NSG-552 Exam 3 August 2026
Stimulants such as Concerta exert their therapeutic effect by:
- A) Blocking NE
- B) Decreasing dopamine in the nucleus accumbens
- C) Increasing dopamine in the prefrontal cortex ✅
- D) Agonism of alpha-2 receptors
A patient presents to you requesting detox. They present with the following symptoms: anxiety, lacrimation, muscle aches, abdominal cramps, and diarrhea. They tell you these symptoms started a day ago and have been worsening since then. Which of the following would be most appropriate to treat this patient’s withdrawal symptoms?
- A) Lorazepam IV/PO
- B) Buprenorphine/naloxone PO ✅
- C) Haloperidol IM/PO
- D) Naloxone IV
TY is a 19-year-old male brought into the ER with the following presentation: unconscious, miosis, BP 90/52, HR 48, RR 8, temperature 95oF. Which of the following substances is TY most likely acutely intoxicated with?
- A) Alcohol
- B) Cocaine
- C) Heroin ✅
- D) Marijuana
TY is a 19-year-old male brought into the ER with the following presentation: unconscious, miosis, BP 90/52, HR 48, RR 8, temperature 95oF. Which of the following treatments would be the most appropriate medication to treat TY’s acute intoxication?
- A) Lorazepam IV
- B) Buprenorphine/naloxone PO
- C) Supportive care
- D) Naloxone IV ✅
Which of the following is a concern if buprenorphine is started too soon after a patient’s last opioid use?
- A) Buprenorphine will displace any residual opioids from the μ receptors and can precipitate withdrawal symptoms. ✅
- B) Buprenorphine will not be able to bind to μ receptors and may be ineffective in managing withdrawal symptoms.
- C) Buprenorphine can have synergistic effects with residual opioids at the μ receptors and cause intoxication.
- D) Buprenorphine will not be able to be metabolized and may cause hepatotoxicity.
Which of the following describes the mechanism of action of buprenorphine?
- A) NMDA receptor antagonist
- B) μ-opioid receptor partial agonist ✅
- C) μ-opioid receptor antagonist
- D) μ-opioid receptor full agonist…………………………………………………………purchase this entire exam at $30 only
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