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CARN AP Exam Questions and Verified Answers 100% A+ Graded, Exams of Nursing

CARN AP Exam Questions and Verified Answers 100% A+ Graded This document contains a curated collection of high-quality, verified questions and answers for the 2025 Certified Addictions Registered Nurse – Advanced Practice (CARN-AP) exam. It addresses advanced clinical concepts including co-occurring disorders, evidence-based treatment modalities, advanced pharmacology, and ethical leadership in addiction nursing. Designed for advanced practice nurses, this material is A+ graded and aligned with the CARN-AP certification standards.

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CARN AP Exam Questions and Verified Answers 100% A+ Graded
1. STANDARD SIZE OF A DRINK - beer, wine, liquor: 12 oz. beer, 5 oz. wine, 1.5 oz. hard liquor
2. moderate alcohol consumption, how much per day: no more than one drink daily for
adult women, two for men
3. Symptoms of alcohol withdrawal: Agitation, Fever, Seizures, Tremors, Confu- sion,
Delusions
4. CAGE Questionnaire: referring to alcoholism: C=cutting down (have you felt the need to
cut down?)
A=Annoyed by others criticisms G=guilty
feelings about drinking
E=Eye openers-do you feel the need to drink in the morning?
5. cognitive-behavioral therapy (CBT): action therapy in which the goal is to help clients
overcome problems by learning to think more rationally and logically
6. Percentage of adults that have had an exposure to alcohol: 88%
7. Life time risk of alcohol dependence: 13%
8. Motivational interviewing is a life-long learning skill set. Which one of the following
best reflects proficiency in MI practice?
A. Open-ended questions are more frequent than closed-ended questions
B. Reflections are employed more than twice as often as open-ended ques- tions
C. Complex reflections are at least as frequent as simple reflections
D. The "spirit of MI": collaboration, compassion, acceptance, and evocation is present
throughout
E. All of the above: E. All of the above
9. Motivational interviewing's effectiveness in facilitating behavior change in people
from racially and ethnically diverse communities is
A. Unknown because this research has never been done
B. Unknown because the research that has been done was inconclusive
C. Less effective than in non-Hispanic Caucasian communities
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CARN AP Exam Questions and Verified Answers 100% A+ Graded

  1. STANDARD SIZE OF A DRINK - beer, wine, liquor: 12 oz. beer, 5 oz. wine, 1.5 oz. hard liquor
  2. moderate alcohol consumption, how much per day: no more than one drink daily for adult women, two for men
  3. Symptoms of alcohol withdrawal: Agitation, Fever, Seizures, Tremors, Confu- sion, Delusions
  4. CAGE Questionnaire: referring to alcoholism: C=cutting down (have you felt the need to cut down?) A=Annoyed by others criticisms G=guilty feelings about drinking E=Eye openers-do you feel the need to drink in the morning?
  5. cognitive-behavioral therapy (CBT): action therapy in which the goal is to help clients overcome problems by learning to think more rationally and logically
  6. Percentage of adults that have had an exposure to alcohol: 88%
  7. Life time risk of alcohol dependence: 13%
  8. Motivational interviewing is a life-long learning skill set. Which one of the following best reflects proficiency in MI practice? A. Open-ended questions are more frequent than closed-ended questions B. Reflections are employed more than twice as often as open-ended ques- tions C. Complex reflections are at least as frequent as simple reflections D. The "spirit of MI": collaboration, compassion, acceptance, and evocation is present throughout E. All of the above: E. All of the above
  9. Motivational interviewing's effectiveness in facilitating behavior change in people from racially and ethnically diverse communities is A. Unknown because this research has never been done B. Unknown because the research that has been done was inconclusive C. Less effective than in non-Hispanic Caucasian communities

D. About the same effectiveness as in Caucasian communities E. More effective than in non-Hispanic Caucasian communities: E. More effec- tive than in non-Hispanic Caucasian communities

