NAPLEX exam 2
JS has been using famotadine 20 mg BID for 5 years, intially his CrCl was 78. his blood pressure has been
poorly controlled which has worsened his renal function and the CrCl has declined to 26. which of the
following statements is correct regarding his famotidine use? - Answer-famotidine could accumulate and
cause adverse effects
which of the following a nephrotoxic? - Answer-cisplatin, ibuprofen, furosemide, amikacin
which of the following is an appropriate initial treatment for hyperphosphatemia in chronic kidney
disease? - Answer-limiting dietary phosphate intake
TH should be instructed to separate Renvela from administration of which medication? - Answer-
synthroid
Senispar is used for what purpose in TH? - Answer-calcimimetic used to treat hyperthyroidism
KL (52) presents to the ED feeling lightheaded and dizzy. which of KL's medications interact with his HCV
regimen and can cause this presentation? - Answer-pacerone
which of the following medications can cause liver damage? - Answer-tylenol, isoniazid, depakote,
nefazodone
,which of the following is correct regarding the need to test for HIV before starting HBV therapy? -
Answer-antivirals used for HBV can have activity against HIV
HIV resistance can occur if HIV is unrecognized
HIV and HBV share similar routes of transmission
the pharmacist receives an Rx for a female patient for epivir 100 mg PO once daily for hep B. what is
wrong with this Rx? - Answer-the prescribed drug is incorrect
SH is beginning therapy with Pegasys. The pharmacist will counsel him on possible side effects from
Pegasys therapy. Which of the following side effects should be included in the counseling? - Answer-
depression
flu-like syndome
fatigue
liver damage
MT is a 33 year old female presenting to the clinic for a follow-up. her physician asked for assistance in
selecting a HCV regimen. which of the following is contraindicated at this time due to the information
provided? - Answer-partiaprevir/ ritonavir/ ombitasavir + dasabuvir
A systolic HF patietn takes vasotec 5 mg twice daily and toprol xl 50 mg daily. his BP is 130/80 and his HR
is 78. he feels well overall but has noticed a tickle in his throat that causes a constant irritating dry
cough. which medication change is appropriate at this time? - Answer-D/c vasotec and begin valsartan
which of the following medications is most appropriate to decrease fluid volume in a patient with a sulfa
allergy? - Answer-ethacrynic acid
which of the following are primary engineering controls designed for preparing non-hazardous
compounded sterile products? - Answer-laminar workflow bench
compounding aseptic isolator
,reconstituting a 1 g vial of ceftazidime with 10 ml of sterile water for injection. the reconstituted
solution will be added to a bag of NS for IV administration. what PEC are needed? - Answer-postive air
pressure
at least ISO 5 air
horizontal laminar airflow
another name for the buffer room is - Answer-secondary engineering control
a pharmacy only prepares low and medium risk CSP. If today's date is jan 22, 2020, which of the
following personnel need a gloved finger tip test in the next month - Answer-karen
how often should a laminar airflow workbench be cleaned when compounding sterile preparations -
Answer-before and after each back
every 30 minutes of continuous compounding
before each shift
which statement is not correct regarding cleaning and disinfecting the sterile compounding area -
Answer-cleaning should move from dirtiest to the cleanest area
KCl will be mixed in NS for IV adminsitration. where should handwashing take place before sterile
compounding - Answer-anteroom
a compound is made mixing 2% hydrocortisone cream and aquaphor without any available stability
data. what level of compounding is this considered? - Answer-moderate
which of the following would be found on a safety data sheet for valganciclovir - Answer-PPE
recommendations
first aid procedures
, spill clean-up procedures
new compounding clean room for preparing sterile and non-sterile hazardous drugs within the same
buffer room. which of the following plans for containment PECs is compliant with USP standards -
Answer-Two C-PECs each dedicated for either sterile or non-sterile products, separated by at least 1
meter
which of the following is required to prepare a sterile hazardous drug - Answer-a containment primary
engineering control
reconstituting a 10 ml vial of doxorubicin powder with 5 ml of NS. in which location should the product
be reconstituted - Answer-class II biological safety cabinet
reconstituting a 10 ml vial of doxorubicin powder with 5 ml of NS. what type of gloves should the tech
wear - Answer-two pairs of ASTM-rated gloves
an oncology nurse accidentally drops a vial of reconstituted carmustine solution resulting in a large spill.
