1. What is the most common withdrawal symptom associated with alcohol withdrawal?
a) Nausea and vomiting
b) Tachycardia
c) Seizures
d) Tremors
Answer: d) Tremors
Rationale: Tremors are one of the earliest signs of alcohol withdrawal, often appearing within 6-
12 hours of the last drink. While nausea, tachycardia, and seizures can also occur, tremors are
more common and usually less severe.
2. The first line pharmacologic treatment for opioid use disorder is:
a) Naloxone
b) Methadone
c) Disulfiram
d) Bupropion
Answer: b) Methadone
Rationale: Methadone is a long-acting opioid agonist used to reduce withdrawal symptoms and
cravings. It's considered the gold standard for opioid use disorder treatment.
3. Which of the following is a common physical symptom of cannabis intoxication?
a) Bradycardia
b) Hyperactivity
c) Dry mouth
d) Hypotension
Answer: c) Dry mouth
Rationale: Dry mouth, or "cottonmouth," is a common side effect of cannabis intoxication due
to the cannabinoid receptors in the salivary glands being affected.
4. What is the primary goal of harm reduction strategies in addiction treatment?
a) To eliminate substance use completely
b) To reduce the negative consequences of substance use
c) To encourage complete abstinence
d) To punish individuals for their behavior
,Answer: b) To reduce the negative consequences of substance use
Rationale: Harm reduction focuses on minimizing the risks associated with substance use, such
as providing clean needles, naloxone for overdose prevention, or education about safe use
practices.
5. The Mini Mental Status Exam (MMSE) is often used in addiction treatment to assess:
a) Cognitive function
b) Withdrawal severity
c) Substance cravings
d) Physical dependency
Answer: a) Cognitive function
Rationale: The MMSE is used to assess cognitive function and detect any cognitive deficits that
may arise due to substance abuse or other factors, like co-occurring mental health disorders.
6. Which of the following is NOT a typical sign of opioid overdose?
a) Pinpoint pupils
b) Respiratory depression
c) Agitation
d) Hypotension
Answer: c) Agitation
Rationale: Opioid overdose typically causes respiratory depression, pinpoint pupils, and
hypotension. Agitation is not a common sign and might instead indicate withdrawal or
intoxication with another substance.
7. The main action of the medication Disulfiram (Antabuse) in treating alcoholism is to:
a) Cause intense nausea and vomiting when alcohol is consumed
b) Suppress alcohol cravings
c) Block the absorption of alcohol
d) Provide a mild sedative effect
Answer: a) Cause intense nausea and vomiting when alcohol is consumed
Rationale: Disulfiram interferes with alcohol metabolism, causing a buildup of acetaldehyde
when alcohol is consumed, leading to unpleasant symptoms such as nausea, vomiting, and
flushing to discourage alcohol use.
, 8. The term "cross-tolerance" refers to:
a) The resistance to the effects of one drug due to previous exposure to a different drug
b) The ability to reduce withdrawal symptoms with a different substance
c) The ability to use the same drug with increasing doses over time
d) The treatment of withdrawal symptoms using a non-addictive drug
Answer: a) The resistance to the effects of one drug due to previous exposure to a different
drug
Rationale: Cross-tolerance occurs when tolerance to one substance results in tolerance to
another substance that acts on similar receptors, such as alcohol and benzodiazepines.
9. The medication Naltrexone is used in addiction treatment primarily for:
a) Alcohol use disorder
b) Opioid use disorder
c) Both alcohol and opioid use disorders
d) Nicotine dependence
Answer: c) Both alcohol and opioid use disorders
Rationale: Naltrexone is an opioid antagonist used to block the euphoric effects of opioids and
alcohol, helping to reduce cravings in both alcohol and opioid use disorders.
10. A nurse is assessing a patient with a history of cocaine use. The nurse should be most
concerned if the patient presents with:
a) Increased appetite
b) Extreme irritability and paranoia
c) Drowsiness and lethargy
d) Hypotension
Answer: b) Extreme irritability and paranoia
Rationale: Extreme irritability and paranoia are common signs of stimulant intoxication or
withdrawal, particularly with substances like cocaine. These symptoms may indicate that the
patient is experiencing acute intoxication or a mental health issue exacerbated by the drug.
