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CARN-AP 2nd set Study Material Exam Questions and Answers 100% Verified 2025, Exams of Nursing

University of California-RiversideNursing

This document provides the second set of study material for the 2025 CARN-AP (Certified Addictions Registered Nurse – Advanced Practice) exam, featuring a full collection of exam questions with verified answers. It covers advanced topics such as clinical evaluation, evidence-based interventions, co-occurring disorders, pharmacological management, and ethical considerations. A valuable resource for reinforcing knowledge and ensuring exam readiness.

Typology: Exams

2024/2025

Uploaded on 05/16/2025

Nurseexcel
Nurseexcel 🇺🇸

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CARN-AP 2nd set Study Material Exam
Questions and Answers 100% Verified 2025
1. Babies born to mothers who use opioids may need treatment with what?
can be used adjunctively to treat withdrawal seizures.: morphine or
methadone
Phenobarbital
2. Which Neonatal withdrawal syndromes may present weeks after birth? Name the
drug.: Methadone
3. is a safe and effective second-line treatment of symptoms refrac- tory to
opioid therapy in newborns: Clonidine
4. The patient must first be detoxified from opioid dependence before starting
Long acting opioids, such as methadone, require at least how many hours since last use
before initiating buprenorphine?
Short acting opioids (for example, heroin) require approximately hours
since last use for sufficient withdrawal to occur in order to safely initiate treatment.:
naltrexone.
48-72
12
5. Patients with syndrome often present with abdominal pain
and nausea, which may be refractory to standard antiemetics: cannabis hyperemesis
6. Patients with injection drug abuse are most likely to have sided bac- terial
endocarditis.
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Download CARN-AP 2nd set Study Material Exam Questions and Answers 100% Verified 2025 and more Exams Nursing in PDF only on Docsity!

CARN-AP 2nd set Study Material Exam

Questions and Answers 100% Verified 2025

  1. Babies born to mothers who use opioids may need treatment with what? can be used adjunctively to treat withdrawal seizures.: morphine or methadone Phenobarbital
  2. Which Neonatal withdrawal syndromes may present weeks after birth? Name the drug.: Methadone
  3. is a safe and effective second-line treatment of symptoms refrac- tory to opioid therapy in newborns: Clonidine
  4. The patient must first be detoxified from opioid dependence before starting Long acting opioids, such as methadone, require at least how many hours since last use before initiating buprenorphine? Short acting opioids (for example, heroin) require approximately hours since last use for sufficient withdrawal to occur in order to safely initiate treatment.: naltrexone. 48 - 72 12
  5. Patients with syndrome often present with abdominal pain and nausea, which may be refractory to standard antiemetics: cannabis hyperemesis
  6. Patients with injection drug abuse are most likely to have sided bac- terial endocarditis.

should be used empirically, which can be switched to if MRSA infection is confirmed.: right Vancomycin; nafcillin

  1. Marijuana use can be detected in the urine up to days after exposure for infrequent users and up to days for chronic or heavy users.: 5 15
  2. The is involved in the sense of reward from cocaine use.: nucleus accumbens
  3. Symptomatic treatment in opioid withdrawal includes:
  • for diarrhea
  • for nausea and vomiting

Integrated Seeking safety

  1. Cocaine blocks the reuptake of what 3 NT?: dopamine, NE, and serotonin at the synapse.
  2. The vasoconstriction experienced while on cocaine is caused by what NT?: increase in NE

18. PCP

(Name 3) reuptake is blocked What 3 receptor stimulation NTs are increased: Out of the 3 which one leads to lethargy and coma: Dopamine & NE, serotonin Acetylcholine, GABA, Sigma Sigma

