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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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**1. Read each question carefully.
- Answer all questions.
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CARN-AP Certified Addiction Registered
Nurse-Advanced Practice ANCB
CARN-AP Certification Exam and Addiction
Nursing Advanced Practice Certification
Exam Review Questions and Answers |
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Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - 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. - =Answer>> 450 ___________ is a benzodiazepine medication and is classified as DEA Schedule IV. It is used to treat alcohol withdrawal.Route? - =Answer>> Chlordiazepoxide,PO Lisdexamfetamine (Vyvanse) is used to treat ADHD & what eating disorder?. It is schedule ___ - =Answer>> Binge, II ___________ are the preferred modality of treatment of ketamine toxicity. - =Answer>> Benzodiazepines Patients being enrolled in a methadone program must be monitored regularly. Before entering, one must check the ________ for any alarming behaviors. - =Answer>> PDMP Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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For mild opioid withdrawal symptoms, ________ can be prescribed on an as-needed basis. - =Answer>> clonidine The continuous supplementation of thiamine even cannot revert _______ damage which is permanent - =Answer>> brain COWS Score 5-12- _____ withdrawal 13-24 _______ withdrawal 25-36 moderately ______ withdrawal
36 indicates _______ withdrawal. - =Answer>> mild moderate severe severe PCP cause miosis T or F - =Answer>> true When a pregnant mom comes into the hospital needing help with smoking, The NP knows what? _____ Bupropion is pregnancy category ___. - =Answer>> NRT should be avoided during pregnancy. C The mainstay in diagnosing infection with HCV initially is to screen high-risk groups for __________to HCV (anti- HCV). Anti-HCV is typically identified by using________ - =Answer>> antibodies (ELISA). After the detection of antibodies to HCV (anti-HCV), the infection can be confirmed by _________- for HCV RNA Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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by qualitative and quantitative methods - =Answer>> NAAT Bupropion acts by preventing the uptake of _____ and ____ into the nerve cells - =Answer>> NE; dopamine Fluoxetine, an SSRI, and venlafaxine, an SNRI, target the neurotransmitter serotonin (_____) - =Answer>> 5-HT The 5 major sections in the Opioid Risk Tool include:
- a ________ history of substance abuse
- a _________ history of substance abuse
- age between ____ to 45 years
- personal history of _________ sexual abuse
- personal history of _________ disease - =Answer>> family personal 16 preadolescent psychological recreational drug that causes dissociative anesthesia? - =Answer>> PCP Ketamine works by a non-competitive ________ of the N- Methyl-D-Aspartate (_______) glutamate receptor. - =Answer>> antagonist NMDA The first-line pharmacologic treatment for patients with AUD is _________. MOA: a mu-________ receptor______.
- It can be given orally or as _______-acting IM formulations. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Similar to schizophrenia, alcohol-related psychosis responds best to dopamine D2 antagonist antipsychotics, such as __________ - =Answer>> haloperidol A 17-year-old male patient displays symptoms of attention deficit hyperactivity disorder (ADHD). The provider seeks to prescribe a non-amphetamine-based drug. What is the mechanism of this drug based on the most likely medication being prescribed? - =Answer>> Methylphenidate MOA block the reuptake of dopamine and NE Patients taking varenicline may experience _____ and other psychiatric symptoms, including depression, insomnia, and agitation. - =Answer>> SI Depression, SI/ attempts, and suicide develop in around 20%-45% of individuals taking what HepC medication? - =Answer>> interferon-alfa Clonus and _____________ are particularly common in serotonin syndrome. - =Answer>> hyperreflexia LSD lasts ___ hours in the body - =Answer>> 12 Liquid sertraline contains alcohol, so this can react with what medication used for AUD detox? - =Answer>> disulfiram After the first episode of pancreatitis, there is an elevated risk of developing what ?, seen as early as within the first 12 months - =Answer>> prediabetes and diabetes mellitus Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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If terminating usage is unlikely, small steps are introduced to reduce usage. _______ _______ views any changes that lead to reduced usage as positive and healthy. - =Answer>> Harm reduction AA and NA are both 12-step programs that maintain that ________ is a prerequisite for successful treatment - =Answer>> abstinence What are the 5 stages of addiction? - =Answer>> 1. First Use
- Continued use
- Tolerance
- Dependence
