CARN-AP TEST 2024 – ACTUAL EXAM QUESTIONS AND VERIFIED
ANSWERS (100% ACCURATE, A+ GRADED)
|| 100% GUARANTEED PASS
<RECENT VERSION>
1. A patient prescribed Disulfiram (Antabuse) for alcohol use disorder
presents to the ED with flushing, nausea, vomiting, and hypotension. What is
the nurse's priority action?
A. Administer an antihistamine.
B. Assess for recent alcohol ingestion.
C. Start a normal saline IV bolus.
D. Inquire about over-the-counter medication use.
2. Which medication is a mu-opioid partial agonist used for both withdrawal
management and maintenance therapy?
A. Naltrexone
B. Methadone
C. Clonidine
D. Buprenorphine
3. The CARN-AP is conducting a motivational interviewing session. The
patient states, "I know I need to cut back on my drinking, but my job is so
,stressful." The nurse's best response is:
A. "You should look for a new job if it's causing you to drink."
B. "It sounds like you recognize the drinking is a problem, but the stress makes it
difficult to change."
C. "There are healthier ways to cope with stress, like exercise."
D. "How much are you drinking each day because of the stress?"
4. A key diagnostic criterion for Opioid Use Disorder is:
A. Craving, or a strong desire or urge to use opioids.
B. Experiencing visual hallucinations during withdrawal.
C. A persistent rash at the injection site.
D. Requiring a dose increase after one week of use.
5. Which of the following is the most serious potential adverse effect of
Acamprosate (Campral)?
A. Suicidal thoughts and behavior.
B. Severe hypertension.
C. Acute liver failure.
D. Tardive dyskinesia.
6. In the context of substance use, "tolerance" is best defined as:
A. Needing markedly increased amounts of the substance to achieve intoxication
,or desired effect.
B. Experiencing withdrawal symptoms when the substance is discontinued.
C. A need for the substance to function in daily life.
D. Using the substance in larger amounts or over a longer period than intended.
7. The Clinical Opiate Withdrawal Scale (COWS) is used to:
A. Determine the level of intoxication.
B. Objectively assess the severity of withdrawal signs and symptoms.
C. Measure cravings for opioids.
D. Diagnose Opioid Use Disorder.
8. Which patient is most appropriate for a naltrexone (Vivitrol) injection?
A. A patient actively using heroin daily.
B. A patient in acute opioid withdrawal.
C. A patient who has completed a 7-day detox and is motivated to stay abstinent.
D. A patient who is also prescribed opioid pain medication for chronic back pain.
9. A patient with severe Alcohol Use Disorder is most at risk for which life-
threatening complication during withdrawal?
A. Delirium Tremens (DTs).
B. Wernicke-Korsakoff Syndrome.
, C. Cirrhosis.
D. Pancreatitis.
10. The CARN-AP understands that the primary mechanism of action of
Methadone is:
A. Blocking the euphoric effects of opioids by binding to receptors.
B. A full agonist activity at the mu-opioid receptor.
C. A rapid detoxification and elimination of opioids from the body.
D. Causing an adverse reaction when opioids are used.
11. Which medication is a benzodiazepine antagonist used for overdose?
A. Naloxone
B. Flumazenil
C. Flumazenil
D. Acamprosate
12. When providing education to a patient starting Disulfiram, it is crucial to
warn them to avoid:
A. Caffeine.
B. Foods cooked with wine, mouthwash, and certain hand sanitizers.
C. High-fat meals.
D. Strenuous exercise.
ANSWERS (100% ACCURATE, A+ GRADED)
|| 100% GUARANTEED PASS
<RECENT VERSION>
1. A patient prescribed Disulfiram (Antabuse) for alcohol use disorder
presents to the ED with flushing, nausea, vomiting, and hypotension. What is
the nurse's priority action?
A. Administer an antihistamine.
B. Assess for recent alcohol ingestion.
C. Start a normal saline IV bolus.
D. Inquire about over-the-counter medication use.
2. Which medication is a mu-opioid partial agonist used for both withdrawal
management and maintenance therapy?
A. Naltrexone
B. Methadone
C. Clonidine
D. Buprenorphine
3. The CARN-AP is conducting a motivational interviewing session. The
patient states, "I know I need to cut back on my drinking, but my job is so
,stressful." The nurse's best response is:
A. "You should look for a new job if it's causing you to drink."
B. "It sounds like you recognize the drinking is a problem, but the stress makes it
difficult to change."
C. "There are healthier ways to cope with stress, like exercise."
D. "How much are you drinking each day because of the stress?"
4. A key diagnostic criterion for Opioid Use Disorder is:
A. Craving, or a strong desire or urge to use opioids.
B. Experiencing visual hallucinations during withdrawal.
C. A persistent rash at the injection site.
D. Requiring a dose increase after one week of use.
5. Which of the following is the most serious potential adverse effect of
Acamprosate (Campral)?
A. Suicidal thoughts and behavior.
B. Severe hypertension.
C. Acute liver failure.
D. Tardive dyskinesia.
6. In the context of substance use, "tolerance" is best defined as:
A. Needing markedly increased amounts of the substance to achieve intoxication
,or desired effect.
B. Experiencing withdrawal symptoms when the substance is discontinued.
C. A need for the substance to function in daily life.
D. Using the substance in larger amounts or over a longer period than intended.
7. The Clinical Opiate Withdrawal Scale (COWS) is used to:
A. Determine the level of intoxication.
B. Objectively assess the severity of withdrawal signs and symptoms.
C. Measure cravings for opioids.
D. Diagnose Opioid Use Disorder.
8. Which patient is most appropriate for a naltrexone (Vivitrol) injection?
A. A patient actively using heroin daily.
B. A patient in acute opioid withdrawal.
C. A patient who has completed a 7-day detox and is motivated to stay abstinent.
D. A patient who is also prescribed opioid pain medication for chronic back pain.
9. A patient with severe Alcohol Use Disorder is most at risk for which life-
threatening complication during withdrawal?
A. Delirium Tremens (DTs).
B. Wernicke-Korsakoff Syndrome.
, C. Cirrhosis.
D. Pancreatitis.
10. The CARN-AP understands that the primary mechanism of action of
Methadone is:
A. Blocking the euphoric effects of opioids by binding to receptors.
B. A full agonist activity at the mu-opioid receptor.
C. A rapid detoxification and elimination of opioids from the body.
D. Causing an adverse reaction when opioids are used.
11. Which medication is a benzodiazepine antagonist used for overdose?
A. Naloxone
B. Flumazenil
C. Flumazenil
D. Acamprosate
12. When providing education to a patient starting Disulfiram, it is crucial to
warn them to avoid:
A. Caffeine.
B. Foods cooked with wine, mouthwash, and certain hand sanitizers.
C. High-fat meals.
D. Strenuous exercise.
