ONLINE MAT 8H WAVIER TRAINING- APRNS
UPDATED EXAMS WITH CORRECT ANSWERS
2026/2027 /PASS GUIDE
A 24-year-old woman who recently learned she is pregnant discloses illicit opioid use
during screening at her first prenatal visit. Further assessment reveals that she meets
criteria for moderate opioid use disorder with ongoing intranasal use of oxycodone 120-160
mg daily. She has tried to stop on her own without success and is interested in medication-
assisted treatment. Which of the following options would be contraindicated for this
patient?
A - Buprenorphine
B - Buprenorphine/naloxone
C - Methadone
D - Naltrexone
E - None; all pharmacotherapies are potentially appropriate - ANSWER-D - Naltrexone
A 17-year-old young man presents to his pediatrician requesting help for opioid use. He
describes that he started using oxycodone socially at age 16, at first only on weekends but
then throughout the week. He soon found that he needed to use more to get the same effect
and would become sick when going without. He has tried to stop on his own but always
resumed with a day or two because of craving and withdrawal, and in the past 3 months he
has resorted to heroin when he could not find or afford oxycodone. He has missed school
and his grades have suffered, he stopped participating in sports that he used to enjoy, and he
has been arguing with and avoiding his parents, who recently found heroin in his room and
convinced him to come for help.
Which of the following treatment options would be most appropriate for this patient?
A - Counseling only
,B - Residential treatment followed by counseling only
C - Medication-assiste - ANSWER-C - Medication-assisted treatment with buprenorphine
A 28 year old man has had 3 supervised medical withdrawal treatments for opioid addiction
with relapses shortly after discharge. The treatment with the strongest evidence of
effectiveness would be:
A. Therapeutic community.
B. Intensive outpatient counselling.
C. Medication Assisted Treatment (MAT).
D. Medical withdrawal from opioids. - ANSWER-C. Medication Assisted Treatment (MAT).
A 34-year-old man is brought to the emergency department after being found unresponsive
in a public restroom. When first responders arrived, he was cyanotic with constricted pupils
and no observable respiration. He revived and began breathing independently after
receiving two doses of intranasal naloxone.
Question 2.1
This patient's condition when first responders arrived was most likely due to excessive
activation of which of the following receptor types?
A D1 dopamine
B D2 dopamine
C GABA type 2
D Kappa opioid
E Mu opioid - ANSWER-E Mu opioid
A 34-year-old man presents to an outpatient clinic seeking treatment for heroin use. Full
assessment reveals that he meets criteria for severe opioid use disorder, with last use of
heroin by IV injection about 4 hours ago and no current withdrawal symptoms. He has a
, stable home environment with a supportive partner to whom he recently disclosed his
struggle with substance use. On discussion of treatment options, he would like to begin
medication-assisted treatment with buprenorphine/naloxone.
Question 6.1
Which of the following would be most appropriate next step for this patient to begin
medication-assisted treatment with buprenorphine/naloxone?
A - Instruct the patient to abstain from all opioids for 12-24 hours
B - Provide an initial sublingual dose of buprenorphine 2 mg immediately
C - Provide an initial sublingual dose of buprenorphine 4 mg immediately
D - Provide an initial sublingual dose of buprenorphine/nalo - ANSWER-A - Instruct the
patient to abstain from all opioids for 12-24 hours
A 43-year-old man with opioid use disorder has been engaged in medication-assisted
treatment for the past 2 months, taking buprenorphine/naloxone 12/3 mg sublingually daily
and attending regular counseling sessions. He has been abstinent from illicit opioids for the
past 6 weeks according to his report and the results of random urine drug tests but reports
that he continues to experience strong craving for opioids several times weekly. On
discussion of the circumstances involved, he describes craving mainly when he is alone at
home feeling lonely and bored, a situation where he would use heroin in the past. Working
with his clinician, he identifies several activities he could do at these times such as going to
the gym or calling a supportive friend.
Question 7.1
Which of the following options best describes this intervention in behavioral terms?
A - Developing an alternative behavior to respond to the antecedent
B - ANSWER-A - Developing an alternative behavior to respond to the antecedent
A 50-year-old woman requests treatment for opioid use. During the initial assessment she
reports drinking 2 to 3 glasses of wine most nights. She does not identify any negative
consequences of drinking and has not tried to cut back. Which of the following options
would be most appropriate as the next step in a brief intervention for alcohol use for this
patient?