- Addiction A young adult patient is dropped off outside the emergency department by her friends, and they drive off before any history can be obtained. The patient has altered mental status and shows signs of intoxication. Sudden dorsiflexion of her ankle produces a rhythmic reproduction of her ankle jerk reflex. Which of the following drugs did she most likely ingest? - =Answer>> MDMA depressants like alcohol and opiates can diminish _______ as opposed to producing clonus. - =Answer>> DTR T-ACE and T-ACER-3 were designed by an obstetrician with a goal of better identifying alcohol use disorder in __________ females. - =Answer>> pregnant A 40-year-old male with a history of AUD is admitted to the hospital for skin lacerations following a motor Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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C=car R=relax A=alone F=forget F= family or friends T= trouble 2+ What are 4 major dimensions of recovery? - =Answer>> health, home, purpose, community Substance use screening tool interpretation is an important part of advanced assessment and of the role of the psychiatric-mental health nurse practitioner. The most common tool used to assess for alcohol abuse is: - =Answer>> CAGE Substance use screening tool interpretation is an important part of advanced assessment and of the role of the psychiatric-mental health nurse practitioner. The most common tool used to assess for opiate withdrawal is: - =Answer>> Clinical Opiate Withdrawal Score The most common tool used to assess for alcoholism in geriatric (65+) populations is: - =Answer>> S-MASTG Michigan Alcoholism Screening test for Geriatrics Two biomarkers 90% sensitivity for heavy alcohol use? - =Answer>> GGT & CDT (2-3 weeks) Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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When can alcohol related seizures occur? - =Answer>> 1- days after last drink Where is dopamine firing occurring? - =Answer>> Nucleus Accumbens & Ventral Tegmental Laboratory findings for a patient with an AUD will show ________MCV _________ triglycerides - =Answer>> Increased MCV and elevated triglyceride levels During a mental status examination, an 18-year-old patient reports feeling bugs crawling under the skin. The psychiatric-mental health nurse practitioner documents this statement as: - =Answer>> perceptual disturbance, and suspects the use of cocaine. Which of the following terms describes a situation that occurs when very small amounts of alcohol intoxicates the person after continued heavy drinking? - =Answer>> Tolerance break Clonidine (Catapres) is most effective for which of the following symptoms of opioid withdrawal? - =Answer>> Diarrhea "Substance abuse" is a term that is used when - =Answer>> a person uses repeatedly, but NOT compulsively or addictively; the person who is abusing substances will not experience withdrawal. Marijuana most commonly abused _______ substance Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Benzodiazepines are the first-line treatment for _______________-_________ agitation. They are safe and can be titrated with escalating and more frequent doses as required. There is no risk of QTc prolongation or extrapyramidal effects. - =Answer>> methamphetamine-induced This drug is effective in treating meth-induced agitation however it leads to BP and HR elevation. This may exacerbate the methamphetamine-induced hyperadrenergic symptoms. This antihistamine may worsen tachycardia induced by methamphetamine. - =Answer>> Ketamine benadryl A 32-year-old young male presents to the emergency department with complaints of rhinorrhea, diarrhea, and malaise. History reveals that he had recent surgery for an ankle fracture after a fall and required intensive physical therapy along with high doses of opiate medications for pain control. On examination, he is afebrile with normal blood pressure and heart rate. The physical exam is essentially normal except for mild pupil dilation. What is the next step in the management of this patient? - =Answer>> prescribe clonidine for symptom control Opiate withdrawal is usually mild and not life- threatening. It usually resembles a flu-like illness characterized by yawning, sneezing, rhinorrhea, nausea, diarrhea, vomiting, and dilated pupils. Depending on the half-life of the drug, the symptoms may last for three to ten days. For mild symptoms, Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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__________ can be prescribed on an as needed basis - =Answer>> Clonidine Lower extremity edema in liver damage is due to _______ oncotic pressure secondary to the decreased synthesis of ________ by the liver. - =Answer>> decreased, albumin Alcohol Withdrawal Stage: Time and symptoms Stage 1: ___ to ____ hours after last drink Stage 2: ___ to ____ hours after last drink Stage 3: ___ to ____ hours after last drink The greatest risk for seizure or arrest from sedative- hypnotics is during when? - =Answer>> 6-12- anxiety, nausea, abdominal pain, insomnia 12-48- HTN, tachypnea, hallucinations, temp 48-72- can progress to DT!!- sweating, tachy, seizures days three to five after stopping the drug DSM V- Criteria for Anxiety: Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least ___ months, about a number of events or activities (such as work or school performance). 3 of the following 6 symptoms: Note: Only one item required in children.
