APHA NAPLEX FINAL STUDY PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
●● 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?
QUESTIONS WITH ANSWERS GRADED A+
●● 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?
