopped smoking 6 months ago. He tells the nurse that he still feels strong cigarette cravings and wonders if he is ever going to feel 'normal' again. Which statement by the nurse is correct?
Correct Answer: B
Rationale: Cigarette cravings can persist for months or even years after quitting due to nicotine's addictive nature, but they typically lessen over time. The other options are incorrect: cravings do not indicate ongoing nicotine use or impending withdrawal, and while cravings may persist, they are not necessarily permanent.
Question 2 of 5
A patient in a rehabilitation center is beginning to experience opioid withdrawal symptoms. The nurse expects to administer which drug as part of the treatment?
Correct Answer: B
Rationale: Methadone is commonly used to manage opioid withdrawal symptoms by reducing cravings and withdrawal effects due to its long-acting opioid properties. Diazepam and disulfiram are used for alcohol dependence, and bupropion is used for smoking cessation.
Question 3 of 5
A patient has been taking naltrexone as part of the treatment for addiction to heroin. The nurse expects that the naltrexone will have which therapeutic effect for this patient?
Correct Answer: D
Rationale: Naltrexone blocks opioid receptors, preventing the euphoria associated with heroin use, thus reducing the reinforcing effects of the drug. It does not directly prevent cravings, act as a substitute, or cause severe nausea like disulfiram does with alcohol.
Question 4 of 5
The nurse is presenting a substance-abuse lecture for teenagers and is asked about 'ecstasy.' The nurse recognizes that this is the slang term for which substance?
Correct Answer: D
Rationale: Ecstasy is a common slang term for methylenedioxymethamphetamine (MDM
A), a synthetic amphetamine derivative with stimulant and hallucinogenic properties. The other substances listed have different slang names and effects.
Question 5 of 5
A 29-year-old patient is admitted to the intensive care unit with the following symptoms: restlessness, hyperactive reflexes, talkativeness, confusion and periods of panic, and tachycardia. The nurse suspects that he may be experiencing the effects of taking which substance?
Correct Answer: C
Rationale: The symptoms described, such as restlessness, hyperactive reflexes, talkativeness, confusion, panic, and tachycardia, are characteristic of stimulant intoxication (e.g., amphetamines or cocaine). Opioids, alcohol, and depressants typically cause sedation or other distinct effects.