  1. The inhibitory reuptake of dopamine and NE while someone is on PCP leads to:: HTN/tachy agitation bronchodilation
  2. Relapse is most likely to occur at the stages of recovery.: early
  3. What happens when one person enables another person's addictions?: - Co-dependency
  4. The comorbidity of personality disorders with panic disorder is strongly associated with attempts: suicide
  5. Serotonin syndrome is caused by toxic levels of serotonin. It presents with: SHIVERS
  • Hyperreflexia/clonus
  • Increase temp
  • Vital signs (HTN/HR)
  • Encephalopathy ( )
  • S dilated pupils and diarrhea(DD): Shivers AMS Restlessness sweating
  1. Serotonergic drugs include:: triptans MAOIs

dextromethorphan, and several opioids

  1. GABA is the main NT of the CNS: inhibitory
  2. Benzos work by potentiating the effects of GABA by the frequency of the GABA chloride channel opening: increasing
  3. Alcohol withdrawal is characterized by glutamatergic neurotransmission & GABA functioning: excessive decreased
  4. Becoming withdrawn and dysphoric is the rebound effect of com- monly called comedown or crash.: cocaine
  5. The tachyphylaxis following administration of indirect-acting sympath- omimetic amines such as amphetamines results from what?: the rapid emp- tying of synaptic vesicles containing the NTs
  6. Which opioids has both agonist and antagonist activity?: Nalbuphine
  7. Buprenorphine can displace most opiates from mu recep- tors.: full agonist
  8. Methylnaltrexone is the quaternary amine of naltrexone that does not cross the BBB and is a GI-specific opioid that can be prescribed to reverse refractory opioid-induced : antagonist constipation
  9. What type of laxatives are contraindicated in opioid-induced constipation- : Bulk-forming laxatives, such as psyllium
  10. A social work client reports that he is "addicted to exercise" and can't spend a day where he does not exercise.The production of which of the follow- ing substances leads to an addictive cycle in this individual?: Beta-endorphins
  11. clinical diagnosis of alcoholic hepatitis is determined in a patient with:
  • rapid development/worsening of + - related complications
  • serum total bili >
  • & elevated > 1.5x the upper limit of normal but < 400 with AST/ALT > .: jaundice, liver

ALT and AST 2

  1. is more specific for liver injury: AST
  2. Nicotine binds to nicotinic- receptors: selectively; choliner- gic
  3. The mechanism of action of LSD is the activation of receptors: - serotonin

10 / 38 Venlafaxine (Effexor)

  1. TCA's: Contraindicated in patients with what?

11 / 38 Examples Include:: urinary retention and narrow angle glaucoma AmitriptylINE (Elavil) DoxepINE (Sinequan) ClomipramINE (Anafranil)

  1. TCAs may cause:
  • sedation,
  • flattened waves
  • effects: T anticholinergic
  1. Trazodone:
  • Can cause QT prolongation Do not combine with
  • Contraindicated in patients with disease: METHADONE hepatic
  1. A male patient presents in the emergency room with severe hypertension, diaphoresis, flushing and muscle rigidity. A friend presents with him stating that he was having a regular "night with the boys" drinking beer and eating cheese dips while watching football. The patient has a history of depression and social use of cocaine.What medication might the patient have been taking to induce these symptoms? what class of medication is it?: Phenelzine MAOI
  2. MAOI drugs include: Isocarboxazid (Marplan) Phenelzine (Nardil) Tranylcypromine (Parnate)
  3. Gabapentin precautions Great risk for misuse especially when taken in doses and combined with /high sugar content beverages (energy drinks): high caffeinated
  4. Stopping lamotrigine (Lamictal) suddenly can cause:: Steven Johnson's Syndrome
  5. Name the anticonvulsants: Carbamazepine (Tegretol) Divalproex (Depakote) Lamotrigine (Lamictal)

13 / 38 (fever, sore throat, bruising, mucosal membrane rash)

