Pre-Naplex Practice Exam

Pre-Naplex Practice Exam t t


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1. Which of the following are appropriate patient counseling points for theCo t t t t t t t t t t t


mbivent Respimat? (Select ALL that apply.): Common side effects includecought t t t t t t t t t t


and dry mouth. t t


B
To take an inhalation, turn the base, open the cap, and press the dose-
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releasebutton. t


Take 1 inhalation four times daily.
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2. A pharmacist receives a prescription for Ciloxan.Which of the followingco
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nditions is Ciloxan used to treat?: Bacterial conjunctivitis t t t t t t t


3. Apatient picks upa new prescription for tacrolimus capsules from the phar-
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macy.Which of the following points should not be included in the counselingses
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sion?: If an OTC analgesic is needed, it is best to use an NSAID such as Advil.
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4. What is the mechanism of action of Arixtra?: Synthetic pentasaccharide thatbin
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ds to antithrombin to selectively inhibit Factor Xa
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5. Which of the following statements is correct regarding DB's home asthmareg t t t t t t t t t t t


imen? (Select ALL that apply.): She needs a rescue inhaler added to her regimen.
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B
Serevent Diskus increases the risk of asthma-related deaths if used alone. t t t t t t t t t t


6. What is the best action to take regarding DB's serum phosphorus?: Repeatthe l
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aboratory test; this finding is not consistent with the patient's medical history ormedicati
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ons.
7. By Day #2 of her visit, DB's oxygen saturation has gradually improved andher
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physician has asked the pharmacist to convert her SoluMedrol to the equivalent t t t t t t t t t t t t


dose of oral prednisone. What is the equivalent daily dose of oralprednisone in
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milligrams? (Answer must be numeric; no units or commas; round the final ans t t t t t t t t t t t t


wer to the nearestWHOLE number.): 75
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8. DB is discharged on Advair Diskus 250/50 mcg 1 inhalation BID and ProAirHFA
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90 mcg 2 inhalations Q4H PRN.Which of the following counseling pointsare corre
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ct? (Select ALL that apply.): Advair Diskus can cause thrush;she shouldrinse her mout
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h and throat and spit out after each inhalation.
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C
ProAir HFA can cause nervousness and palpitations.D
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She should use a peak flow meter and seek medical attention if she is in the redzone, e
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ven if she feels fine.
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E
There are 200 inhalations in each ProAir HFA inhaler.
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, Pre-Naplex Practice Exam t t


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9. The pharmacist and diabetic educator meet with DB. Her insurance coverslon
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g-acting and rapid- t t


acting insulin pens and DB is excited to gain better control of her diabetes.How m
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anyunits of Levemir is equivalent to her currentdaily dose of NPH? (Answer must b
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e numeric; no units or commas; round thefinal answer to the nearestWHOLE num
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ber.): 20 t


10. DB is discharged on a new insulin regimen consisting of Levemir and Apid
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ra pens. How long are these pens stable at room temperature when inuse?: Lev
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emir 42 days, Apidra 28 days t t t t t


11. What type of information can be found inThe Red Book?: Average whole- t t t t t t t t t t t t


sale price
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12. Which of the following bacterial organisms is not covered by ertapenem?- t t t t t t t t t t


: Acinetobacter
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13. What should the pharmacist tell the nurse regarding intravenous adminis-t t t t t t t t t


tration of phenytoin inTU? (Select ALL that apply.): Answer
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A
Phenytoin IV is only compatible with normal saline.B t t t t t t t t


Intravenous phenytoin can cause arrhythmias if it is infused too quickly.C t t t t t t t t t t t


Phenytoin IV, once prepared, is only stable for 4 hours. t t t t t t t t t




The maximum infusion rate is 50 milligrams per minute.
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14. What are the components of Atripla?: Emtricitabine, efavirenz, tenofovirt t t t t t t t


