1. What is the primary role of a Certified Addiction Registered Nurse (CARN)?
A) To provide primary care for clients with addiction
B) To monitor clients during detoxification
C) To perform mental health assessments
D) To administer psychiatric medications
Answer: B) To monitor clients during detoxification
Rationale: A CARN’s primary role involves monitoring clients during the detoxification process
to ensure safety and manage withdrawal symptoms. They also provide education and support to
clients and their families.
2. Which of the following is a common withdrawal symptom from alcohol?
A) Euphoria
B) Hypotension
C) Seizures
D) Weight gain
Answer: C) Seizures
Rationale: Alcohol withdrawal can lead to seizures, especially if withdrawal is severe. Other
symptoms include anxiety, tremors, and delirium tremens (DTs).
3. The term “cravings” in addiction refers to:
A) A brief feeling of hunger
B) A persistent desire to use substances
C) Physical symptoms of withdrawal
D) The urge to exercise compulsively
Answer: B) A persistent desire to use substances
Rationale: Cravings are intense, overwhelming desires to use a substance. They are a hallmark
of addiction and often require management in treatment.
4. Which of the following medications is commonly used in the treatment of opioid
addiction?
A) Methadone
B) Diazepam
, C) Lorazepam
D) Fluoxetine
Answer: A) Methadone
Rationale: Methadone is a long-acting opioid agonist that helps prevent withdrawal symptoms
and reduces cravings for opioids. It is commonly used in the treatment of opioid use disorder.
5. What is the primary goal of harm reduction in addiction treatment?
A) To completely eliminate substance use
B) To reduce the negative consequences of substance use
C) To focus on the psychological aspects of addiction
D) To increase substance use awareness
Answer: B) To reduce the negative consequences of substance use
Rationale: Harm reduction aims to minimize the adverse health, social, and legal consequences
of substance use, even if the person is not ready to stop using the substance completely.
6. A client on methadone maintenance therapy (MMT) reports feeling drowsy and
lightheaded. What is the most appropriate action for the nurse to take?
A) Increase the methadone dose
B) Encourage the client to sleep it off
C) Assess vital signs and the level of sedation
D) Discontinue the methadone immediately
Answer: C) Assess vital signs and the level of sedation
Rationale: Methadone can cause sedation, and the nurse should first assess the client’s vital
signs and sedation level before making any changes to the treatment plan. Excessive sedation
could indicate a need for dose adjustment.
7. Which of the following is a sign of alcohol intoxication?
A) Bradycardia
B) Slurred speech
C) Increased motor coordination
D) Elevated blood pressure
A) To provide primary care for clients with addiction
B) To monitor clients during detoxification
C) To perform mental health assessments
D) To administer psychiatric medications
Answer: B) To monitor clients during detoxification
Rationale: A CARN’s primary role involves monitoring clients during the detoxification process
to ensure safety and manage withdrawal symptoms. They also provide education and support to
clients and their families.
2. Which of the following is a common withdrawal symptom from alcohol?
A) Euphoria
B) Hypotension
C) Seizures
D) Weight gain
Answer: C) Seizures
Rationale: Alcohol withdrawal can lead to seizures, especially if withdrawal is severe. Other
symptoms include anxiety, tremors, and delirium tremens (DTs).
3. The term “cravings” in addiction refers to:
A) A brief feeling of hunger
B) A persistent desire to use substances
C) Physical symptoms of withdrawal
D) The urge to exercise compulsively
Answer: B) A persistent desire to use substances
Rationale: Cravings are intense, overwhelming desires to use a substance. They are a hallmark
of addiction and often require management in treatment.
4. Which of the following medications is commonly used in the treatment of opioid
addiction?
A) Methadone
B) Diazepam
, C) Lorazepam
D) Fluoxetine
Answer: A) Methadone
Rationale: Methadone is a long-acting opioid agonist that helps prevent withdrawal symptoms
and reduces cravings for opioids. It is commonly used in the treatment of opioid use disorder.
5. What is the primary goal of harm reduction in addiction treatment?
A) To completely eliminate substance use
B) To reduce the negative consequences of substance use
C) To focus on the psychological aspects of addiction
D) To increase substance use awareness
Answer: B) To reduce the negative consequences of substance use
Rationale: Harm reduction aims to minimize the adverse health, social, and legal consequences
of substance use, even if the person is not ready to stop using the substance completely.
6. A client on methadone maintenance therapy (MMT) reports feeling drowsy and
lightheaded. What is the most appropriate action for the nurse to take?
A) Increase the methadone dose
B) Encourage the client to sleep it off
C) Assess vital signs and the level of sedation
D) Discontinue the methadone immediately
Answer: C) Assess vital signs and the level of sedation
Rationale: Methadone can cause sedation, and the nurse should first assess the client’s vital
signs and sedation level before making any changes to the treatment plan. Excessive sedation
could indicate a need for dose adjustment.
7. Which of the following is a sign of alcohol intoxication?
A) Bradycardia
B) Slurred speech
C) Increased motor coordination
D) Elevated blood pressure
