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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:
- Read each question carefully.
- Answer all questions.
- Use the provided answer sheet to mark your responses.
- Ensure all answers are final before submitting the exam.
- Please answer each question below and click Submit when you have completed the Exam.
- This test has a time limit, The test will save and submit automatically when the time expires
- This is Exam which will assess your knowledge on the course Learning Resources.
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CARN-AP Certified Addiction Registered
Nurse-Advanced Practice ANCB
CARN-AP Advanced Practice Certification
Exam Review Questions and Answers |
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Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - Akathisia- Regular rhythmic movements, usually of the _______ limbs, with constant pacing sometimes seen; often noticed in people taking antipsychotic medication. Akathisia treatment options are? - =Answer>> lower BB, benzodiazepines, or anticholinergic medications _________ is a potent typical antipsychotic agent that can be given IM in acute cases of akathisia - =Answer>> Haloperidol Cocaine
- shows in the blood or saliva for up to __ days
- urine for up to __ days. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Opioid agonist therapy options for pregnant females with OUD include _________ and _________ - =Answer>> methadone and buprenorphine. Pregnant women with OUD should not be treated by medically supervised opioid withdrawal and clonidine as needed because why? - =Answer>> high rate of relapse and fetal stress __________ will raise lithium levels in the body and can precipitate lithium toxicity. - =Answer>> Dehydration Increased dietary ________ intake and acetazolamide can decrease lithium levels in the body due to enhancing excretion through the kidneys. - =Answer>> sodium Screening tool used in primary care settings and used to detect problematic substance use that may require either a brief intervention or referral to treatment? - =Answer>> CRAFFT confusion, anxiety, insomnia, nausea, and abdominal pain accompanied by autonomic instability are early signs of ______ withdrawal. If the patient progresses to agitation and hallucinations, this could indicate what condition? - =Answer>> alcohol Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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indicating delirium tremens (DT), In patients who have been hospitalized for 72 hours, the acute decrease in cognition, confusion, agitation, fever, tachycardia, hypertension, diaphoresis, and hallucinations are explained by? caused by? - =Answer>> delirium tremens (DT) alcohol withdrawal. ______ tool- In the past year have you used any of the following: *Alcohol
- men:___ drinks/day
- women: 4 drinks a day *Tobacco *__________ drugs *Illicit Drugs "Yes" is a positive - =Answer>> NIDA 5 Prescription Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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T or F - =Answer>> True The most common and validated treatment for alcohol withdrawal is a what? - =Answer>> benzodiazepine What AUD withdrawal medications are safer in patients with a history of liver damage? - =Answer>> lorazepam, oxazepam, or temazepam NIAAA guidelines for "at risk" or "heavy" drinking - =Answer>> > 4 drinks on a day and >14 drinks/ week for men
3 drinks on any day and > 7 drinks/week for women Buprenorphine + naloxone used for induction in patients dependent on short-acting opioids should begin when - =Answer>> symptoms appear, no less than 6 hours Naloxone discourages IV buprenorphine misuse because why? - =Answer>> It precipitates withdrawal when given IV Naloxone is an antidote for opioid ________ Naltrexone is a medication for _____ - =Answer>> overdose OUD Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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When prescribing methadone and Buprenorphine, providers must be cognizant of patients with _______________ d/t QT prolongation - =Answer>> cardiac rhythm issues an intensive family and community-based treatment for serious juvenile offenders with possible substance abuse issues and their familie - =Answer>> Multisystemic therapy (MST) Focuses on unconscious processes;aims to improve self-awareness and understand the relationship of PAST experiences on PRESENT actions. - =Answer>> Psychodynamic theory The _________ model of family therapy was developed for the treatment of anorexia nervosa in children and teens. - =Answer>> Maudsley With alcohol use, significant motor incoordination, slurred speech, and behavior changes occurs between _____ and 200 mg/dL Profound lethargy occurs at levels of ______ mg/dL. Coma, altered vital signs, and death may occur at levels of ____mg/dL. - =Answer>> 100 Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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What are the FDA approved medications for AUD? - =Answer>> Naltrexone Disulfiram Acamprosate Topiramate (off-label) Gabapentin (off-label) partial hospitalization - =Answer>> Need daily supervision; high relapse risk
- less supportive environment (Drug abuse screening Test) DAST screening tool - =Answer>> a sensitive screening instrument for the abuse of drugs OTHER than alcohol. The first-line treatment of PTSD includes trauma- focussed CBT and _______ medications - =Answer>> antidepressant One study showed that marijuana could worsen preexisting heart disease, resulting in up to a ____-fold increase in ____ ____one hour after smoking marijuana. - =Answer>> five, heart attacks What is the most widely validated screening tool for AUD? - =Answer>> The AUDIT Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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The disruptions in clotting, infection, and anemia occur due to what in patients with AUD? There is a _______ in WBCs, RBCs, and platelets due to bone marrow suppression - =Answer>> bone marrow suppression decrease Peripheral neuropathy occurs in alcohol toxicity due to what deficiency? - =Answer>> Thiamine Cocaine and amphetamines used by mothers can lead to:
- fetal _______ and
- _______ variability. - =Answer>> tachycardia decreased Pt with chronic abdominal pain and no organic etiology found despite an extensive workup, requiring increasingly higher doses of opioid medications, has a diagnosis most consistent with? - =Answer>> narcotic bowel syndrome (NBS). treatment for NBS include: - =Answer>> To date, the only recommended treatment for NBS is opioid dose reduction or discontinuation of opioid therapy Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Buprenorphine + Naloxone is used to decrease chance of ______ or ______. Naloxone typically inactive in combo unless injected - =Answer>> misuse; diversion Buprenorphine: Contraindications :
- patient about to have _______ Precautions for
- Other CNS depressants
- severe _______ impairment - =Answer>> surgery liver Elderly patients are (more/less) likely to have underlying psychiatric and medical diseases, so they more often need inpatient detoxification - =Answer>> More The elderly metabolize ethanol more (quickly/slowly), so their blood levels will be higher than younger patients given the same consumption. - =Answer>> slowly Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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What can cause insomnia, flapping tremors, and poor memory in mild to moderate cases - =Answer>> Hepatic encephalopathy (HE) The first-line treatment for patients with HE is ________.