which product can be used for decontamination? - Answer-sodium hyperchloride
the tech will sanitize the class II biological safety cabinet used for preparing sterile HDs which of the
following is correct - Answer-peroxide-containing agents can be used to both deactivate and
decontaminate surfaces
the technician has finished preparing all the herceptin IV admixtures and will be leaving the
compounding area. the area has an anteroom and a buffer room. where should the tech throw away the
garb? - Answer-the gown and outer shoe cover are thrown away in the trace chemotherapy bin before
leaving the buffer room
a nurse is administering IV busulfan to a patient. what PPE should she be wearing - Answer-two pairs of
chemotherapy gloves
a chemotherapy gown
JS has been using famotadine 20 mg BID for 5 years, intially his CrCl was 78. his blood pressure has been
poorly controlled which has worsened his renal function and the CrCl has declined to 26. which of the
following statements is correct regarding his famotidine use? - Answer-famotidine could accumulate and
cause adverse effects
which of the following a nephrotoxic? - Answer-cisplatin, ibuprofen, furosemide, amikacin
which of the following is an appropriate initial treatment for hyperphosphatemia in chronic kidney
disease? - Answer-limiting dietary phosphate intake
TH should be instructed to separate Renvela from administration of which medication? - Answer-
synthroid
Senispar is used for what purpose in TH? - Answer-calcimimetic used to treat hyperthyroidism
KL (52) presents to the ED feeling lightheaded and dizzy. which of KL's medications interact with his HCV
regimen and can cause this presentation? - Answer-pacerone
which of the following medications can cause liver damage? - Answer-tylenol, isoniazid, depakote,
nefazodone
,which of the following is correct regarding the need to test for HIV before starting HBV therapy? -
Answer-antivirals used for HBV can have activity against HIV
HIV resistance can occur if HIV is unrecognized
HIV and HBV share similar routes of transmission
the pharmacist receives an Rx for a female patient for epivir 100 mg PO once daily for hep B. what is
wrong with this Rx? - Answer-the prescribed drug is incorrect
SH is beginning therapy with Pegasys. The pharmacist will counsel him on possible side effects from
Pegasys therapy. Which of the following side effects should be included in the counseling? - Answer-
depression
flu-like syndome
fatigue
liver damage
MT is a 33 year old female presenting to the clinic for a follow-up. her physician asked for assistance in
selecting a HCV regimen. which of the following is contraindicated at this time due to the information
provided? - Answer-partiaprevir/ ritonavir/ ombitasavir + dasabuvir
A systolic HF patietn takes vasotec 5 mg twice daily and toprol xl 50 mg daily. his BP is 130/80 and his HR
is 78. he feels well overall but has noticed a tickle in his throat that causes a constant irritating dry
cough. which medication change is appropriate at this time? - Answer-D/c vasotec and begin valsartan
which of the following medications is most appropriate to decrease fluid volume in a patient with a sulfa
allergy? - Answer-ethacrynic acid
which of the following are primary engineering controls designed for preparing non-hazardous
compounded sterile products? - Answer-laminar workflow bench
compounding aseptic isolator
,reconstituting a 1 g vial of ceftazidime with 10 ml of sterile water for injection. the reconstituted
solution will be added to a bag of NS for IV administration. what PEC are needed? - Answer-postive air
pressure
at least ISO 5 air
horizontal laminar airflow
another name for the buffer room is - Answer-secondary engineering control
a pharmacy only prepares low and medium risk CSP. If today's date is jan 22, 2020, which of the
following personnel need a gloved finger tip test in the next month - Answer-karen
how often should a laminar airflow workbench be cleaned when compounding sterile preparations -
Answer-before and after each back
every 30 minutes of continuous compounding
before each shift
which statement is not correct regarding cleaning and disinfecting the sterile compounding area -
Answer-cleaning should move from dirtiest to the cleanest area
KCl will be mixed in NS for IV adminsitration. where should handwashing take place before sterile
compounding - Answer-anteroom
a compound is made mixing 2% hydrocortisone cream and aquaphor without any available stability
data. what level of compounding is this considered? - Answer-moderate
which of the following would be found on a safety data sheet for valganciclovir - Answer-PPE
recommendations
first aid procedures
, spill clean-up procedures
new compounding clean room for preparing sterile and non-sterile hazardous drugs within the same
buffer room. which of the following plans for containment PECs is compliant with USP standards -
Answer-Two C-PECs each dedicated for either sterile or non-sterile products, separated by at least 1
meter
which of the following is required to prepare a sterile hazardous drug - Answer-a containment primary
engineering control
reconstituting a 10 ml vial of doxorubicin powder with 5 ml of NS. in which location should the product
be reconstituted - Answer-class II biological safety cabinet
reconstituting a 10 ml vial of doxorubicin powder with 5 ml of NS. what type of gloves should the tech
wear - Answer-two pairs of ASTM-rated gloves
an oncology nurse accidentally drops a vial of reconstituted carmustine solution resulting in a large spill.
which product can be used for decontamination? - Answer-sodium hyperchloride
the tech will sanitize the class II biological safety cabinet used for preparing sterile HDs which of the
following is correct - Answer-peroxide-containing agents can be used to both deactivate and
decontaminate surfaces
the technician has finished preparing all the herceptin IV admixtures and will be leaving the
compounding area. the area has an anteroom and a buffer room. where should the tech throw away the
garb? - Answer-the gown and outer shoe cover are thrown away in the trace chemotherapy bin before
leaving the buffer room
a nurse is administering IV busulfan to a patient. what PPE should she be wearing - Answer-two pairs of
chemotherapy gloves
a chemotherapy gown
