Certified Addictions Registered Nurse (CARN) Advanced Practice (AP) Practice Test

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• Which neurotransmitter is released in reward pathways and linked to reinforcement in the brain?
• How many criteria must be met to qualify as severe SUD?
• Which stage defined as having recently changed behavior and intending to maintain that change is the:
• Which DSM-5 criterion refers to craving or spending a lot of time using?
• ALDH5A1 is best described as which type of biomolecule?
• Which option identifies the substance that is NOT a stimulant category?
• Which option correctly identifies the Yale Food Addiction Scale (YFAS)?
• Which of the following is a sign of benzodiazepine intoxication?
• Which medication is used as an opioid receptor antagonist for relapse prevention in opioid dependence?
• Which drug class is used to treat agitation, muscle rigidity, seizures, and hypertension associated with MDMA overdose?
• What is Cocaine's mechanism of action?
• Chronic cocaine use can result in which of the following nasal findings?
• Amphetamines increase the activity of which neurotransmitters?
• Personalization in counseling refers to which concept?
• Which DSM-5 criterion refers to neglecting major life roles and social/interpersonal problems due to substance use?
• Acamprosate should not be given in which impairment?
• In TTFC assessment, severe tobacco use is defined as tobacco use within how many minutes after waking?
• What is the Yale Food Addiction Scale (YFAS) primarily designed to identify?
• How many DSM-5 criteria indicate a mild substance use disorder?
• The Hooked on Nicotine Checklist (HONC) is a tool used to assess risk of what?
• Which of the following is a symptom of systemic anabolic steroid use in women?
• Pharmacological treatment increases quit rates by approximately how many times?
• For an amphetamine overdose, what is the recommended treatment if the patient presents within one hour?
• What gene is commonly involved in non-responsive patients on MOUD?
• What is the brand name for varenicline?
• Which of the following is the generic name for the opioid overdose reversal agent?
• Which of the following is NOT listed as a tobacco withdrawal symptom?
• Which statement best describes a typical YFAS administration time? (Most true statement)
• How many items are on the SOCRATES self-report test?
• What is the pharmacologic action of disulfiram when alcohol is consumed?
• GABA is excitatory or inhibitory?
• Which product should be avoided while taking disulfiram due to potential reaction with alcohol?
• Methamphetamine is a blank form of dopamine.
• What does GABBA do?
• Which reflection response is best when a patient expresses concern about others judging them for smoking?
• For an amphetamine overdose within one hour, which agent is advised?
• According to the 2018 National Survey on Drug Use and Health, the rate of heavy drinking is approximately:
• Bupropion (Wellbutrin) mimics the effects of nicotine by increasing which neurotransmitters?
• Which statement identifies a NOT typical symptom of methamphetamine withdrawal?
• What is the recommended maximum number of drinks per day for adults?
• To be classified as having a substance use disorder per DSM-5, at least how many criteria must be met?
• Which component of OARS involves restating what the client has said to ensure understanding?
• What is the brand name for acamprosate?
• Which medication blocks opioid receptors to reduce the pleasant effects of alcohol?
• What is the brand name for bupropion?
• To be eligible for naltrexone after opioid use, how long must a person be abstinent from all opioids, including buprenorphine?
• Drowsiness is prevalent at what blood alcohol level?
• Phencyclidine is the full name of which drug?
• Gamma glutamyl transferase (GGT) is best described as which of the following?
• The Situational Confidence Questionnaire (SCQ) measures adherence to treatment in patients with addiction.
• What does the biopsychosocial model describe?
• The Inventory of Drinking Situations is used to identify emotional, cognitive, and social factors that may precipitate drinking.
• Which TTFC timeframe is associated with severe tobacco use?
• Which statement about the Inventory of Drinking Situations is true?
• Which statement about nicotine prevalence is true?
• Which of the following is a DSM-5 criterion for a substance use disorder?
• Amphetamine toxicity causes BLANK pupils.
• Which drug is associated with euphoria or rage, reddish skin, dilated pupils, nystagmus, and excitation?
• The Coping Response Inventory assesses what?
• GABRA6 is best described as which type of molecule?
• For starting Naltrexone in AUD/OUD, abstinence from alcohol must be maintained for how long prior to initiation?
• Who typically completes the Yale Food Addiction Scale?
• Which of the following best describes the YFAS content?
• Which of the following is a component of the OARS framework used in motivational interviewing?
• Analeptics are best described as drugs that do what?
• Which medication is considered the most effective for treating nicotine dependence?
• Which stage is defined by considering change within the next six months?
• Can patients smoke while using nicotine replacement therapy (NRT)?
• Above which blood alcohol level can be fatal?
• Chronic cocaine use is associated with vasculitis-like syndromes similar to Raynaud's phenomenon. This statement is:
• At what blood alcohol level do signs of intoxication start to become obvious?
• The Situational Confidence Questionnaire consists of how many self-reported questions?
• Which statement best captures the core spirit of Motivational Interviewing?
• In relation to alcohol withdrawal, which mechanism is listed for quetiapine in the material?
• Which statement by Steve is the best indicator of his readiness to change?
