Pre-Naplex Practice Exam Already Solved 100%

Which of the following are appropriate patient counseling points for the Combivent Respimat? (Select ALL that apply.) - Answer Common side effects include cough and dry mouth. B To take an inhalation, turn the base, open the cap, and press the dose-release button. Take 1 inhalation four times daily. A pharmacist receives a prescription for Ciloxan. Which of the following conditions is Ciloxan used to treat? - Answer Bacterial conjunctivitis A patient picks up a new prescription for tacrolimus capsules from the pharmacy. Which of the following points should not be included in the counseling session? - Answer If an OTC analgesic is needed, it is best to use an NSAID such as Advil. What is the mechanism of action of Arixtra? - Answer Synthetic pentasaccharide that binds to antithrombin to selectively inhibit Factor Xa Which of the following statements is correct regarding DB's home asthma regimen? (Select ALL that apply.) - Answer She needs a rescue inhaler added to her regimen. B Serevent Diskus increases the risk of asthma-related deaths if used alone. What is the best action to take regarding DB's serum phosphorus? - Answer Repeat the laboratory test; this finding is not consistent with the patient's medical history or medications. 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 the 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.) - Answer 75 DB is discharged on Advair Diskus 250/50 mcg 1 inhalation BID and ProAir HFA 90 mcg 2 inhalations Q4H PRN. Which of the following counseling points are correct? (Select ALL that apply.) - Answer Advair Diskus can cause thrush; she should rinse her mouth and throat and spit out after each inhalation. C ProAir HFA can cause nervousness and palpitations. D She should use a peak flow meter and seek medical attention if she is in the red zone, even if she feels fine. E There are 200 inhalations in each ProAir HFA inhaler. The pharmacist and diabetic educator meet with DB. Her insurance covers long-acting and rapid-acting insulin pens and DB is excited to gain better control of her diabetes. How many units of Levemir is equivalent to her current daily dose of NPH? (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Answer 20 DB is discharged on a new insulin regimen consisting of Levemir and Apidra pens. How long are these pens stable at room temperature when in use? - Answer Levemir 42 days, Apidra 28 days What type of information can be found in The Red Book? - Answer Average wholesale price Which of the following bacterial organisms is not covered by ertapenem? - Answer Acinetobacter What should the pharmacist tell the nurse regarding intravenous administration of phenytoin in TU? (Select ALL that apply.) - Answer Answer A Phenytoin IV is only compatible with normal saline. B Intravenous phenytoin can cause arrhythmias if it is infused too quickly. C Phenytoin IV, once prepared, is only stable for 4 hours. The maximum infusion rate is 50 milligrams per minute. What are the components of Atripla? - Answer Emtricitabine, efavirenz, tenofovir Which of the following potential drug interactions should the pharmacist alert the medical team about? (Select ALL that apply.) - Answer Phenytoin is an enzyme inducer and may decrease the effects of the HIV medication. Tube feedings will decrease phenytoin absorption; they should be held before and after phenytoin administration. On 9/19, TU's total serum phenytoin concentration result is 8 mcg/mL. Which of the following is a correct statement? - Answer The serum phenytoin concentration is likely higher than reported; a corrected value should be calculated. JF is 76 year-old woman who will be starting darifenacin (Enablex) for overactive bladder. Which statement below is correct regarding the side effect of dry mouth with this class of medications? - Answer Using long-acting oral formulations, topical gels or patches can help reduce dry mouth. Rank the following oral corticosteroids in order of their anti-inflammatory potency (least potent = 1 to most potent = 5). Left-click the mouse to highlight, drag, and order the answer options; All options must be used. - Answer most potent -> Betamethasone, dexamethasone, triamcinolone, methylprednisolone, prednisolone, prednisone, hydrocortisone, cortisone -> least potent Calculate the patient's ANC. (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Answer 469 Which of the following chemotherapy drugs, that this patient has taken now or in the past, has the highest emetogenic risk? - Answer Cisplatin Which of the following statements concerning the use of erythropoiesis stimulating agents (ESAs) in this patient is correct? - Answer ESAs contribute to tumor growth and should not be used in this patient if the treatment goal is curative. This patient will be given an antiemetic regimen 30 minutes prior to the infusion. Which of the following combinations is appropriate? - Answer Aprepitant + Dexamethasone + Ondansetron A patient receiving ramipril and a potassium-sparing diuretic is hospitalized with heart rhythm problems consistent with hyperkalemia. Which of the following drugs should be administered to counteract the effects of potassium on the heart? - Answer Intravenous calcium How many grams of potassium chloride are needed to make 100 mL of a solution containing 250 mOsmol/L? (M.W. of potassium is 39 and M.W. of chloride is 35.5). (Answer must be numeric; no units or commas; include a leading zero when answer is less than 1; round the final answer to the