  1. Valproate can cause what 3 adverse effects: 1. hepatotoxicity
  2. pancreatitis
  3. thrombocytopenia
  4. Lithium Precautions - Monitor lab values - Cr, TSH, CBC, weight - Monitor /fluid intake - Monitor for toxicity: salt renal
  5. Clonidine Precautions
  • Overuse likely result in
  • Overdose symptoms - pupils, faintness, feeling : hypotension pinpoint cold
  1. What respiratory condition are benzos are contraindicated in?: sleep apnea
  2. There is a risk for Metabolic syndrome in what second generation antipsy- chotic?: Olanzapine
  3. Neuroleptic Malignant Syndrome (NMS) symptoms: FEVER
  • Fever
  • Encephalopathy
  • Vital instability
  • Elevated enzymes (CPK)
  • Rigidity of muscles
  1. Name 1st gen antipsychotics: MONITOR:: Chlorpromazine (Thorazine), Haloperidol
  • QT interval
  • Can induce NMS
  1. Primary prevention:
  • addiction in schools
  • legislation that prohibits the sales of nicotine products ( ): education

14 / 38

JUUL

  1. prevention aims to reduce the impact of a disease or injury that has ALREADY OCCURED & Treatment!: Tertiary Detection
  1. 5 principles of MET
  • Express show support through reflective listening; not confronta- tion.
  • Develop
  • Avoid /avoid criticism
  • Roll with
  • Support - : empathy: discrepancy argumentation: resistance self-efficacy
  1. Twelve-Step Facilitation (TSF) originates from what model?: Minnesota
  2. This individual therapy is grounded in the concept that addiction is a multi-faceted illness influenced by medical, social, emotional, and spiritual factors.: 12 step therapy
  3. Nonparaphilic - engaging in sexual behavior in an , compulsive or obsessive manner: excessive
  4. Pattern in certain addictive disorders where women begin use or behaviors at lower levels than men but it escalates more quickly and ultimately becomes more severe: Telescoping
  5. increase in what lipid panel value should be expected in a patient who quits smoking.: increase in HDL should be expected in a patient who quits smoking.
  6. Cocaine-induced pulmonary edema can be treated with similar to acute heart failure: loop diuretics
  7. Bupropion has a dose-related risk of seizure. The maximum daily dose of bupropion is suggested to be mg per day, prescribed as 150 mg TID. This maximum daily dose should not be exceeded.: 450
  8. is a benzodiazepine medication and is classified as DEA Schedule IV. It is used to treat alcohol withdrawal.Route?: Chlordiazepoxide,PO
  9. Lisdexamfetamine (Vyvanse) is used to treat ADHD & what eating disor- der?. It is schedule : Binge, II
  10. are the preferred modality of treatment of ketamine toxicity.- : Benzodiazepines
  11. Patients being enrolled in a methadone program must be monitored regu- larly. Before entering, one must check the for any alarming behav- iors.: PDMP
  12. What is the range of QTc intervals in which a patient on methadone therapy can have a
  1. Verapamil and other CCBs effectively treat - , not tachycardia.: methamphetamine-induced hypertension
  2. substance induced psychiatric disorder occurs within days of intox- ication or : 30; withdrawal
  3. What medication for ADHD is contraindicated with a MOAI and should not be given for at least 14 days after an MAOI is discontinued due to the risk of hypertensive crisis.: Methylphenidate
  4. A 39 - year-old with a significant smoking history presents to the office for a follow-up appointment. The patient states that she feels guilty and irrespon- sible about her smoking habits and wants to quit as soon as possible. she is started on varenicline. what baseline lab test should be obtained before initiating treatment with varenicline?: Urea and creatinine
  5. For mild opioid withdrawal symptoms, can be prescribed on an as- needed basis.: clonidine
  6. The continuous supplementation of thiamine even cannot revert damage which is permanent: brain
  7. COWS Score 5 - 12 - withdrawal 13 - 24 withdrawal 25 - 36 moderately withdrawal

36 indicates withdrawal.: mild moderate severe severe

  1. PCP cause miosis T or F: true
  2. When a pregnant mom comes into the hospital needing help with smok- ing, The NP knows what? Bupropion is pregnancy category .: NRT should be avoided during pregnan- cy. C
  3. The mainstay in diagnosing infection with HCV initially is to screen high-risk groups for to HCV (anti-HCV). Anti-HCV is typically iden- tified

by using : antibodies (ELISA).

  1. After the detection of antibodies to HCV (anti-HCV), the infection can be confirmed by - for HCV RNA by qualitative and quantitative methods: NAAT