• Which trio represents the three stimulant drug categories?
• What is the first-line treatment for acute psychosis?
• 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.
• What is the lifetime prevalence of nicotine use?
• Quetiapine (Seroquel) is associated with affecting which neurotransmitter systems?
• Which term describes a molecule that increases a neurotransmitter's action?
• In Motivational Interviewing, which element is central to evoking change?
• Which assessment measures a patient's motivation to change drinking behavior?
• Compared with nicotine replacement therapy or bupropion, varenicline has what quit rates?
• Glutamate is excitatory or inhibitory?
• Varenicline is best described as which of the following?
• When used for alcohol use disorders, topiramate is documented to do which of the following?
• Which term describes a molecule that blocks receptor activation?
• The hallmark clinical feature of drug-induced thrombotic microangiopathy (DITMA) is which of the following?
• What is the maximum first dose allowed by law in a methadone maintenance program?
• In the CAGE questionnaire, what does the letter 'G' stand for?
• Which statement is true about disulfiram and alcohol interactions?
• Delirium tremens usually begins how many days after surgery?
• Which item is NOT part of the OARS framework?
• Acamprosate is used to maintain abstinence and reduce post-acute withdrawal symptoms. Which choice best reflects this statement?
• Buprenorphine is used in office-based treatment for which condition?
• LSD effects have the following onset, peak, and duration: onset 30–60 minutes; peak 2–4 hours; duration 8–12 hours. Which option matches this description?
• What is the primary goal of cognitive-behavioral therapy (CBT)?
• Which of the following are common symptoms of alcohol withdrawal?
• Disulfiram should be avoided with which everyday product due to potential alcohol content?
• What does glutamate do?
• Disulfiram is a daily oral medication to sustain abstinence from alcohol; this is considered what type of therapy?
• Benzodiazepines bind at what receptor?
• Which of the following is a symptom of opioid withdrawal related to pupil size?
• Stage of change in which people are unwilling to change their behavior?
• Acamprosate is indicated for which purpose?
• LSD is a hallucinogen that elevates activity of which neurotransmitter system?
• Endogenous opioids have what effect on pain and mood?
• Which medication is a non-nicotine pharmacotherapy for nicotine dependence that increases dopamine and norepinephrine?
• In research on Motivational Interviewing with diverse communities, which statement best reflects effectiveness?
• The peak effects of LSD typically occur within how many hours after onset?
• What is the full name of PCP?
• In motivational interviewing, which technique involves reflecting the client's meaning and emotions back to them?
• In the Precontemplation stage of behavior change, how is the individual typically described?
• Which statement correctly describes the relationship between glutamate and GABA as described?
• To start Naltrexone for AUD or OUD, abstinence from alcohol must be maintained for how long?
• According to the DSM-5 criteria, how many criteria indicate a mild substance use disorder?
• Which of the following is a tobacco withdrawal symptom?
• Which medication is used to treat serotonin syndrome?
• What causes hangover-like symptoms when drinking while taking disulfiram?
• Which is a common cardiovascular symptom of opioid withdrawal?
• Barbiturates are best described as what?
• The half-life of nicotine is approximately how many hours?
• What buprenorphine dose was the patient advanced to in the described case?
• Naltrexone is used to treat AUD by which mechanism?
• Which stimulus causes the greatest peak dopamine release in the brain among the following options?
• Which statement best reflects proficiency in Motivational Interviewing practice?
• Which medication is a partial opioid agonist used in maintenance therapy?
• What is the typical duration of LSD effects?
• In a case of opioid use disorder treated with buprenorphine, the most appropriate next step when there is concurrent benzodiazepine use and alcohol intake is to:
• Which substance is used to treat serotonin syndrome?
• Amphetamines exert their effect by blocking the reuptake of which two neurotransmitters?
• What is the generic name for the medication marketed as Vivitrol?
• Which instrument is described as assessing coping skills for relapse prevention?
• Daily naltrexone dosing for AUD is which?
• What is the name brand of Bupropion?
• In stimulant-induced psychosis, which class of medication is considered first-line treatment?
• Which statement accurately reflects the effect of pharmacological treatment on smoking cessation according to the material?
• What is the lifetime risk of alcohol dependence?
• Methamphetamine is a blank form of dopamine.
• What is the treatment for mild to moderate amphetamine overdose?
• How long after the last drink can disulfiram be started?
• What is the action of benzodiazepines in alcohol withdrawal management?
• What is the neuropharmacological pathway through which topiramate exerts its effects in alcohol use disorder?
• The amygdala plays an important role in which function?
• Which counseling point is essential for disulfiram use?
• Disulfiram blocks which enzyme in the brain?
• Cannabis withdrawal symptoms listed include which of the following?
• Which medication is described as helping abstinence from alcohol by dampening glutamate activity?
• In the CAGE questionnaire, what does the letter 'C' stand for?
• Which statement best describes what the YFAS aims to identify?
• True or False: Heavy and binge drinking rates have shown a significant increase in recent trends.
• Which medication is used for alcohol aversion therapy and is known by brand Antabuse?
