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CARN-AP Certification Exam Review: Addiction Nursing AP Questions, Exams of Nursing

Northern Vermont University (NVU)Nursing

A comprehensive review of key concepts and questions related to the carn-ap certification exam for advanced practice addiction nurses. It covers topics such as neurobiology of addiction, substance abuse, withdrawal symptoms, and treatment approaches. Multiple-choice questions with answers, offering valuable practice material for aspiring carn-ap certified nurses.

Typology: Exams

2024/2025

Available from 01/17/2025

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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
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you
have completed the Exam.
6. This test has a time limit, The test will save and submit
automatically when the time expires
7. This is Exam which will assess your knowledge on the course
Learning Resources.
Good Luck!
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Partial preview of the text

Download CARN-AP Certification Exam Review: Addiction Nursing AP Questions and more Exams Nursing in PDF only on Docsity!

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

Instructions:

**1. Read each question carefully.

  1. Answer all questions.
  2. Use the provided answer sheet to mark your responses.
  3. Ensure all answers are final before submitting the exam.
  4. Please answer each question below and click Submit when you** **have completed the Exam.
  5. This test has a time limit, The test will save and submit** **automatically when the time expires
  6. This is Exam which will assess your knowledge on the course** Learning Resources.

Good Luck!

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Get Instant Academic Support https://yourassignmenthandlers.kit.com/93b2309b

CARN-AP Certified Addiction Registered

Nurse-Advanced Practice ANCB

CARN-AP Addiction Nursing Advanced

Practice Certification Exam Review

Questions and Answers | 100% Pass

Guaranteed | Graded A+ |

Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - In what direction do electrical signals travel in a neuron

  • =Answer>> - cell body to terminal Four primary areas of the brain in addiction - =Answer>> - ventral tegmental area
  • nucleus accumbens
  • amygdala
  • prefrontal cortex Neurons communicate by - =Answer>> - sending signals to each other at specialized connections What is the connection between two neurons called - =Answer>> - synapse Terminals of the sending neuron - =Answer>> - have vesicles packed with neurotransmitters Neurotransmitters are released - =Answer>> - when the sending neuron fires Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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Symptoms of dependence - =Answer>> - physiologic symptoms of tolerance and withdrawal

  • drug seeking behavior
  • inability to limit intake
  • continued despite social, psychological, and occupational problems Withdrawal - =Answer>> - when substances are abruptly discontinued
  • tremor
  • tachy and HTN
  • insomnia
  • hyperreflexia
  • seizures
  • febrile states
  • diaphoresis
  • hallucinations
  • muscle cramping and pain
  • nausea, vomiting, and diarrhea, Substances with long half lives - =Answer>> - require more prolonged use to cause dependence than substances with short half-life Withdrawal symptoms associated with long-acting substances - =Answer>> - are generally milder
  • appear later than those related to short-acting substances Factors linked to substance abuse - =Answer>> - peer pressure
  • thrill seeking behavior
  • depression
  • personality disorders Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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  • family discord
  • family hx of dependence
  • environmental factors What is CH3-CH2-OH? - =Answer>> ETOH Fetal Alcohol Syndrome - =Answer>> - most common preventable cause of adverse CNS development FAS characteristics - =Answer>> - growth retardation
  • facial malformations
  • small head
  • greatly reduce intelligence Fetal Alcohol Effect - =Answer>> - milder form of FAS FAE characteristics - =Answer>> - growth deficiency
  • learning dysfunction
  • nervous system disbailities Effects of prenatal alcohol - =Answer>> - undeveloped pinna
  • short nose
  • missing groove above lip
  • pointed, small chin
  • small head
  • small eye opening -flat face
  • thin lips ETOH acute effects - =Answer>> - CNS depressant
  • depression of inhibitory control
  • vasodilation, warm, flushed, reddish skin
  • emotional outburst Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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  • meperidine
  • fentanyl Heroin - =Answer>> - more lipid soluble than morpine
  • crosses BBB more easily
  • causes more intense euphoria and sedation
  • quickly metabolized
  • excreted in urine Heroin overdose - =Answer>> - respiratory depression
  • bradycardia
  • hypothermia
  • death Heroin complications - =Answer>> - skin absecesses
  • spetic phlebitis
  • endocarditis
  • HCV infection
  • HIV/Aids
  • staph aureus infection Opioid withdrawal start - =Answer>> - 2 to 48 hours of last use Abrupt withdrawal of heroin - =Answer>> - causes prompt and severe withdrawal symptoms Opioid Withdrawal symptoms - =Answer>> - restlessness
  • lacrimation
  • rhinorrhea
  • nausea
  • mydriasis
  • muscle aches
  • diarrhea Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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  • piloerection
  • tachy
  • HTN Opioid withdrawal management - =Answer>> - clonidine
  • phenobarbital
  • librium
  • suboxone or subutex Opioid treatment phenobarbital - =Answer>> - 30 to 60mg Q6hr
  • 15 to 30mg Q6hr PRN Opioid treatment Vistaril - =Answer>> - 100mg IM or PO q 3Hr PRN for N/V and anxiety for 72 hours Opioid treatment clonidine - =Answer>> - 0.1mg PO Q6hrs Opioid treatment Levsin - =Answer>> - 0.125mg SL QID x 2 days Opioid treatment Robaxin - =Answer>> - 1500mg PO TID x 2 to 5 days Opioid treatment Flexeril - =Answer>> - 10mg PO HS x 2 to 5 days Opioid treatment Motrin - =Answer>> - 600mg to 800mg PO PRN Opioid relapse prevention - =Answer>> - Naltrexone
  • suboxone
  • subutex
  • methadone Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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Stimulant withdrawal management - =Answer>> - phenobarbital