nearest TENTH.) - Answer 0.9 JM is a 56 year-old male who brings a prescription for tapentadol ER to the pharmacy. Choose the correct statement about this medication: - Answer The brand name is Nucynta ER. A patient comes to the pharmacy with a prescription for Harvoni. What are the components of Harvoni and what is it used to treat? - Answer Ledipasvir and sofosbuvir; Hepatitis C A pharmacist has received a prescription for Gleevec. The patient most likely has which condition? - Answer Cancer What is the safest and most practical use of prescription stimulant agents for weight loss? - Answer Use only short-term, in patients with a BMI of 27-30 who have at least one weight-related comorbidity. EB has just entered a skilled nursing facility. She has a diagnosis of Parkinson's disease, hypertension, occasional constipation and difficulty sleeping. Which of the following medications in her profile may worsen her movement disorder? - Answer Metoclopramide 10 mg QID Mark is using a 10 mL graduated cylinder to measure out liquid. How much volume is in the graduated cylinder below? - Answer 6.6 mL 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? - Answer Raloxifene is often used in women at risk of breast cancer, but it can cause dangerous blood clots. Liraglutide once daily was compared with exenatide twice daily for type 2 diabetes in a 26-week randomized open-label trial. What does it mean that the trial was 'open-label'? - Answer Both the physician and the patients knew which drug the patients received. Pharmacists have been integral in the development of medication safety practices over the past decade. Which of the following practices do not help improve medication safety? - Answer Allowing the nurse to use the override function on an automated dispensing cabinet in a non-emergent situation. According to JNC 8, what is TP's blood pressure goal? - Answer < 140/90 mmHg TP's physician would like increase the amlodipine to 10 mg PO daily and add another medication to his blood pressure regimen today. Which of the following would be most appropriate to initiate at this time (Select ALL that apply.) - Answer Valsartan Which of the following statements is true regarding statin therapy for TP? - Answer The maximum dose of simvastatin he should use is 20 mg. The infusion set for PK's heparin drip is set to deliver 20 drops per milliliter. How many drops will PK receive per minute? (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Answer 8 PK had an elevated vancomycin level due to her reduced renal function. What is the half-life, in hours, of vancomycin in PK? (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Answer 36 Which medication increases the risk for C. difficile and pneumonia infections in PK? - Answer Pantoprazole PK is initiated on warfarin because of the pulmonary embolism. What drug interaction exists between warfarin and the medications PK is taking? - Answer Citalopram inceases bleeding risk when used in combination with warfarin. It is discovered that an error was made when programming the rate of infusion for PK's fluids. Her 1 liter bag has been running at only 45 mL/hr for the past 4 hours. How many extra mEq of KCl would PK need to receive now to equal what she would have gotten if the drip had been hanging at the correct rate for the past 4 hours? (Answer must be numeric; no units or commas, round the final answer to the nearest TENTH.) - Answer 4.8 Which of the following is an oral antibiotic that will cover MSSA and does not require a renal dosage adjustment? - Answer Dicloxacillin What is PK's estimated creatinine clearance on 10/18? (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Answer 33 MX is a 22 year-old graduate student. She has suffered from bouts of depression for as long as she can remember. She has failed trials of citalopram and sertraline. The prescriber has written her a prescription for bupropion. Which of the following are side effects or potential adverse effects of bupropion? - Answer Dry mouth, insomnia, and seizures MB is an 82 year-old woman in a skilled nursing facility taking chlorpromazine for dementia-related psychosis. The nurse notices she is making a 'smacking' motion with her lips and unusual movements with her eyes. Which of the following statements is correct? - Answer She is experiencing a form of tardive dyskinesia. This side effect is more likely because of her age and gender. Jessica is preparing a master formulation record for cod liver oil. She wishes to compound the cod liver oil as an oil-in-water emulsion and to add a flavoring agent in order to mask the fishy taste. The flavoring agent should be added to which phase? - Answer Continuous phase JF is a thin, white female who has been taking prednisone 10 mg daily for several months. The pharmacist understands the many risks associated with long-term prednisone use and reviews the patient profile to check for which of the following recommended agent/s? - Answer Calcium and Vitamin D A patient weighing 115 kg is to receive 0.8 mg/kg/day of amphotericin B by continuous 24-hr IV infusion. The product is reconstituted and diluted to 0.1 mg/mL. What should the rate be in mL/hr to deliver the daily dose? (Answer must be numeric; no units or commas, round the final answer to the nearest WHOLE number.) - Answer 38 Etanercept carries a boxed warning for which of the following conditions? (Select ALL that apply.) - Answer Increased risk of serious infections D Increased risk of malignancies E Reactivation of latent tuberculosis