- ________, feeling keyed up or on edge.
- easily __________
- Difficulty ________ or mind going blank.
- Irritability. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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opioid overdose:
- respiratory depression
- hypotension
- _______ pupils. The best treatment is naloxone - =Answer>> pinpoint Exam shows muscle rigidity, increased DTRs increased salivation, and rotary nystagmus. He is hypertensive and catatonic. Which of the following is the most likely diagnosis? - =Answer>> PCP Acute toluene inhalation causes _______tubular acidosis and _______ paralysis. - =Answer>> renal hypokalemic Naltrexone challenge: After an initial starting dose of 0.1 mg naloxone, which is the most appropriate next step? - =Answer>> A doubled dose of 0.2 mg is then given, and the patient is observed. Thirty minutes later, a final dose of 0.4 mg is given. If the patient is asymptomatic, it can be assumed that the patient can safely receive naltrexone without fear of withdrawal symptoms. During what stage does the therapist must take on the role of a nurturing parent, showing empathy, using active listening, and going with the client's resistance rather than against it. - =Answer>> pre-contemplation During the contemplation stage, the therapist must take on the persona of a _______ _________ as they aim to challenge the client's beliefs to gain new insights about their behaviors - =Answer>> Socratic teacher, Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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During the preparation stage, the therapist takes on the character of an experienced _______as they work with the client to develop a game plan that is executable when the client is ready - =Answer>> coach Lastly, in the stages of action and maintenance, the therapist takes on the role of a ________, as they provide guidance, advice, and support when needed - =Answer>> consultant What percent of patients with untreated depression commit suicide? - =Answer>> 15% A severe adverse effect of ________ that limits its more widespread use is agranulocytosis - =Answer>> clozapine Clozapine is a D___ receptor _____________ - =Answer>> 4 antagonist What group of people would benefit from assertiveness training? - =Answer>> people with depression The SSRI with least sedation? Where is it also FDA approved to treat? What treatment is this medication effective in, in women? - =Answer>> Fluoxetine Bulimia PMDD Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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dangerous or potentially life-threatening situations. - =Answer>> abuse Substance _________ is a physical and mental reliance on drugs or alcohol. People who struggle are unable to stop using despite the negative consequences, and experience cravings and WITHDRAWAL symptoms when they do - =Answer>> Dependence CBT is a type of _______ therapy aimed at helping people learn how to cope with difficult situations by challenging _______thoughts and ________ behaviors. Dialectical Behavior Therapy (DBT): DBT uses concepts of _______ and acceptance or being aware of and attentive to the _______situation and emotional state. - =Answer>> talk, irrational, changing mindfulness, current Assertive Community Treatment (ACT): This is a form of community-based mental health care that emphasizes outreach to the _________and an ________treatment approach - =Answer>> community individualized Goal is to improve a youth's behavior by improving family interactions that are presumed to be directly related to the child's symptoms. - =Answer>> Brief Strategic Family Therapy (BSFT)
- kleptomania
- pyromania
- intermittent explosive disorder Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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- pathological gambling
- trichotillomania - =Answer>> Impulse control disorders When administered 1-2 hours preoperatively has been shown to reduce opioid requirements postoperatively, especially in opioid-tolerant patients. Although the exact mechanism of action is unclear, it is thought to reduce the release of excitatory neurotransmitters that participate in nociceptive pain fiber stimulation - =Answer>> Gabapentin The ___________ region of the brain, including the nucleus accumbens is affected by drug abuse. - =Answer>> limbic The medication of choice for the treatment of psychotic symptom in a patient with delirium is what? - =Answer>> Haloperidol There are five types of dopamine receptors with different functions. Which dopamine receptor best correlates? Memory, attention, impulse control, regulation of renal function, locomotion - =Answer>> DI The ________ is one of the most widely used measures for assessing alcohol abuse. The measure is a 25-item questionnaire designed to provide a rapid and effective screening for lifetime alcohol-related problems and alcoholism. - =Answer>> MAST __________million adults have SUD and over 37% of those individuals also have mental illness. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