  1. Steve, is a 48-year-old man with a severe alcohol use disorder who is currently drinking 15 beers per day. He has a strong desire to change his behavior due to the many negative consequences of alcohol in his life. Which of the following statements made by Steve is the best indicator of his ability to change?
  1. Generic name of Narcan: Naloxone
  2. Amphetamines increase the activity of the neurotransmitters (two): - Dopamine and norepinephrine
  3. Amphetamine toxicity causes BLANK pupils: Dilated
  1. Nervousness, tremor, agitation, and hypotension may occur from abrupt discontinuation of BLANK: Barbiturates
  2. How long must a person be abstinent from all opioids, including buprenor- phine, to get naltrexone?: 7 - 14 days
  3. Benzo's activate the BLANK receptor causing sedation: GABA
  4. Heavy (At risk) Drinking - amount for men and women: Men - >4drinks/day or > drinks/week Women - >3 drinks/day or >7 drinks/week
  5. Binge drinking - amount for men and women: men 5 or more in 2 hours women - 4 or more in 2 hours
  6. What does increased endogenous opioids do?: Reduces pain and increased euphoria
  7. What does glutamate do?: Speeds you up
  8. What does dopamine do?: Increase pleasure or reinforcement
  9. What does GABBA do?: Slows you down
  10. Disulfiram - name brand: Antabuse
  11. Disulfiram - causes: Daily oral medication to sustain abstinence of alcohol; type of aversion therapy Causes nausea, vomiting, sweating, palpitations, and hypotension if alcohol is consumed
  12. Disulfiram (Antabuse): Used for alcohol aversion therapy. Clients started on Disulfiram must avoid any form of alcohol or they would develop a severe reaction. Teach pt to avoid some over-the-counter cough preparations, mouthwash etc.
  13. dosing of disulfiram: 250 - 500mg Po daily
  14. How long post last drink can you start Disulfiram?: 12 hours
  15. Acamprosate (Campral) dosing: 333mg PO daily
  16. Name brand of acamprosate: Campral
  17. Acamprosate (Campral) Indication: Maintenance of abstinence, reduces post- acute withdrawal symptoms
  18. Do not give acamprosate in what impairment?: Renal
  19. Daily Naltrexone dosing for AUD: 50mg once daily
  20. For AUD or/or OUD - how long must a patient be abstinent from alcohol to start Naltrexone?: 7 - 14 days
  1. Moderate tobacco use is BLANK minutes after waking (TTFC - time to first cigarettes): 30 - 5 minutes
  2. Tobacco withdrawal symptoms: Depressed mood Insomnia Irritability, frustration or anger Anxiety Difficulty concentrating Restlessness Increased appetite or weight gain
  3. Patients that utilize pharmacological treatment are BLANK times more likely to quit smoking.: 2 - 3X
  4. Can patients smoke while using NRT (nicotine replacement therapy)?: Yes
  5. Bupropion name brand: Wellbutrin
  6. Bupriopion (Wellbutrin) is often used to treat - : Tobacco use disorder
  7. Buprion (Wellbutrin) dosing - : 150 - 300 mg daily
  8. How many days prior to cessation of tobacco should patients starts bupro- pion?: 10 - 14 days
  9. Two contraindications for bupropion: History of seizure or bulimia/anorexia
  10. Verenicline (Chantix): partial nicotine receptor agonist - stimulates receptors more weakly than nicotine
  • reduces cravings by partial receptor stim
  • reduces effects of nicotine by blocking receptors better rates of quitting than with nicotine replacement or bupropion
  1. Name brand of varenicline: Chantix
  2. Varenicline (Chantix) and NRT? recommended or not: NO
  3. What are the signs/symptoms of opioid withdrawal?: - dysphoria
  • pain
  • anxiety/irritability
  • insomnia
  • HTN/tachycardia
  • diarrhea/vomiting/nausea
  • dilation of pupils
  1. In order to be classified as having a substance use disorder, you must have at least of the DSM-5 criteria.: 2
  2. How many DSM- 5 criteria indicates a mild substance use disorder?: 2 - 3
  3. What are the DSM- 5 criteria for a substance use disorder?: - hazardous use
  • social/interpersonal problems- tolerance
  • withdrawal symptoms

behavior change. People may exhibit this by modifying their problem behavior or acquiring new healthy behaviors.

  1. Maintenance stage of change: 5th stage- work to prevent relapse and to consolidate gains made
  2. Barbiturates: drugs that depress the activity of the central nervous system, reducing anxiety but impairing memory and judgment
  1. A 35 year old man with opioid use disorder (prescription opioids which progressed to illicit opioids) has initiated office

based treatment with buprenorphine, advanced to 16mg per day. He reports ceasing opioid use, and his urine toxicologies are consistently positive for buprenorphine as prescribed with intermittent results positive for benzodiazepines; he also describes drinking alcohol two days per week, sometimes to intoxication. - What is the most appropriate next step in his treatment? A. Increase buprenorphine to 24mg B. Refer to methadone maintenance C. Admit to inpatient detoxification D. Start an outpatient long

acting benzodiazepine taper E. Obtain more history: Answer: E

Obtain more history

  1. Alprazolam (Xanax): Benzodiazepine
  2. Cannabis withdrawal symptoms: insomnia, hyperactivity, decreased appetite
  3. Buprion (Wellbutrin) increased what neurotransmitters: Increases dopamine and norepinephrine
  4. How soon after the last drink do DT's start?: 48 - 96 hours
  5. LSD (lysergic acid diethylamide) onset, peak and duration: Onset - 30 - 60mins Peak: 2 - 4 hours Duration: 8 - 12 hours

