Pre-Naplex Practice Exam 157 Questions with Verified
Answers
Which of the following are appropriate patient counseling points for the
Combivent Respimat? (Select ALL that apply.) - CORRECT 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? - CORRECT 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? -
CORRECT 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? - CORRECT 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.) - CORRECT 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? - CORRECT
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.) - CORRECT 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.) - CORRECT 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.) - CORRECT 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? - CORRECT
ANSWER Levemir 42 days, Apidra 28 days
What type of information can be found in The Red Book? - CORRECT ANSWER
Average wholesale price
Which of the following bacterial organisms is not covered by ertapenem? -
CORRECT ANSWER Acinetobacter
What should the pharmacist tell the nurse regarding intravenous administration
of phenytoin in TU? (Select ALL that apply.) - CORRECT 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? - CORRECT ANSWER Emtricitabine,
efavirenz, tenofovir
Which of the following potential drug interactions should the pharmacist alert the
medical team about? (Select ALL that apply.) - CORRECT 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? - CORRECT 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? - CORRECT 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. - CORRECT
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.) - CORRECT ANSWER 469
Answers
Which of the following are appropriate patient counseling points for the
Combivent Respimat? (Select ALL that apply.) - CORRECT 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? - CORRECT 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? -
CORRECT 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? - CORRECT 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.) - CORRECT 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? - CORRECT
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.) - CORRECT 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.) - CORRECT 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.) - CORRECT 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? - CORRECT
ANSWER Levemir 42 days, Apidra 28 days
What type of information can be found in The Red Book? - CORRECT ANSWER
Average wholesale price
Which of the following bacterial organisms is not covered by ertapenem? -
CORRECT ANSWER Acinetobacter
What should the pharmacist tell the nurse regarding intravenous administration
of phenytoin in TU? (Select ALL that apply.) - CORRECT 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? - CORRECT ANSWER Emtricitabine,
efavirenz, tenofovir
Which of the following potential drug interactions should the pharmacist alert the
medical team about? (Select ALL that apply.) - CORRECT 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? - CORRECT 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? - CORRECT 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. - CORRECT
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.) - CORRECT ANSWER 469
