CARN-AP 2026 Update Questions and Answers
– Psychiatric Mental Health Nurse Practitioner
Exam Prep – 2026 Complete Practice Questions
with Solutions
Introduction:
This document contains a comprehensive collection of updated
CARN-AP 2026 practice questions with fully solved and correct
answers. It covers key topics in addiction medicine, psychiatric
pharmacology, substance use disorders, withdrawal management,
and therapeutic interventions.
The material aligns closely with exam-relevant concepts, including
medications, diagnostic tools, screening methods, and treatment
strategies. It serves as a thorough review resource for exam
preparation and clinical reinforcement.
Exam Questions and Answers:
A male patient presents in the emergency room with severe
hypertension, diaphoresis, flushing and muscle rigidity. A friend
presents with him stating that he was having a regular "night with
the boys" drinking beer and eating cheese dips while watching
football. The patient has a history of depression and social use of
,cocaine. What medication might the patient have been taking to
induce these symptoms?
what class of medication is it? ---Correct precise answer---
Phenelzine
MAOI
MAOI drugs include ---Correct precise answer---Isocarboxazid
(Marplan)
Phenelzine (Nardil)
Tranylcypromine (Parnate)
Gabapentin precautions
Great risk for misuse especially when taken in ________ doses and
combined with_________/high sugar content beverages (energy
drinks) ---Correct precise answer---high
caffeinated
Stopping lamotrigine (Lamictal) suddenly can cause: ---Correct
precise answer---Steven Johnson's Syndrome
Name the anticonvulsants ---Correct precise answer---
Carbamazepine (Tegretol)
,Divalproex (Depakote)
Lamotrigine (Lamictal)
Oxcarbazepine
Stevens-Johnson Syndrome ---Correct precise answer---A severe,
possibly fatal reaction that mimics a burn; may be due to a
medication.
(fever, sore throat, bruising, mucosal membrane rash)
Valproate can cause what 3 adverse effects ---Correct precise
answer---1. hepatotoxicity
2. pancreatitis
3. thrombocytopenia
Lithium Precautions
•Monitor lab values -Cr, TSH, CBC, weight
•Monitor _____/fluid intake
•Monitor for _____ toxicity ---Correct precise answer---salt
renal
Clonidine Precautions
, - Overuse likely result in ________
- Overdose symptoms -______ pupils, faintness, feeling _____ ---
Correct precise answer---hypotension
pinpoint
cold
What respiratory condition are benzos are contraindicated in? ---
Correct precise answer---sleep apnea
There is a risk for Metabolic syndrome in what second generation
antipsychotic? ---Correct precise answer---Olanzapine
Neuroleptic Malignant Syndrome (NMS) symptoms ---Correct
precise answer---FEVER
•Fever
•Encephalopathy
•Vital instability
•Elevated enzymes (CPK)
•Rigidity of muscles
Name 1st gen antipsychotics:
– Psychiatric Mental Health Nurse Practitioner
Exam Prep – 2026 Complete Practice Questions
with Solutions
Introduction:
This document contains a comprehensive collection of updated
CARN-AP 2026 practice questions with fully solved and correct
answers. It covers key topics in addiction medicine, psychiatric
pharmacology, substance use disorders, withdrawal management,
and therapeutic interventions.
The material aligns closely with exam-relevant concepts, including
medications, diagnostic tools, screening methods, and treatment
strategies. It serves as a thorough review resource for exam
preparation and clinical reinforcement.
Exam Questions and Answers:
A male patient presents in the emergency room with severe
hypertension, diaphoresis, flushing and muscle rigidity. A friend
presents with him stating that he was having a regular "night with
the boys" drinking beer and eating cheese dips while watching
football. The patient has a history of depression and social use of
,cocaine. What medication might the patient have been taking to
induce these symptoms?
what class of medication is it? ---Correct precise answer---
Phenelzine
MAOI
MAOI drugs include ---Correct precise answer---Isocarboxazid
(Marplan)
Phenelzine (Nardil)
Tranylcypromine (Parnate)
Gabapentin precautions
Great risk for misuse especially when taken in ________ doses and
combined with_________/high sugar content beverages (energy
drinks) ---Correct precise answer---high
caffeinated
Stopping lamotrigine (Lamictal) suddenly can cause: ---Correct
precise answer---Steven Johnson's Syndrome
Name the anticonvulsants ---Correct precise answer---
Carbamazepine (Tegretol)
,Divalproex (Depakote)
Lamotrigine (Lamictal)
Oxcarbazepine
Stevens-Johnson Syndrome ---Correct precise answer---A severe,
possibly fatal reaction that mimics a burn; may be due to a
medication.
(fever, sore throat, bruising, mucosal membrane rash)
Valproate can cause what 3 adverse effects ---Correct precise
answer---1. hepatotoxicity
2. pancreatitis
3. thrombocytopenia
Lithium Precautions
•Monitor lab values -Cr, TSH, CBC, weight
•Monitor _____/fluid intake
•Monitor for _____ toxicity ---Correct precise answer---salt
renal
Clonidine Precautions
, - Overuse likely result in ________
- Overdose symptoms -______ pupils, faintness, feeling _____ ---
Correct precise answer---hypotension
pinpoint
cold
What respiratory condition are benzos are contraindicated in? ---
Correct precise answer---sleep apnea
There is a risk for Metabolic syndrome in what second generation
antipsychotic? ---Correct precise answer---Olanzapine
Neuroleptic Malignant Syndrome (NMS) symptoms ---Correct
precise answer---FEVER
•Fever
•Encephalopathy
•Vital instability
•Elevated enzymes (CPK)
•Rigidity of muscles
Name 1st gen antipsychotics:
