NAPLEX PRACTICE 150 QUESTIONS WITH CORRECT ANSWERS

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 A Clozapine B Olanzapine C Risperidone D Quetiapine E Ziprasidone - Answer A Clozapine B Olanzapine C Risperidone Intralipid 20% = _____ kcal/ml Intralipid 10% = ____kcal/mL - Answer 2 kcal/ml 1.1 kcal/ml A young adult female patient was prescribed an appropriate dose of Tylenol #3 during an emergency department visit. Within 48 hours, the patient was brought back to the emergency department by ambulance due to respiratory depression and somnolence. Which of the following is the most likely cause of this response? Answer A The patient is HLA-B*5701 positive. B The patient has 2C192 or 3 alleles. C The patient is a 2D6 ultra-rapid metabolizer. D The patient has a deficiency of thiopurine methyltransferase (TPMT). E The patient has 2C92 or 3 alleles. - Answer C The patient is a 2D6 ultra-rapid metabolizer. A pharmacist will counsel a female patient who is beginning lamotrigine therapy for bipolar disorder. There are no interacting medications on the profile. Which of the following counseling statements should the pharmacist share with the patient? (Select ALL that apply.) Answer A This medication can cause serious skin reactions, including a very severe rash. B It is important that this medication is titrated slowly; follow the instructions carefully. C One of the brand names for this medication is Trileptal. D Your starter kit packaging should be orange. E Your starter kit packaging should be blue. - Answer A This medication can cause serious skin reactions, including a very severe rash. B It is important that this medication is titrated slowly; follow the instructions carefully. D Your starter kit packaging should be orange. By Day #2 of her visit, DB's oxygen saturation has gradually improved and her physician has asked the pharmacist to convert her SoluMedrol to an equivalent dose of oral prednisone. What is the equivalent daily dose of oral prednisone in milligrams? (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.)