  • antidepressants
  • baclofen Brain areas affected by Ecstasy - =Answer>> - neocortex
  • hypothalamus
  • basal ganglia
  • amygdala
  • hippocampus Acute effects of Ecstasy - =Answer>> - heightened perceptions
  • reduced appetite
  • stimulation
  • elevated mood Adverse effects of Ecstasy - =Answer>> - clouded thinking
  • hyperthermia
  • disturbed behavior
  • jaw clenching Life threatening effects of Ecstasy - =Answer>> - hyperthermia
  • arrhythmias
  • renal failure Withdrawal from GHB starts - =Answer>> - between 1 to 6 hours after the last dose
  • lasts from 5 to 15 days GHB withdrawal symptoms - =Answer>> - psychosis and severe agitation
  • mild tachy and HTN Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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  • prolonged delirium
  • hallucinations
  • diaphoresis, N/V Symptoms of GHB overdose - =Answer>> - nausea
  • bradycardia
  • decreased LOC Treatment of GHB - =Answer>> - keep airway open GHB - =Answer>> - synthetically produced CNS depressant K2/Spice - =Answer>> - incense laced with synthetic chemicals that are cannabinoids Bath salts - =Answer>> - stimulants combined with methcathadone
  • synthetic cathinoine Bath salts result in - =Answer>> - a psychotic state
  • may cause permanent damage and ongoing psychosis Bath salt effects - =Answer>> - euphoria
  • increased sociability and sex drive
  • paranoia
  • agitation
  • hallucinatory delirium
  • psychotic and violent behavior Antabuse warning - =Answer>> - never be administered to a pt when he is in a state of alcohol intoxication or with their knowledge Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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Antabuse precautions - =Answer>> - pts with a hx of rubber contact dermatitis Campral - =Answer>> - restore the chemical balance in the brain Campral is available as - =Answer>> - 333mg Standard dose of Campral - =Answer>> - 666mg TID per day Campral is not - =Answer>> - metabolized in the liver Campral adverse reaction - =Answer>> - diarrhea

  • weakness
  • nausea
  • flatulence
  • itching Campral contraindications - =Answer>> - hypersensitivity to acamprosate
  • pts with severe renal impairment Topiramate - =Answer>> - trials show promise for this med to be utilized as a relapse prevention strategy for ETOH Bacolfen - =Answer>> - trials in progress for relapse prevention strategy for cocaine Who is credited with the Disease Model - =Answer>> - E.M. Jellinek Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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Disease Model - =Answer>> - originally applied to alcohol