- =Answer>> lactulose lactulose works by decreasing the intestinal production and absorption of ammonia. Draws it to the ______ tract where it is excreted - =Answer>> GI Electrolyte abnormalities, especially ________, can precipitate HE and should be corrected aggressively. - =Answer>> hypokalemia Any fever and headache should prompt Laura to consider the infectious etiology of a headache, such as: (what 3 things) - =Answer>> - meningitis
- encephalitis
- hemorrhage. How many types of FDA approved smoking cessation treatments are there? - =Answer>> 7 How many NRT are there? Name them: - =Answer>> 5 Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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bite and park technique is used for what? - =Answer>> nicotine gum ;so that its released slowly dont swallow; GI upset _______ foods decrease the absorption of NRT example: - =Answer>> acidic coffee/soda Bupropion (Wellbutrin) can also be used as an___________ in patients who need smoking cessation - =Answer>> Antidepressant Schedule ___ medications require monthly face-to-face clinic visits. - =Answer>> 2 Schedule __medications require a contract and random urine drug screens positive only for the prescribed medication - =Answer>> 2 Varenicline is a nicotinic_________ agonist Receptor: ______ Nicotine, a ______agonist, causes substantial DA release. Varenicline produces _____ of a response than that of nicotine (about 50%) but, at the same time, blocks the effects of _____ nicotine added to the system
- =Answer>> Partial Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Receptors: a4b2 (Binds on DA terminals in CNS) full, less, any Varenicline can be used in patients with severe _______ disease - =Answer>> kidney Varenicline should be taken _____ with _____ - =Answer>> BID; food to reduce nausea What is the legislative act that makes sure to allocate funding for trainings, require certification standards for public sector employees and establish statewide mental health training programs and mandates. - =Answer>> The mental health first aid Act 2015 Marijuana detection Scalp hair can have a detection window of up to __ months. Urine has a detection window of: ______- to days Blood and oral fluid have a detection window of: - =Answer>> 3 hours to days. minutes to hours. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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- prochlorperazine and metoclopramide, can cause this condition - =Answer>> antagonists. N-methyl-4-phenyl-1, 2, 3, 6-tetrahydropyridine (_______) is a contaminant in the illicit manufacture of ________ and can cause drug-induced parkinsonism. - =Answer>> MPTP meperidine _________ (Straterra) can be used for ADHD and off label for depression.
- selectively inhibits presynaptic NE reuptake.
- low abuse potential - =Answer>> Atomoxetine Given the concepts of plasticity and long-term potentiation and depression, an individual can spiral towards addiction just as well as they can be brought back to baseline prior to the addiction. T or F - =Answer>> TRUE! All of the FDA approved treatments including bupropion, nicotine and varenicline ________ or eliminate tobacco withdrawal symptoms. - =Answer>> reduce Varenicline side effects include a possible increase in:
- __________ and _____ Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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- strange dreams, n/v headaches, and _________. - =Answer>> depression and SI insomnia Acute toluene inhalation causes what? - =Answer>> renal tubular acidosis and hypokalemic paralysis. The use of inhalants such as paint thinners can cause persistent _________. Generally, this is irreversible - =Answer>> dementia ________ & _______ are a dissociative anesthetics that works by blocking glutamic acid N-methyl-D- aspartate(NMDA) receptors. What is one more dissociative anesthetics? - =Answer>> Ketamine/PCP DXM Distortion of ________ and ___________ are common with ketamine administration. CONTRAINDICATED in patients with _________ - =Answer>> reality, nightmares schizophrenia. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
