NAPLEX PRACTICE 150 questions
&answers (RATED A)
Which of the following statements concerning use of Precedex in critical care patients is
correct?
A
It can only be used if the patient is intubated.
B
It can only be used if the patient is also receiving a paralytic.
C
It will decrease blood pressure.
D
It is indicated for use up to 72 hours.
E
It is more likely to cause delirium than a benzodiazepine. -ANSWER - It will decrease
blood pressure.
MH is a 65 year old post-menopausal female with a family history of breast cancer. She
was recently diagnosed with osteoporosis and wants to know if she can use raloxifene.
Which statement concerning raloxifene is correct?
A
It increases the risk of breast cancer.
B
It is not indicated for treatment of osteoporosis.
C
It can cause dangerous blood clots.
D
The brand name is Prezista.
E
It reduces hot flashes and other vasomotor symptoms. -ANSWER - It can cause
dangerous blood clots.
The pharmacist performs a screening to see if JC requires any immunizations. Which
drug references would be useful to determine vaccine requirements for JC? (Select ALL
that apply.)
Answer
,A
USP 800
B
The American Diabetes Association Standards of Medical Care
C
Morbidity and Mortality Weekly Report
D
The CDC's Pink Book
E
The FDA's Orange Book -ANSWER - C
Morbidity and Mortality Weekly Report
D
The CDC's Pink Book
Which medication increases the risk for C. difficile infections and fractures if used long-
term?
Answer
A
Metoclopramide
B
Naproxen
C
Pantoprazole
D
Fluoxetine
E
Simvastatin -ANSWER - C
Pantoprazole
The patient qualifies for a fentanly patch because he has been taking ____ of morphine
equivalent daily for at least ______. -ANSWER - 60 mg, 7 days
tapentadol ER brand? -ANSWER - Nucynta ER
A patient is receiving ribavirin as part of her hepatitis C regimen. Which of the following
are boxed warnings for ribavirin?
Answer
A
Teratogenic effects and lactic acidosis
, B
Lactic acidosis and hemolytic anemia
C
Hemolytic anemia and vesicant potential
D
Teratogenic effects and hemolytic anemia
E
Vesicant potential and teratogenic effects -ANSWER - Teratogenic effects and
hemolytic anemia
The combined calcium and phosphorus in a PN should not exceed 45 mEq/L. What is
the combined calcium and phosphorus (there are 2 mEq PO4/mmol) in this PN order
and is it considered safe?
Phosphate 24 mmol
Calcium 12 mEq -ANSWER - 30 mEq/L yes
Calculate the daily grams of nitrogen that LB will be receiving from the parenteral
nutrition. (Answer must be numeric; no units or commas; round the final answer to the
nearest WHOLE number.)
AA 105 g -ANSWER - 17g
PK has received a prescription for Forteo. Which statement concerning Forteo is
correct?
A
It should not be used for more than 5 years.
B
The generic name is denosumab.
C
It can cause hypocalcemia.
D
It is an analog of human parathyroid hormone.
E
The prefilled pen should be kept at room temperature. -ANSWER - D
It is an analog of human parathyroid hormone.
Which of the following antipsychotics are available in oral formulations suitable for
patients with difficulty swallowing or for use in patients who might try to hide the
medication in their mouth in order to spit it out? (Select ALL that apply.)
Answer
&answers (RATED A)
Which of the following statements concerning use of Precedex in critical care patients is
correct?
A
It can only be used if the patient is intubated.
B
It can only be used if the patient is also receiving a paralytic.
C
It will decrease blood pressure.
D
It is indicated for use up to 72 hours.
E
It is more likely to cause delirium than a benzodiazepine. -ANSWER - It will decrease
blood pressure.
MH is a 65 year old post-menopausal female with a family history of breast cancer. She
was recently diagnosed with osteoporosis and wants to know if she can use raloxifene.
Which statement concerning raloxifene is correct?
A
It increases the risk of breast cancer.
B
It is not indicated for treatment of osteoporosis.
C
It can cause dangerous blood clots.
D
The brand name is Prezista.
E
It reduces hot flashes and other vasomotor symptoms. -ANSWER - It can cause
dangerous blood clots.
The pharmacist performs a screening to see if JC requires any immunizations. Which
drug references would be useful to determine vaccine requirements for JC? (Select ALL
that apply.)
Answer
,A
USP 800
B
The American Diabetes Association Standards of Medical Care
C
Morbidity and Mortality Weekly Report
D
The CDC's Pink Book
E
The FDA's Orange Book -ANSWER - C
Morbidity and Mortality Weekly Report
D
The CDC's Pink Book
Which medication increases the risk for C. difficile infections and fractures if used long-
term?
Answer
A
Metoclopramide
B
Naproxen
C
Pantoprazole
D
Fluoxetine
E
Simvastatin -ANSWER - C
Pantoprazole
The patient qualifies for a fentanly patch because he has been taking ____ of morphine
equivalent daily for at least ______. -ANSWER - 60 mg, 7 days
tapentadol ER brand? -ANSWER - Nucynta ER
A patient is receiving ribavirin as part of her hepatitis C regimen. Which of the following
are boxed warnings for ribavirin?
Answer
A
Teratogenic effects and lactic acidosis
, B
Lactic acidosis and hemolytic anemia
C
Hemolytic anemia and vesicant potential
D
Teratogenic effects and hemolytic anemia
E
Vesicant potential and teratogenic effects -ANSWER - Teratogenic effects and
hemolytic anemia
The combined calcium and phosphorus in a PN should not exceed 45 mEq/L. What is
the combined calcium and phosphorus (there are 2 mEq PO4/mmol) in this PN order
and is it considered safe?
Phosphate 24 mmol
Calcium 12 mEq -ANSWER - 30 mEq/L yes
Calculate the daily grams of nitrogen that LB will be receiving from the parenteral
nutrition. (Answer must be numeric; no units or commas; round the final answer to the
nearest WHOLE number.)
AA 105 g -ANSWER - 17g
PK has received a prescription for Forteo. Which statement concerning Forteo is
correct?
A
It should not be used for more than 5 years.
B
The generic name is denosumab.
C
It can cause hypocalcemia.
D
It is an analog of human parathyroid hormone.
E
The prefilled pen should be kept at room temperature. -ANSWER - D
It is an analog of human parathyroid hormone.
Which of the following antipsychotics are available in oral formulations suitable for
patients with difficulty swallowing or for use in patients who might try to hide the
medication in their mouth in order to spit it out? (Select ALL that apply.)
Answer
