Clinical Nurse Specialist CNS Adult Practice Test

Category - AACN Clinical Nurse Specialist Practice Test

A client is admitted, presenting with hypertension, tachycardia, and hyperthermia. The client is combative and paranoid. The client’s bowel sounds are diminished and the urine output is lower than normal. These are the characteristic symptoms of:
  1. Alcohol intoxication
  2. Heroine toxicity
  3. Cocaine toxicity
  4. Marijuana use
Explanation
Answer: C - Cocaine toxicity is characterized by tachycardia, diminished bowel sounds, hypertension, decreased urine output, and hyperthermia. Cocaine, a stimulant, will present with symptoms similar to sympathetic nervous system stimulation. In contrast, alcohol and heroin toxicity would exhibit symptoms of sedation, such as decreased respirations and depressed CNS. Marijuana induces euphoria and could result in hallucinations in high doses.
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