UPDATED EXAMS WITH CORRECT ANSWERS
2026/2027 /PASS GUIDE
A 24-year-old woman who recently learned she is pregnant discloses illicit opioid use
during screening at her first prenatal visit. Further assessment reveals that she meets
criteria for moderate opioid use disorder with ongoing intranasal use of oxycodone 120-160
mg daily. She has tried to stop on her own without success and is interested in medication-
assisted treatment. Which of the following options would be contraindicated for this
patient?
A - Buprenorphine
B - Buprenorphine/naloxone
C - Methadone
D - Naltrexone
E - None; all pharmacotherapies are potentially appropriate - ANSWER-D - Naltrexone
A 17-year-old young man presents to his pediatrician requesting help for opioid use. He
describes that he started using oxycodone socially at age 16, at first only on weekends but
then throughout the week. He soon found that he needed to use more to get the same effect
and would become sick when going without. He has tried to stop on his own but always
resumed with a day or two because of craving and withdrawal, and in the past 3 months he
has resorted to heroin when he could not find or afford oxycodone. He has missed school
and his grades have suffered, he stopped participating in sports that he used to enjoy, and he
has been arguing with and avoiding his parents, who recently found heroin in his room and
convinced him to come for help.
Which of the following treatment options would be most appropriate for this patient?
A - Counseling only
,B - Residential treatment followed by counseling only
C - Medication-assiste - ANSWER-C - Medication-assisted treatment with buprenorphine
A 28 year old man has had 3 supervised medical withdrawal treatments for opioid addiction
with relapses shortly after discharge. The treatment with the strongest evidence of
effectiveness would be:
A. Therapeutic community.
B. Intensive outpatient counselling.
C. Medication Assisted Treatment (MAT).
D. Medical withdrawal from opioids. - ANSWER-C. Medication Assisted Treatment (MAT).
A 34-year-old man is brought to the emergency department after being found unresponsive
in a public restroom. When first responders arrived, he was cyanotic with constricted pupils
and no observable respiration. He revived and began breathing independently after
receiving two doses of intranasal naloxone.
Question 2.1
This patient's condition when first responders arrived was most likely due to excessive
activation of which of the following receptor types?
A D1 dopamine
B D2 dopamine
C GABA type 2
D Kappa opioid
E Mu opioid - ANSWER-E Mu opioid
A 34-year-old man presents to an outpatient clinic seeking treatment for heroin use. Full
assessment reveals that he meets criteria for severe opioid use disorder, with last use of
heroin by IV injection about 4 hours ago and no current withdrawal symptoms. He has a
, stable home environment with a supportive partner to whom he recently disclosed his
struggle with substance use. On discussion of treatment options, he would like to begin
medication-assisted treatment with buprenorphine/naloxone.
Question 6.1
Which of the following would be most appropriate next step for this patient to begin
medication-assisted treatment with buprenorphine/naloxone?
A - Instruct the patient to abstain from all opioids for 12-24 hours
B - Provide an initial sublingual dose of buprenorphine 2 mg immediately
C - Provide an initial sublingual dose of buprenorphine 4 mg immediately
D - Provide an initial sublingual dose of buprenorphine/nalo - ANSWER-A - Instruct the
patient to abstain from all opioids for 12-24 hours
A 43-year-old man with opioid use disorder has been engaged in medication-assisted
treatment for the past 2 months, taking buprenorphine/naloxone 12/3 mg sublingually daily
and attending regular counseling sessions. He has been abstinent from illicit opioids for the
past 6 weeks according to his report and the results of random urine drug tests but reports
that he continues to experience strong craving for opioids several times weekly. On
discussion of the circumstances involved, he describes craving mainly when he is alone at
home feeling lonely and bored, a situation where he would use heroin in the past. Working
with his clinician, he identifies several activities he could do at these times such as going to
the gym or calling a supportive friend.
Question 7.1
Which of the following options best describes this intervention in behavioral terms?
A - Developing an alternative behavior to respond to the antecedent
B - ANSWER-A - Developing an alternative behavior to respond to the antecedent
A 50-year-old woman requests treatment for opioid use. During the initial assessment she
reports drinking 2 to 3 glasses of wine most nights. She does not identify any negative
consequences of drinking and has not tried to cut back. Which of the following options
would be most appropriate as the next step in a brief intervention for alcohol use for this
patient?
