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CARN Study Guide 2026 – Updated Exam Questions & Verified Correct Answers | GRADED A+ | GUARANTEED PASS

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This CARN Study Guide for 2026 provides a comprehensive collection of updated exam questions with verified correct solutions, covering addiction stages, opioid use disorder, pain management misuse, and medication-assisted treatment (MAT). Includes key concepts such as methadone, acamprosate, varenicline, and bupropion, along with commonly tested patient populations and substance use disorders. Designed for Certified Addiction Registered Nurse (CARN) exam preparation, this resource is clear, concise, and exam-focused, making it ideal for students and professionals seeking a high-scoring, confidence-boosting study tool.

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CARN Study Guide for 2026 – Updated
Questions and Correct Solutions||
GRADED A+|| GUARANTEED PASS


5 stages of addiction -CORRECTANSWER 1. First Use

2. Continued use

3. Tolerance

4. Dependence

5. Addiction



6% of U.S patients misuse their pain management prescriptions. Three common patient

populations affected are Cancer, MVA and __________ ________ -

CORRECTANSWER Sickle Cell



This medication acts on the same opioid receptors as commonly abused opioids without

reaching a point of euphoria. Also being long acting it has been used for over 40 years

in countless patients quests towards recovery. -CORRECTANSWER Methadone



Which of these medications are used for treating alcohol abuse?



Acamprosate

Varenicline

,Methadone

Bupropion -CORRECTANSWER Acamprosate



Which of these medications are used for tobacco disorder?



Acamprosate

Varenicline

Methadone

Bupropion -CORRECTANSWER Varenicline

Bupropion



This substance is a full agonist of trace amine-associated receptors (TAAR1). Activation

TAAR1 causes the increase of cAMP and inhibition of serotonin, dopamine, and

norepinephrine transporters. The inhibition of monoamine transporters causes the

reuptake and metabolism of catecholamines. -CORRECTANSWER Methamphetamine



The following are "_________ _______" for methamphetamine: meth, crystal meth,

crystal, speed, scootie, yellow powder, crank, ice, spoosh, glass, chalk, redneck

cocaine, yellow barn, Tina, and tick-tick. -CORRECTANSWER street names



Patients under the influence of methamphetamine can have the following signs or

symptoms: ___________ appetite, nausea, psychosis, tachycardia, hypertension,

___________ body temperature, panic attack, mydriasis, __________ sleep patterns,

,violent, bizarre, and erratic behavior, hallucinations, irritability, seizures, and death from

high doses. -CORRECTANSWER decreased

increased

disturbed



A 65-year-old female presents to the clinic to seek a re-prescription of her pain

medication. She had a motor vehicle collision (MVC) 8 months ago that left her with

chronic neuralgia in bilateral arms along with low back pain. She was prescribed

oxycodone/acetaminophen 7.5/325 mg q6 hours. Her last scheduled refill was 20 days

ago with a 30 day supply. She returns early claiming she needed multiple dosages

sooner than directed due to unmanaged pain. Current vital signs are normal, but she is

diaphoretic, tearing, restless, and occasionally yawning. When the provider explains,

controlled medications cannot be prescribed in this manner, the patient states, "You

don't understand. I need to feel normal. Without it, I feel worse than I used to feel at

baseline. Please!" What stage of addiction is the patient in and what medication can be

used to help her symptoms?



Choices:

1. Tolerance and acamprosate

2. Tolerance and -CORRECTANSWER Dependence and methadone



A patient presents to the emergency department with agitation, mydriasis, hypertension,

and tachycardia. He states that he snorted "some crystals" with friends and that he feels

, energetic and anxious. He reports that his friends told him this is a treatment for weight

loss and this is the reason why he tried it. Which is true of the drug most likely used by

this patient?



Choices:

1. Partial agonist of trace amine-associated receptors (TAAR1)

2. Gamma-aminobutyric acid (GABA) receptor agonist

3. Full agonist of trace amine-associated receptors (TAAR1)

4. Full antagonist of dopamine receptors -CORRECTANSWER Full agonist of trace

amine-associated receptors (TAAR1)



A 35-year-old woman comes in for her wellness check-up. She has a 13-year-old son

who is going to be starting high school next year and often hear him and his friends

discuss ways to prepare for high school, so they fit in. The mother is concerned her son

may use drugs as he often talks about the partying. She wants to know what she can do

it prepare him to avoid smoking cannabis given its surge in popularity amongst youth.

What is the most common reason for marijuana use, amongst teenagers and young

adults?



Choices:

1. Stress management

2. Experimentation

3. Social conformity

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