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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 Exam Review
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Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - Which of the following are the most common symptoms of methamphetamine withdrawal? a. Paranoia and abdominal upset b. Insomnia and decreased appetite c. Hallucinations and tremors d. Fatigue and depression - =Answer>> d. Fatigue and depression Symptoms of methamphetamine withdrawal: - =Answer>> Fatigue Appetite increase Depression Suicidal ideation Biopsychosocial model - =Answer>> A model of health that integrates the effects of biological, behavioral, and social factors on health and illness Chronic cocaine use - =Answer>> Can cause ischemia and ulceration of the nasal mucosa Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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What brain structure is responsible for the reinforcing nature of opioid use> - =Answer>> Nucleus accumbens Signs of intoxication start to become obvious at what levels? - =Answer>> 100-150mg% Drowsiness can be prevalent at what blood alcohol level? - =Answer>> 150-200mg% What blood alcohol levels would you expect to see amnesia, severe dysarthria, and sometimes hypothermia? - =Answer>> 300-399mg% At what blood alcohol level can coma occur? - =Answer>> 400-600mg% Above what blood alcohol level can be fatal? - =Answer>>
600mg% Define drug induced thrombotic microangiopathy (DITMA)? - =Answer>> Acute kidney injury caused by cocaine use What are symptoms patient experience if they consume alcohol after taking disulfiram? - =Answer>> (Antabuse) Causes sweating, flushing, hyperventilation, dyspnea, blurred vision, vomiting, tachycardia and confusion What is the action of disulfiram (Antabuse) in the presence of alcohol? - =Answer>> Causes a rapid rise acetaldehyde Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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What can topiramate do when used for alcohol use disorders? - =Answer>> Reduce heavy drinking days Increase number of days abstinent Reduce serum gamma-glutamyl transpeptidase (GGT) What is gamma glutamyl transferase (GGT)? - =Answer>> An objective marker of alchol use What is neuropharmacological pathway for topiramate?
- =Answer>> Antagonising glutamate and suppressing alcohol-induced dopamine release What is the 12 month prevalence rate of nicotine use? (percentage) - =Answer>> 20.0% What is lifetime prevalence on nicotine use? - =Answer>> 27.9% True/False: Heavy and binge drinking rates have increase in the recent trends. - =Answer>> False - no significant change Disulfiram blocks _______ in the brain leading to.... - =Answer>> dopamine-beta-hydroxylase unpleasant hangover like side effects from drinking ETOH (accumulation of acetaldehyde) Baclofen (Lioresal) - =Answer>> muscle relaxants "back loafin" 1-cause drowsiness 2-cause fatigue 3-don't drink alcohol Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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What is the treatment for mild to moderate amphetamine OD? - =Answer>> Supportive care and benzos What drug class can be used to treat agitation, muscle rigidity, seizures, and HTN associated with MDMA overdose? - =Answer>> Benzodiazepines What drug should be used to treat serotonin syndrome?
- =Answer>> Cyproheptadine Methamphetamine is a BLANK form of dopamine - =Answer>> STRONG Cocaine mechanism of action - =Answer>> blocks reuptake of dopamine, serotonin, and norepinephrine Benzodiazepines bind at what receptor? - =Answer>> GABA Opioids verses opiates - =Answer>> Opiates - naturally derived, heroin Opioids - lab created, fentanyl How many criteria must be met to qualify as severe SUD - =Answer>> Six or more Glutamate is Excitatory or inhibitory - =Answer>> Excitatory GABA is Excitatory or inhibitory - =Answer>> Inhibitory (chill) Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Acamprosate (Campral) does what to GABA and glutamate levels - - =Answer>> Brings up the GABA and brings down the glucamate First line treatment for delirium tremens? - =Answer>> Benzodiazepines First line treatment for acute psychosis? - =Answer>> Benzodiazepines Methadone is an opioid: Antagonist or agonist - =Answer>> Agonist (AGONIST) Agnonist - =Answer>> a molecule that increases a neurotransmitter's action Antagonist - =Answer>> Opponent, blocks the receptor Partial agonist - =Answer>> Medication that produces a weaker, or less efficacious, response than an agonist. What gene is commonly involved in non-responsive patients on MOUD? - =Answer>> ALDH5A What gene is involved in alcohol flushing? - =Answer>> GABRA Symptoms of steroid use in women - =Answer>> Acne Hirsutism Deeping voice Male pattern baldness Breast atrophy Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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What receptor does PCP act on? - =Answer>> NMDA glutamate receptor Yale Food Addiction Scale (YFAS) - =Answer>> 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 STANDARD SIZE OF A DRINK - beer, wine, liquor - =Answer>> 12 oz. beer, 5 oz. wine, 1.5 oz. hard liquor moderate alcohol consumption, how much per day - =Answer>> no more than one drink daily for adult women, two for men Symptoms of alcohol withdrawal - =Answer>> Agitation, Fever, Seizures, Tremors, Confusion, Delusions CAGE Questionnaire: referring to alcoholism - =Answer>> 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? cognitive-behavioral therapy (CBT) - =Answer>> action therapy in which the goal is to help clients overcome problems by learning to think more rationally and logically Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Percentage of adults that have had an exposure to alcohol - =Answer>> 88% Life time risk of alcohol