!00 item self reporting

  1. Coping Response Inventory (CRI): Assess coping skill of patient in preparation for relapse prevention
  2. Situational Confidence Questionnaire (SCQ): Measures adherence to treat- ment for patients with addiction 39 self reported questions
  1. What brain structure is responsible for the reinforcing nature of opioid use>: Nucleus accumbens
  2. Signs of intoxication start to become obvious at what levels?: 100 - 150mg%
  3. Drowsiness can be prevalent at what blood alcohol level?: 150 - 200mg%
  4. What blood alcohol levels would you expect to see amnesia, severe dysarthria, and sometimes hypothermia?: 300 - 399mg%
  5. At what blood alcohol level can coma occur?: 400 - 600mg%
  6. Above what blood alcohol level can be fatal?: >600mg%
  7. Define drug induced thrombotic microangiopathy (DITMA)?: Acute kidney injury caused by cocaine use
  8. What are symptoms patient experience if they consume alcohol after taking disulfiram?: (Antabuse) Causes sweating, flushing, hyperventilation, dyspnea, blurred vision, vomiting, tachycardia and confusion
  9. What is the action of disulfiram (Antabuse) in the presence of alcohol?: - Causes a rapid rise acetaldehyde
  10. What can topiramate do when used for alcohol use disorders?: Reduce heavy drinking days Increase number of days abstinent Reduce serum gamma-glutamyl transpeptidase (GGT)
  11. What is gamma glutamyl transferase (GGT)?: An objective marker of alchol use
  12. What is neuropharmacological pathway for topiramate?: Antagonising glu- tamate and suppressing alcohol-induced dopamine release
  13. What is the 12 month prevalence rate of nicotine use? (percentage): - 20.0%
  14. What is lifetime prevalence on nicotine use?: 27.9%
  15. True/False: Heavy and binge drinking rates have increase in the recent trends.: False - no significant change
  16. Disulfiram blocks in the brain leading to............ dopamine-beta-hy- droxylase

3 - don't drink alcohol 4 - don't drive car 5 - don't be responsible for kids under 12

  1. Naltrexone is a mu opioid receptor BLANK: antagonist
  2. Bupropion (Wellbutrin) mimics what effects of nicotine? Increases BLANK AND BLANK: Dopamine and norepinephrine
  3. What is the most effective medication to treat nicotine use?: Varenicline (Chantix)
  4. What is the action of varenicline?: Blocks nicotine from binding to receptors and reduces the reinforcing effects of nicotine
  5. Amphetamines work by blocking the reuptake of what two transmitters?- : Norepinephrine and dopamine
  6. Most widely used stimulant?: Caffeine
  7. Three stimulant drug categories?: Analeptics, amphetamines, and anorexi- ants
  8. Analeptics: Drugs that stimulate the respiratory center
  9. What is given for amphetamine overdose? If <1 hour: Activated charcoal
  10. What is the treatment for mild to moderate amphetamine OD?: Supportive care and benzos
  11. What drug class can be used to treat agitation, muscle rigidity, seizures, and HTN associated with MDMA overdose?: Benzodiazepines
  12. What drug should be used to treat serotonin syndrome?: Cyproheptadine
  13. Methamphetamine is a BLANK form of dopamine: STRONG
  14. Cocaine mechanism of action: blocks reuptake of dopamine, serotonin, and norepinephrine
  15. Benzodiazepines bind at what receptor?: GABA
  16. Opioids verses opiates: Opiates - naturally derived, heroin Opioids
  • lab created, fentanyl
  1. How many criteria must be met to qualify as severe SUD: Six or more
  2. Glutamate is Excitatory or inhibitory: Excitatory
  3. GABA is

Excitatory or inhibitory: Inhibitory (chill)

  1. Acamprosate (Campral) does what to GABA and glutamate levels - : Brings up the GABA and brings down the glucamate
  2. First line treatment for delirium tremens?: Benzodiazepines
  3. First line treatment for acute psychosis?: Benzodiazepines
  1. What receptor does PCP act on?: NMDA glutamate receptor
  2. Yale Food Addiction Scale (YFAS): A measure that has been developed to identify those who are most likely to be exhibiting markers of substance dependence with the consumption of high fat/high sugar foods. Self reported, takes 10 mins