Free CARN-AP Practice Questions
Original questions with explanations
These original CARN-AP practice questions are educational examples designed to exercise reasoning. They are not recalled exam items and do not imply access to live or confidential test content.
Question 1
A patient taking an opioid agonist medication reports continued cravings. What is the best first response?
- A. Stop treatment abruptly
- B. Assume manipulation
- C. Provide no follow-up
- D. Assess adherence, dose timing, substance use, withdrawal, safety, and treatment goals
Answer and explanation
D. Assess adherence, dose timing, substance use, withdrawal, safety, and treatment goals A structured reassessment should precede an individualized treatment adjustment.
Question 2
Which approach best reflects motivational interviewing?
- A. Explore ambivalence and elicit the patient’s own reasons for change
- B. Confront resistance aggressively
- C. Argue for abstinence
- D. Ignore patient goals
Answer and explanation
A. Explore ambivalence and elicit the patient’s own reasons for change Motivational interviewing uses collaboration and evocation rather than confrontation.
Question 3
A patient has alcohol withdrawal with confusion and autonomic instability. What is the priority?
- A. Routine follow-up next month
- B. Unsupervised exercise
- C. Delay until symptoms resolve
- D. Urgent medical evaluation and protocol-based management
Answer and explanation
D. Urgent medical evaluation and protocol-based management Severe withdrawal can be life-threatening and requires prompt treatment.
Question 4
Which plan best supports recovery after discharge?
- A. No relapse plan
- B. Discharge without referrals
- C. A coordinated plan addressing medication, psychosocial care, harm reduction, and follow-up
- D. Medication alone for every patient
Answer and explanation
C. A coordinated plan addressing medication, psychosocial care, harm reduction, and follow-up Recovery planning should integrate clinical, behavioral, safety, and social supports.
Question 5
What makes CARN-AP preparation different from CARN preparation?
- A. It is based on recalled items
- B. It applies addictions knowledge at an advanced-practice assessment and management level
- C. It omits pharmacology
- D. It tests no ethics
Answer and explanation
B. It applies addictions knowledge at an advanced-practice assessment and management level CARN-AP reflects advanced-practice responsibilities under its own blueprint.
How to Review Your Results
For every missed item, name the tested concept, explain why the correct option is best, and identify the clue that rules out each distractor. Then review the corresponding official content domain.