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Addiction Nursing Certification
Board
(ANCB)
Certified Addiction Registered Nurse-
Advanced Practice (CARN-AP)
CARN-AP Certification Exam for Advanced
Practice Addiction Nurses and Addiction
Nursing Advanced Practice Certification
Exam
Course Title and Number: ANCB CARN-AP Certification and Board Exam Exam Title: ANCB CARN-AP Certification and Board Exam Exam Date: Exam 2025- 2026 Instructor: [Insert Instructor’s Name] Student Name: [Insert Student’s Name] Student ID: [Insert Student ID]
Examination
180 minutes
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CARN-AP Certified Addiction Registered
Nurse-Advanced Practice ANCB
CARN-AP Certification Exam for Advanced
Practice Addiction Nurses and Addiction
Nursing Advanced Practice Certification
Exam Review Questions with Correct
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Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - What is the maximum dose of methadone for the worst withdrawal symptoms? What is the initial dosage for everyone else (i.e. used by most clinics) - =Answer>> 40 mg 30 mg In the liver, an enzyme called ________ __________ converts alcohol to what__________ - =Answer>> alcohol dehydrogenase (ADH) acetaldehyde. ALDH converts acetaldehyde to - =Answer>> Acetate Elevated ________ cause increased flushing, tachycardia, n/v & hyperventilation. - =Answer>> acetaldehyde What are the 3 MAT for AUD Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Disulfiram action causes an excess of what enzyme? This enzyme has a vasodilatory effect that causes: - =Answer>> Acetaldehyde tachycardia and hypotension. 4 NTs associated with drinking are - =Answer>> Glutamate GABA Dopamine Endogenous opioids When alcohol is consumed there is a release of ___________ ________, then _______ ,which makes the drinker feel good. AT THE SAME TIME alcohol has an effect on ______ receptors; they are are increased (sedation effect) OVERTIME the brain responds to an excess and increase of alcohol by upregulating ________ receptors to compensate for the increase in GABA - =Answer>> endogenous opioids dopamine GABA glutamate Alcohol withdrawal symptoms will occur when there is excess ________ activity in relevance to GABA - =Answer>> glutamate Minor alcohol withdrawal occurs within _______ after their last drink - =Answer>> 36 Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Disulfiram has a _____ half life; reaction could occur 1- weeks after last dose - =Answer>> long Acamprosate is a _______ receptor modulator Dosage: 2x333mg PO tab TID Indication: - =Answer>> glutamate Those individuals who are abstinent from alcohol at initiation of treatment Naltrexone is an opioid receptor _______ - =Answer>> antagonist _____ is the most suitable drug for patients with mild opioid use disorder. - =Answer>> Naltrexone Naltrexone is the most suitable drug for patients with _____ opioid use disorder. - =Answer>> mild Which AUD drug will cause opioid withdrawal symptoms in patients who are physically dependent on opioids? Person must not had taken long acting opioids how many days prior to starting? Person must not had taken short acting opioids how many days prior to starting? Confirm abstinence with what 2 things?: - =Answer>> Naltrexone 10-14 day atleast Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Binge drinking Which MAT for AUD should the clinician be mindful of when the patient has elevated LFTs? - =Answer>> Naltrexone Individuals with mild liver impairment can still use Naltrexone T or F - =Answer>> True someone who can go several days w/o drinking MAT for AUD is indicated T or F - =Answer>> false Laura, if encountering an AUD pt, ask how long in the past few months have you gone without drinking? have you gone more than 3 days without drinking? if so do you have withdrawal symptoms? - =Answer>> Opioid withdrawal resembles a ____-like illness characterized by yawning, sneezing, rhinorrhea, nausea, diarrhea, vomiting, and ______ pupils - =Answer>> flu, dilated Patients with DT will present __-5 days after last alcohol intake with confusion, agitation, ______, hallucinations, and ______ autonomic activity like tachycardia, fever, elevated BP. - =Answer>> 3 tremors increased PCP is a noncompetitive ______ receptor _______. PCP also inhibits the reuptake of _______, NE, and ______
