NCLEX Substance Abuse Exam
1. Family members of an alcoholic client ask the nurse to help them intervene. Which
action is essential for a successful intervention?
1. All family members must tell the client they're powerless.
2. All family members must describe how the addiction affects them...
1. Family members of an alcoholic client ask the nurse to help them intervene. Which
action is essential for a successful intervention?
1. All family members must tell the client they're powerless.
2. All family members must describe how the addiction affects them.
3. All family members must come up with their share of financial support.
4. All family members must become caregivers during the detoxification period. -
Answer 2.
A client who abuses alcohol tells a nurse, "I'm sure I can become a social drinker." What
is the most appropriate response by the nurse?
1. " When do you think you can become a social drinker?"
2. " What makes you think you'll learn to drink normally?"
3. " Does your alcohol use cause major problems in your life?"
4. " How many alcoholic beverages can a social drinker consume?" - Answer 3.
A client asks a nurse not to tell his parents about his alcohol problem. What is the most
appropriate response by the nurse?
1. " How can you not tell them? Is that being honest?"
2. " Don't you think you'll need to tell them someday?"
3. " Do alcohol problems run in either side of your family?"
4. " What do you think will happen if you tell your parents?" - Answer 4.
4. The nurse is caring for a client who is experiencing alcohol withdrawal. The nurse
would be most concerned if the client exhibited which of the following?
1. Hallucinations
2. Nervousness
3. Diaphoresis
4. Nausea - Answer 1.
When assessing a client with prolonged, chronic alcohol intake, the nurse would expect
to find which of the following? 1. Enlarged liver
2. Nasal irritation
3. Muscle wasting
4. Limb paresthesia - Answer 1.
A client is receiving chlordiazepoxide (Librium) as needed for signs and symptoms of
alcohol withdrawal. The nurse assesses the client and determines the need for
medication when the client displays:
1. mild tremors, hypertension, tachycardia.
7. A client who abuses alcohol tells a nurse, "Alcohol helps me sleep." What is the most
appropriate response by the nurse?
1. " Alcohol doesn't help promote sleep."
2. " Continued alcohol use causes insomnia."
3. " One glass of alcohol at dinnertime can induce sleep."
4. " Sometimes, alcohol can make one drowsy enough to fall asleep." - Answer 1.
8. A client who is withdrawing from alcohol is being given lorazepam (Ativan). The
client's family asks the nurse about the medication. What is the best response by the
nurse?
1. " Short-term use of lorazepam can lead to dependence."
2. " The lorazepam will reduce the symptoms of withdrawal." 3. " The lorazepam will
make him forget about symptoms of withdrawal."
4. " The lorazepam will also help with his heart disease." - Answer 2. Lorazepam
A client who abuses alcohol tells the nurse that everyone in his family has an alcohol
problem and nothing can be done about it. What is the most appropriate response by
the nurse?
1. " You're right; it's much harder to become a recovering person."
2. " This is just an excuse for you so you don't have to work on becoming sober."
3. " Sometimes, nothing can be done, but you may be the exception in this family."
4. " Alcohol problems can occur in families, but you can decide to take the steps to
become and stay sober." - Answer 4.
The nurse is caring for a client with a history of chronic alcoholism and is aware that the
client may be predisposed to which of the following?
1. Arteriosclerosis
2. Heart failure
3. Heart valve damage
4. Pericarditis - Answer 2. Heart failure
A young, depressed adult woman with a history of alcohol abuse is admitted to the
hospital after a motor vehicle accident. The nurse performs the admission assessment
of the client and anticipates that the history will include which of the following?
1. Defiant responses
2. Infertility
3. Memory loss
4. Sexual abuse - Answer 4.
A client with a history of alcohol abuse has been diagnosed with nutritional deficits.
What is the best intervention for the nurse to implement?
1. Encourage the client to eat a diet high in calories.
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