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Nicotine, Vaping, and Tobacco Use QUIZ 2025-2026

Total questions: 34

Worksheet time: 17mins

Name
Class
Date
1.

What should a teen do if they think they're addicted to nicotine?

a)

Ask a trusted adult or health provider for help

b)

Ignore the problem and hope it goes away

c)

Start using more nicotine to build tolerance

d)

Only talk to friends about it

2.

Which is a healthy alternative to using nicotine when stressed?

a)

Deep breathing or exercise

b)

Eating junk food

c)

Smoking more cigarettes

d)

Drinking alcohol

3.

What is the most effective way to avoid nicotine addiction?

a)

Never start using nicotine products

b)

Use nicotine products occasionally

c)

Switch to vaping instead of smoking

d)

Only use nicotine in social situations

4.

Why is nicotine especially harmful for teenagers?

a)

It slows brain development and increases addiction risk

b)

It improves memory and concentration

c)

It helps in physical growth

d)

It reduces stress permanently

5.

A friend tells you “vaping helps relieve stress.” What is the best response?

a)

It might feel that way, but it actually increases stress long-term.

b)

Yes, vaping is a healthy way to manage stress.

c)

Vaping has no effect on stress levels at all.

d)

Vaping is recommended by doctors for stress relief.

6.

What happens to athletic performance after quitting vaping?

a)

Breathing and stamina improve

b)

Muscle strength decreases

c)

Reaction time slows down

d)

Flexibility is reduced

7.

Which organ system processes nicotine’s effects the fastest?

a)

Respiratory system

b)

Digestive system

c)

Skeletal system

d)

Integumentary system

8.

What is one reason e-cigarettes were originally invented?

a)

To help smokers try to stop smoking

b)

To make smoking more fashionable

c)

To increase tobacco sales among youth

d)

To promote nicotine addiction

9.

Which behavior helps resist peer pressure to vape?

a)

Avoiding high-risk social settings

b)

Trying vaping to fit in

c)

Ignoring advice from trusted adults

d)

Seeking approval from peers who vape

10.

What is one reason quitting nicotine is so difficult?

a)

Nicotine changes brain chemistry to depend on it

b)

Nicotine is tasteless and odorless

c)

Nicotine is only found in food

d)

Nicotine has no effect on the body

11.

Which quit resource provides free text-based support for teens?

a)

This Is Quitting program

b)

Quitline Phone Support

c)

Nicotine Patch Program

d)

Adult Smokers Support Group

12.

What is a long-term financial consequence of nicotine addiction?

a)

Spending hundreds of dollars yearly on products

b)

Improved financial stability

c)

Reduced healthcare costs

d)

Increased savings

13.

What is a long-term physical effect of vaping?

a)

Lung irritation and chronic cough

b)

Improved lung capacity

c)

Permanent hair growth

d)

Enhanced athletic performance

14.

Which of the following is not an electronic nicotine delivery system (ENDS)?

a)

Marlboro cigarette

b)

JUUL

c)

Vape pen

d)

E-cigarette

15.

Which health issue has been linked to vaping lung injury?

a)

EVALI (E-cigarette or Vaping Product Use–Associated Lung Injury)

b)

Asthma

c)

COPD (Chronic Obstructive Pulmonary Disease)

d)

Bronchitis

16.

Which product contains both tobacco leaf and nicotine?

a)

Marlboro cigarette

b)

Nicorette gum

c)

Vape pen

d)

Herbal cigarette

17.

Why do teens experience stronger effects from nicotine than adults?

a)

Their brains are still developing

b)

They have a higher tolerance to nicotine

c)

Their bodies metabolize nicotine faster

d)

They smoke more frequently than adults

18.

Which government resource offers 24/7 free quit support?

a)

1-800-QUIT-NOW

b)

1-800-HELP-LINE

c)

1-800-QUIT-SMOKE

d)

1-800-STOP-NOW

19.

What is one mental health risk of vaping?

a)

Anxiety and irritability

b)

Improved concentration

c)

Enhanced memory

d)

Increased happiness

20.

Why do many teens start vaping?

a)

Because of appealing flavors

b)

Because it improves their health

c)

Because it is required in schools

d)

Because it is recommended by doctors

21.

Why is secondhand vape aerosol harmful?

a)

It contains fine particles and nicotine

b)

It is completely harmless and contains only water vapor

c)

It improves air quality and has no chemicals

d)

It contains only pleasant scents and flavors

22.

Which organ is most directly harmed by vaping or smoking?

a)

Lungs

b)

Heart

c)

Kidney

d)

Liver

23.

Which of the following is a combustible tobacco product?

a)

Cigarette

b)

Nicotine patch

c)

Chewing gum

d)

E-cigarette

24.

How old must someone be to legally buy tobacco or vape products in the U.S.?

a)

21

b)

18

c)

16

d)

25

25.

What is the addictive feeling users get from nicotine called?

a)

Rush

b)

Calm

c)

Sleep

d)

Dullness

26.

Which of the following statements is true about nicotine?

a)

It can cause addiction after very few uses

b)

It is completely harmless to the human body

c)

It improves memory and concentration permanently

d)

It is not found in any tobacco products

27.

What chemical in tobacco and vaping products causes addiction?

a)

Nicotine

b)

Tar

c)

Carbon monoxide

d)

Formaldehyde

28.

Which statement is true about flavored vapes?

a)

They attract younger users

b)

They are completely harmless

c)

They are only used by adults

d)

They do not contain nicotine

29.

Which of these is a short-term physical effect of vaping?

a)

Faster heart rate

b)

Hair loss

c)

Improved vision

d)

Stronger muscles

30.

How does nicotine change mood over time?

a)

Creates anxiety and irritability when not using

b)

Improves long-term happiness and relaxation

c)

Eliminates all stress permanently

d)

Has no effect on mood at all

31.

Nicotine affects which system of the body the most?

a)

Nervous system

b)

Digestive system

c)

Respiratory system

d)

Circulatory system

32.

Which product heats tobacco rather than burning it?

a)

IQOS

b)

Marlboro

c)

Camel

d)

Dunhill

e)

Lucky Strike

33.

What's a short-term sign of nicotine withdrawal?

a)

Sweating and irritability

b)

Increased appetite

c)

Improved concentration

d)

Better sleep

34.

What is the main way e-cigarettes deliver nicotine?

a)

Through an aerosol vapor

b)

Through a liquid injection

c)

Through a solid tablet

d)

Through a patch on the skin