  • addiction is a primary disease
  • exists in and of itself and is not secondary to some other condition Biopsychosocial Model - =Answer>> - both a philosophy of clinical care and practical clinical guide
  • understanding how suffering, disease and illness are affected by multiple levels of organizations
  • societal to molecular
  • understanding the pt's subjective experience as an essential contributor to accurate dx, health outcomes and humane care Clinician - =Answer>> - individual client care
  • care of a group of clients
  • counselor Consultant - =Answer>> - expert in field of addictions Educator - =Answer>> - client education
  • education of other nurses Leadership/Management - =Answer>> - leader in field of addictions
  • manager in some circumstances Researcher - =Answer>> - conducts/participates in research
  • utilizes research evidence in practice AA step 1 - =Answer>> - We admitted we were powerless over alcohol and that our lives had become unmanageable. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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AA step 11 - =Answer>> - Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out. AA step 12 - =Answer>> - Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs. Defense mechanisms - =Answer>> - repression

  • projection
  • denial
  • displacement
  • intellectualization
  • rationalization Behavior therapy - =Answer>> - focuses on the learned aspects of behavior General assumption of underlying behavior in Behavior Therapy - =Answer>> - much behavior is termed sick, pathological or maladaptive and is acquired by conditioning or observational learning Three basic types of therapies in Behavior Therapy - =Answer>> - systematic desensitization
  • behavior modification
  • assertiveness training Behavioral Theory focuses on - =Answer>> - observable behaviors Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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In behavioral therapy the client determines ______, therapist helps ______ - =Answer>> - goals

  • develop the treatment plan In Behavioral Theory, behavior is - =Answer>> - learned and conditioned by external influences through reinforcement, thus behavior can be unlearned In Behavioral Theory, abnormal behavior is - =Answer>> - equated to faulty learning. Behavior Theory deals with - =Answer>> - present behaviors Behavior Theory goals - =Answer>> - eliminate maladaptive behavior and assist in learning new patterns Behavior Theory: Therapist - =Answer>> - active, directive, serves as teacher and trainer Behavior Theory techniques - =Answer>> - systematic -assertiveness training -operant conditioning -contingency contracting -social skills training -stress management -flooding. Behavior Theory can be done - =Answer>> - in individual, group, schools or other learning institutions Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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Transaction - =Answer>> - exchange of strokes between 2 individuals Motivational Interviewing - =Answer>> - a directive, client- centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence Motivational Interview: motivation to change - =Answer>>

  • elicited from the client
  • not imposed from without Motivational Interview: client's task - =Answer>> - to articulate and resolve their ambivalence Motivational Interview: direct persuasion - =Answer>> - not an effective method for resolving ambivalence Motivational Interview: counseling style - =Answer>> - quiet
  • eliciting Motivational Interview: counselor - =Answer>> - directive in helping the client to examine and resolve ambivalence Motivational Interview: readiness to change - =Answer>> - not a client trait
  • fluctuating product of interpersonal interaction Motivational Interview: therapeutic relationship - =Answer>> - more like a partnership or companionship than expert/recipient roles Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔

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Motivational Interviewing Counseling Characteristics - =Answer>> - seeking to understand

  • expressing acceptance and affirmation
  • eliciting and selectively reinforcing
  • monitoring degree of readiness to change
  • affirming client's freedom Mesolimbic reward pathways - =Answer>> - midbrain neuronal tracts Mesolimbic reward pathways transmit - =Answer>> - intense pleasure messages from the primitive hindbrain tracts to higher cortical brain levels
  • "rush" and "high" Four major parts of the neuron - =Answer>> - dendrites
  • cell body
  • axon
  • terminal Alcohol and Cancer - =Answer>> - oral cavity
  • pharynx and larynx
  • esophagus
  • liver Alcohol absorption - =Answer>> - rapidly absorbed from stomach, small intestine and colon
  • max blood concentration within 30 to 90 min
  • can be absorbed thought the lungs Alcohol distribution - =Answer>> - distributed throughout tissues and body fluids
  • crosses the placenta, exposure to fetus Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