• Which neurotransmitter system is most directly linked to inhibitory control in the CNS, commonly targeted by sedatives including benzodiazepines?
• What is the first-line treatment for delirium tremens?
• In the Contemplation stage, individuals are:
• Benzo's activate the BLANK receptor causing sedation.
• How long does it take to complete the Yale Food Addiction Scale (YFAS)?
• In the management of delirium tremens, which class of medications is commonly used?
• In Nicorette or generic gum, what factor determines the milligram dosing?
• Fentanyl is classified as which type of opioid?
• What does increased endogenous opioids do?
• Which neurotransmitter is described as increasing pleasure or reinforcement?
• How many days before cessation should patients start bupropion?
• Which medication blocks opioid receptors to reduce the rewarding effects of alcohol?
• Which medication is associated with the brand Wellbutrin?
• Alprazolam (Xanax) is classified as which type of medication?
• Coma can occur at what blood alcohol level?
• Stage of change in which people are considering changing behavior in the next 6 months?
• Binge drinking - amount for men and women.
• Bupropion (Wellbutrin) increases which neurotransmitters?
• Nervousness, tremor, agitation, and hypotension may occur from abrupt discontinuation of BLANK.
• Amnesia, severe dysarthria, and sometimes hypothermia are seen at which level?
• What is the first-line treatment for symptoms of acute stimulant-induced psychosis?
• Is concomitant use of varenicline with nicotine replacement therapy recommended?
• Bupropion is commonly used to treat which condition?
• Heavy (At risk) Drinking - amount for men and women.
• Which of the following represents the standard size of one drink?
• The 5th stage of change focuses on preventing relapse and consolidating gains. Which stage is described?
• The Inventory of Drinking Situations is a 100-item self-report instrument.
• Methadone is an opioid: antagonist or agonist?
• What is the typical daily dose range for disulfiram?
• In TTFC assessment, moderate tobacco use is defined as smoking within which minutes after waking?
• Bupropion is commonly marketed under which brand name?
• YFAS is named after which institution?
• What is a partial agonist?
• PCP acts primarily as an antagonist at which receptor?
• What is the typical daily dose range for bupropion when used for tobacco cessation?
• Which statement about the YFAS is accurate?
• What is the most widely used stimulant?
• Is the YFAS self-reported?
• Which brain structure is responsible for the reinforcing nature of opioid use?
• Varenicline reduces the effects of nicotine by blocking receptors.
• Which of the following statements is true regarding opiates and opioids?
• PCP is best described as which type of drug?
• In the CAGE questionnaire, what does the letter 'A' stand for?
• What is the action of varenicline in smoking cessation?
• Acamprosate (Campral) helps abstinence from alcohol by what mechanism?
• Which of the following is a sign of opioid withdrawal?
• Naltrexone is a mu opioid receptor BLANK.
• What percentage of adults have had exposure to alcohol?
• Nicotine's effects in the central nervous system include which of the following?
• Acamprosate (Campral) does what to GABA and glutamate levels?
• The YFAS focuses on markers of substance dependence in relation to the consumption of what type of foods?
• What does dopamine do?
• What is the primary objective of the Maintenance stage in the stage-of-change model described?
• Which statement best describes the Hooked on Nicotine Checklist (HONC) in clinical use?
• What is the generic name of Narcan?
• Which of the following is a contraindication to bupropion?
• Acamprosate (Campral) dosing is which of the following?
• Which medication is a full opioid agonist used in maintenance therapy?
• Varenicline is marketed under which brand name?
• What type of assessment is the YFAS?
• Which statement best describes a full agonist's effect at a receptor?
• Which of the following are among the most common symptoms of methamphetamine withdrawal?
• What is the primary purpose of the CAGE questionnaire?
• Which statement best describes the YFAS purpose?
• Which symptoms may occur when alcohol is consumed after taking disulfiram (Antabuse)?
• Disulfiram (Antabuse) acts by...
• Delirium tremens is typically treated with which medication?
• gamma-Glutamyl transferase (GGT) serves as a biomarker for which clinical parameter?
• Disulfiram works as a pharmacologic intervention primarily by causing a severe reaction when alcohol is consumed; this describes which concept?
• What is the approximate prevalence of inhalant use in adolescents?
• Which statement correctly differentiates opioids from opiates?
• What gene is involved in alcohol flushing?
• What is an antagonist?
• Delirium tremens typically begins within how many hours after the last drink?
• Flumazenil is used to reverse which category of substances?
• Which of the following is a documented effect of topiramate in alcohol use disorder treatment?
• How quickly can tolerance develop to benzodiazepines with continued use?
• DITMA is defined as which of the following?
• According to the material, a severe substance use disorder is indicated by more than how many criteria?
• Which type of data does the YFAS primarily rely on?
• PCP acts on which receptor type?
• Which term describes a drug that produces a weaker response than a full agonist?
• What is the 12-month prevalence rate of nicotine use?
• What is the brand name associated with baclofen?
• Approximately how long does it typically take to complete the YFAS?
• Baclofen (Lioresal) is best classified as what type of medication?
• Which neurotransmitter is associated with speeding neural activity?