dependence - =Answer>> 13% 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 questions 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 - =Answer>> E. All of the above 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 - =Answer>> E. More effective than in non- Hispanic Caucasian communities Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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=Answer>> D. "It really bothers you when people judge you negatively for being a smoker." Which stimulus causes the greatest levels of peak dopamine release in the brain? A. Tobacco B. Sexual Stimulation C. Morphine D. Ethanol E. Amphetamine - =Answer>> E. Amphetamine DT is treated with what med? - =Answer>> Chlordiazepoxide (Librium) DT usually starts how many days after surgery - =Answer>> 2- Full name of PCP - =Answer>> Phencyclidine PCP works on what receptor - =Answer>> N-methyl-D- aspartate receptor antagonist What drug causes: Euphoria or rage, reddish skin, dilated pupils, nystagmus, and excitation - =Answer>> PCP Generic name of Vivitrol - =Answer>> Naltrexone Generic name of Narcan - =Answer>> Naloxone Amphetamines increase the activity of the neurotransmitters (two) - =Answer>> Dopamine and norepinephrine Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Amphetamine toxicity causes BLANK pupils - =Answer>> Dilated Nervousness, tremor, agitation, and hypotension may occur from abrupt discontinuation of BLANK - =Answer>> Barbiturates How long must a person be abstinent from all opioids, including buprenorphine, to get naltrexone? - =Answer>> 7-14 days Benzo's activate the BLANK receptor causing sedation - =Answer>> GABA Heavy (At risk) Drinking - amount for men and women - =Answer>> Men - >4drinks/day or >14 drinks/week Women - >3 drinks/day or >7 drinks/week Binge drinking - amount for men and women - =Answer>> men 5 or more in 2 hours women - 4 or more in 2 hours What does increased endogenous opioids do? - =Answer>> Reduces pain and increased euphoria What does glutamate do? - =Answer>> Speeds you up What does dopamine do? - =Answer>> Increase pleasure or reinforcement What does GABBA do? - =Answer>> Slows you down Disulfiram - name brand - =Answer>> Antabuse Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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For AUD or/or OUD - how long must a patient be abstinent from alcohol to start Naltrexone? - =Answer>> 7- 14 days What category of substances is Flumazenil used to reverse? - =Answer>> Benzos Half life of nicotine is BLANK hours - =Answer>> two Nicotine effects in the CNS - =Answer>> Enhanced concentration, alertness and arousal Severe tobacco use is BLANK minutes after waking (TTFC - time to first cigarettes) - =Answer>> <5mins Moderate tobacco use is BLANK minutes after waking (TTFC - time to first cigarettes) - =Answer>> 30-5 minutes Tobacco withdrawal symptoms - =Answer>> ▪Depressed mood ▪Insomnia ▪Irritability, frustration or anger ▪Anxiety ▪Difficulty concentrating ▪Restlessness ▪Increased appetite or weight gain Patients that utilize pharmacological treatment are BLANK times more likely to quit smoking. - =Answer>> 2- 3X Can patients smoke while using NRT (nicotine replacement therapy)? - =Answer>> Yes Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Bupropion name brand - =Answer>> Wellbutrin Bupriopion (Wellbutrin) is often used to treat - - =Answer>> Tobacco use disorder Buprion (Wellbutrin) dosing - - =Answer>> 150-300 mg daily How many days prior to cessation of tobacco should patients starts bupropion? - =Answer>> 10-14 days Two contraindications for bupropion - =Answer>> History of seizure or bulimia/anorexia Verenicline (Chantix) - =Answer>> 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 Name brand of varenicline - =Answer>> Chantix Varenicline (Chantix) and NRT? recommended or not - =Answer>> NO What are the signs/symptoms of opioid withdrawal? - =Answer>> - dysphoria -pain
- anxiety/irritability
- insomnia
- HTN/tachycardia Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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How fast can tolerance develop using benzo? - =Answer>> Tolerance can develop within 1-2 weeks of continued treatment Disulfram (Antabuse) action - =Answer>> -Increases concentration of acetylaldehyde (product of alcohol metabolism) to produce nausea and flushing of skin Acamprosate (Campral) - =Answer>> Helps client abstain from alcohol -Dampens glutamate activity to curb hyper-excitability associated with alcohol withdrawal Naltrexone action to treat AUD' - =Answer>> Blocks opioid receptors to decrease pleasant effects of alcohol intoxication Action of benz - =Answer>> Increase GABA activity to reduce excitability associated with alcohol withdrawal Quetiapine (Seroquel) with AUD - =Answer>> Increase GABA activity to reduce excitability associated with alcohol withdrawal Targets dopamine and serotonin Stage of change in which people are unwilling to change their behavior - =Answer>> Precontemplation stage Stage of change in which people are considering changing behavior in the next 6 months - =Answer>> Contemplation stage Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Action Stage of Change Model - =Answer>> In this stage, people have recently changed their behavior (defined as within the last 6 months) and intend to keep moving forward with that behavior change. People may exhibit this by modifying their problem behavior or acquiring new healthy behaviors. Maintenance stage of change - =Answer>> 5th stage- work to prevent relapse and to consolidate gains made Barbiturates - =Answer>> drugs that depress the activity of the central nervous system, reducing anxiety but impairing memory and judgment 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. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