11. What is the purpose of a detoxification program?
a) Nausea and vomiting
b) Tachycardia
c) Seizures
d) Tremors
Answer: d) Tremors
Rationale: Tremors are one of the earliest signs of alcohol withdrawal, often appearing within 6-
12 hours of the last drink. While nausea, tachycardia, and seizures can also occur, tremors are
more common and usually less severe.
2. The first line pharmacologic treatment for opioid use disorder is:
a) Naloxone
b) Methadone
c) Disulfiram
d) Bupropion
Answer: b) Methadone
Rationale: Methadone is a long-acting opioid agonist used to reduce withdrawal symptoms and
cravings. It's considered the gold standard for opioid use disorder treatment.
3. Which of the following is a common physical symptom of cannabis intoxication?
a) Bradycardia
b) Hyperactivity
c) Dry mouth
d) Hypotension
Answer: c) Dry mouth
Rationale: Dry mouth, or "cottonmouth," is a common side effect of cannabis intoxication due
to the cannabinoid receptors in the salivary glands being affected.
4. What is the primary goal of harm reduction strategies in addiction treatment?
a) To eliminate substance use completely
b) To reduce the negative consequences of substance use
c) To encourage complete abstinence
d) To punish individuals for their behavior
,Answer: b) To reduce the negative consequences of substance use
Rationale: Harm reduction focuses on minimizing the risks associated with substance use, such
as providing clean needles, naloxone for overdose prevention, or education about safe use
practices.
5. The Mini Mental Status Exam (MMSE) is often used in addiction treatment to assess:
a) Cognitive function
b) Withdrawal severity
c) Substance cravings
d) Physical dependency
Answer: a) Cognitive function
Rationale: The MMSE is used to assess cognitive function and detect any cognitive deficits that
may arise due to substance abuse or other factors, like co-occurring mental health disorders.
6. Which of the following is NOT a typical sign of opioid overdose?
a) Pinpoint pupils
b) Respiratory depression
c) Agitation
d) Hypotension
Answer: c) Agitation
Rationale: Opioid overdose typically causes respiratory depression, pinpoint pupils, and
hypotension. Agitation is not a common sign and might instead indicate withdrawal or
intoxication with another substance.
7. The main action of the medication Disulfiram (Antabuse) in treating alcoholism is to:
a) Cause intense nausea and vomiting when alcohol is consumed
b) Suppress alcohol cravings
c) Block the absorption of alcohol
d) Provide a mild sedative effect
Answer: a) Cause intense nausea and vomiting when alcohol is consumed
Rationale: Disulfiram interferes with alcohol metabolism, causing a buildup of acetaldehyde
when alcohol is consumed, leading to unpleasant symptoms such as nausea, vomiting, and
flushing to discourage alcohol use.
, 8. The term "cross-tolerance" refers to:
a) The resistance to the effects of one drug due to previous exposure to a different drug
b) The ability to reduce withdrawal symptoms with a different substance
c) The ability to use the same drug with increasing doses over time
d) The treatment of withdrawal symptoms using a non-addictive drug
Answer: a) The resistance to the effects of one drug due to previous exposure to a different
drug
Rationale: Cross-tolerance occurs when tolerance to one substance results in tolerance to
another substance that acts on similar receptors, such as alcohol and benzodiazepines.
9. The medication Naltrexone is used in addiction treatment primarily for:
a) Alcohol use disorder
b) Opioid use disorder
c) Both alcohol and opioid use disorders
d) Nicotine dependence
Answer: c) Both alcohol and opioid use disorders
Rationale: Naltrexone is an opioid antagonist used to block the euphoric effects of opioids and
alcohol, helping to reduce cravings in both alcohol and opioid use disorders.
10. A nurse is assessing a patient with a history of cocaine use. The nurse should be most
concerned if the patient presents with:
a) Increased appetite
b) Extreme irritability and paranoia
c) Drowsiness and lethargy
d) Hypotension
Answer: b) Extreme irritability and paranoia
Rationale: Extreme irritability and paranoia are common signs of stimulant intoxication or
withdrawal, particularly with substances like cocaine. These symptoms may indicate that the
patient is experiencing acute intoxication or a mental health issue exacerbated by the drug.
11. What is the purpose of a detoxification program?