15. Which of the following potential drug interactions should the pharmacist aler t t t t t t t t t t


t the medical team about? (Select ALL that apply.): Phenytoin is an enzymeinducer a
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nd may decrease the effects of the HIV medication.
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Tube feedings will decrease phenytoin absorption;they should be held before andafter
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phenytoin administration. t


16. On 9/19, TU's total serum phenytoin concentration result is 8 mcg/mL. Whic
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h of the following is a correct statement?: The serum phenytoin concen-
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tration is likely higher than reported; a corrected value should be calculated.
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17. JF is 76 year- t t t


old woman who will be starting darifenacin (Enablex) for overactive bladder.Whi
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ch statement below is correct regarding the side effectof drymouth withthis class
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of medications?: Usinglong-
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actingoralformulations,topical gels or patches can help reduce dry mouth.
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18. Rank the following oral corticosteroids in order of their anti- t t t t t t t t t


inflammatorypotency (least potent = 1 to most potent = 5).Left- t t t t t t t t t t t


click the mouse to highlight, t t t t

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, Pre-Naplex Practice Exam t t


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drag, and order the answer options; All options must be used.: most po-
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tent -> Betamethasone, dexamethasone, triamcinolone, methylprednisolone, pred-
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nisolone, prednisone, hydrocortisone, cortisone -> least potent
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19. Calculate the patient's ANC. (Answer must be numeric; no units or com- t t t t t t t t t t t


mas; round the final answer to the nearestWHOLE number.): 469
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20. Which of the following chemotherapy drugs, that this patient has takenno t t t t t t t t t t t


w or in the past, has the highest emetogenic risk?: Cisplatin
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21. Which of the following statements concerning the use of erythropoiesis sti t t t t t t t t t t


mulating agents (ESAs) in this patient is correct?: ESAs contribute to tumorgrowth t t t t t t t t t t t t t


and should not be used in this patient if the treatment goal is curative.
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22. This patient will be given an antiemetic regimen 30 minutes prior to theinfu
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sion. Which of the following combinations is appropriate?: Aprepitant +Dexam
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ethasone + Ondansetron t t


23. A patient receiving ramipril and a potassium-sparing diuretic is hospital-
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ized with heart rhythm problems consistent with hyperkalemia. Which of the foll
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owingdrugsshould be administeredtocounteract theeffects ofpotassiumon the
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heart?: Intravenous calcium t t


24. How many grams of potassium chloride are needed to make 100 mL ofa sol t t t t t t t t t t t t t t


ution containing 250 mOsmol/L? (M.W. of potassium is 39 and M.W. ofchloride
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is 35.5). (Answer must be numeric; no units or commas; include a
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leading zero when answer is less than 1;round the final answer to the nearestTEN
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TH.): 0.9 t


25. JM is a 56 year- t t t t


old male who brings a prescription for tapentadol ER to thepharmacy.Choose th
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e correct statement about this medication:: Thebrandname is Nucynta ER.
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26. A patient comes to the pharmacy with a prescription for Harvoni. What are t
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he components of Harvoni and what is it used to treat?: Ledipasvir andsofosbuvi
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r; Hepatitis C
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27. A pharmacist has received a prescription for Gleevec.The patient mostlike
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ly has which condition?: Cancer
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28. What is the safest and most practical use of prescription stimulant agentsfor t t t t t t t t t t t t t


weight loss?: Use only short-term, in patients with a BMI of 27-
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30 who have atleast one weight-related comorbidity.
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29. EB hasjustentereda skillednursing facility.She hasa diagnosis ofParkin-
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son's disease, hypertension, occasional constipation and difficulty sleeping.W
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hich of the following medications in her profile may worsen her movementdisor
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der?: Metoclopramide 10 mg QID t t t t


30. Mark is using a 10 mL graduated cylinder to measure out liquid.How muchvolut t t t t t t t t t t t t t


me is in the graduated cylinder below?: 6.6 mL
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