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CARN Exam Questions and Answers 2025 | Study Guide & Practice Test

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Get ready for your 2025 CARN certification. This PDF includes detailed practice questions, rationales for answers, and a complete study guide to help you pass the Certified Addictions Registered Nurse exam on your first try.

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CARN STUDY MATERIAL QUESTIONS AND
ANSWERS 2025




5 stages of addiction - ....ANSWER ....✔✔ 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 __________ ________
- ....ANSWER ....✔✔ 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. - ....ANSWER ....✔✔ Methadone


Which of these medications are used for treating alcohol
abuse?

,2|Page




Acamprosate
Varenicline
Methadone
Bupropion - ....ANSWER ....✔✔ Acamprosate


Which of these medications are used for tobacco
disorder?


Acamprosate
Varenicline
Methadone
Bupropion - ....ANSWER ....✔✔ 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. - ....ANSWER ....✔✔
Methamphetamine

,3|Page



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. -
....ANSWER ....✔✔ 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. - ....ANSWER ....✔✔
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

, 4|Page



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 - ....ANSWER ....✔✔ 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

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