- =Answer>> NMDA; antagonist Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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dopamine, serotonin _______ are the first-line treatment for significant anxiety for pt on PCP - =Answer>> Benzodiazepines What can be ordered medically for the patient with PCP psychomotor agitation? - =Answer>> Haloperidol and benzos, and even restraints, often are required to control the psychomotor agitation. Patients on PCP benefit most from _________ stimulation
- =Answer>> decreased For massive ingestion of PCP, ______ _______therapy can be used and should only be started within one hour from the time of ingestion. dose is 1 g/kg, with a maximum dose of 50 g. - =Answer>> activated charcoal If rhabdomyolysis develops in pt using PCP, what is required? - =Answer>> IV normal saline In a pt with atrophy of the mammillary bodies on CT/MRI, the provider knows this signifies _________ which will be treated with what medication? - =Answer>> Wernicke's encephalopathy thiamine ataxia, ophthalmoplegia, and confusion Confabulation is divided into categorizations of what? Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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The only BB that can be safely used are those with alpha-blocking activity, such as _______ - =Answer>> beta- blocker vasoconstriction labetalol. MI is a complication of ________ intoxication, due to the increased demands it places on the heart. - =Answer>> cocaine Chronic cocaine use results in the development of _________. This may be reversible if the patient ceases using cocaine completely. Endocarditis is more likely if the patient ________ cocaine - =Answer>> cardiomyopathy injects ________ _________ is a hallmark finding of gamma- hydroxybutyrate (GHB) toxicity. - =Answer>> Respiratory depression The half-life of GHB is ___ minutes, and these patients frequently wake up suddenly without further evidence of intoxication ("_______ Effect"). - =Answer>> 30 Lazarus ________ (PEth) testing is a method to help detect alcohol consumption; Binge drinking can still be detected up to __ weeks after consumption. - =Answer>> Phosphatidylethanol 4 Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Central sleep apnea may be prevalent in up to 30% of stable ________ maintenance treatment patients. - =Answer>> methadone Which adverse effect of lithium therapy is most suggestive of toxic blood levels? - =Answer>> tinnitus In the malnourished alcoholic, the resumption of a regular diet can cause severe ________, ________, and cellular ______ c/b acute ____phosphatemia associated with the cellular uptake of glucose - =Answer>> rhabdomyolysis hemolysis hypoxia hypo What 3 electrolyte deficiencies are common in nutritionally compromised alcoholics? - =Answer>> Potassium, magnesium, and phosphate What medications can be used to treat alcoholic seizure
- =Answer>> Diazepam, phenobarbital, and carbamazepine Bupropion is contraindicated in patients with a history of _______ or ______ because purging behaviors disturb electrolytes and lower the seizure threshold. - =Answer>> bulimia, seizures In individuals with binge eating disorder, neuroimaging studies showed _________ in the medial orbitofrontal cortex and hypoactivity in the ___________network. - =Answer>> hyperactivity prefrontal Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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_______ is no longer recommended for AUD as its physical effects deter patients from using this medication. - =Answer>> Disulfiram _______ is an opioid antagonist used to treat AUD and OUD - =Answer>> Naltrexone Methamphetamine is a full agonist of ________ _______ ________ _______ (TAAR1). - =Answer>> trace amine- associated receptors _________ should be used with caution in patients who smoke marijuana as interaction with THC can cause QT prolongation. - =Answer>> Azithromycin Diluents such as vitamin __ in THC containing vaping products have been implicated in the pulmonary injury seen in these patients. - =Answer>> E Current literature reports that clinical improvement has primarily been noted in pts who vape, mostly after administering _____-dose steroids - =Answer>> high _________ at times is not recommended for OUD because of the high risk of lethal overdose. - =Answer>> Methadone WithIn the CNS: Benzodiazepines act on _____ receptors Antipsychotics such as haloperidol are ______ receptor antagonists - =Answer>> GABA dopamine Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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alcohol-related psychosis is associated with alterations in _______receptors within the CNS and________ activity.
- =Answer>> dopamine, increased The incidence of alcohol-induced psychosis is highest in what group of people? - =Answer>> working-age men. To shorten the duration of opioid withdrawal, naltrexone typically is combined with an __________(clonidine) without increasing patient discomfort. - =Answer>> alpha-2 agonist In opioid withdrawal, _______ usually is used with naltrexone. What class of medication is the medication? - =Answer>> Clonidine alpha-2 agonist Early symptoms of opioid withdrawal include
- increased ________, and anxiety. Late symptoms of opioid withdrawal
- include agitation, _______ pupils, n/v, and diarrhea - =Answer>> lacrimation dilated Which of the following adverse effects should be most expected when conducting a naltrexone-accelerated opioid withdrawal? - =Answer>> Anxiety, myalgias, nausea, and vomiting Using steroids can increase H&H Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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because blood levels of opioids never reach a steady- state in such patients - =Answer>> Morphine Because buprenorphine crosses the placental barrier, the fetus will develop ________ dependency after delivery. - =Answer>> opioid In patients with anxiety, when loss of orientation is discovered one should think about the presence of an ______disorder/delirium - =Answer>> organic Phencyclidine also is known as ____ _____ and is a potent hallucinogen. The drug works as an __________ receptor antagonist and is a dangerous chemical. The behavioral effects resemble________, and most individuals are euphoric. - =Answer>> angel dust N-methyl-D-aspartate schizophrenia PCP symptoms - =Answer>> rage, reddish skin, NYSTAGMUS, and excitation A 16-year-old male is brought to the emergency department after having a seizure at a dance club. The patient is currently tachycardic with a BP of 160/90 and a temperature of 102 degrees Fahrenheit. on examination, the patient is euphoric with dilated pupils. The patient is started on a benzodiazepine and ammonium chloride. The current medical treatment is aimed at the toxicity of which substance? - =Answer>> Amphetamine Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Pt comes in with suspected AUD with gynecomastia and spider angiomas, top of the DDx list should be chronic ______ _______ - =Answer>> liver disease. Amphetamines
- _______ _________ is a substance used to acidify the urine of someone on amphetamines, which helps to trap the amphetamine. - =Answer>> Ammonium chloride Phenobarbital is a weak acid and would require ______ _______to be trapped in the urine and excreted. - =Answer>> urine alkalization The signs of ____ toxicity are aggression, impulsivity, tachy/HTN/fever, muscle rigidity, ataxia and nystagmus. - =Answer>> PCP The treatment for acetaminophen toxicity is __________ which helps to replenish _______ - =Answer>> N- acetylcysteine glutathione Symptoms of amphetamine toxicity include:
- grandiosity
- agitation pupillary ________ hypertension & _________ ________ (which are treated with ___________) - =Answer>> dilation, fever, seizures, benzos Akathisia- Regular rhythmic movements, usually of the _______ limbs, with constant pacing sometimes seen; Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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2 to 3 Among the options for MAT of opioid use disorder in pregnancy, which of the following has the lowest rates of neonatal abstinence syndrome (NAS)? - =Answer>> Naltrexone Opioid agonist therapy options for pregnant females with OUD include _________ and _________ - =Answer>> methadone and buprenorphine. Pregnant women with OUD should not be treated by medically supervised opioid withdrawal and clonidine as needed because why? - =Answer>> high rate of relapse and fetal stress __________ will raise lithium levels in the body and can precipitate lithium toxicity. - =Answer>> Dehydration Increased dietary ________ intake and acetazolamide can decrease lithium levels in the body due to enhancing excretion through the kidneys. - =Answer>> sodium Screening tool used in primary care settings and used to detect problematic substance use that may require either a brief intervention or referral to treatment? - =Answer>> CRAFFT confusion, anxiety, insomnia, nausea, and abdominal pain accompanied by autonomic instability are early signs of ______ withdrawal. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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If the patient progresses to agitation and hallucinations, this could indicate what condition? - =Answer>> alcohol indicating delirium tremens (DT), In patients who have been hospitalized for 72 hours, the acute decrease in cognition, confusion, agitation, fever, tachycardia, hypertension, diaphoresis, and hallucinations are explained by? caused by? - =Answer>> delirium tremens (DT) alcohol withdrawal. ______ tool- In the past year have you used any of the following: *Alcohol
- men:___ drinks/day
- women: 4 drinks a day *Tobacco *__________ drugs *Illicit Drugs "Yes" is a positive - =Answer>> NIDA 5 Prescription Abrupt cessation of alcohol causes a _______ in the inhibitory actions of GABA neurotransmitters resulting in ________ of the CNS - =Answer>> decrease overactivity AUDIT- Detects what? Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
