NAPLEX Preparation Material Practice 2020

1. NABP NAPLEX North American Pharmacist Licensure Examination Questions & Answers PDF For More Information: https://www.certswarrior.com/ Features: 90 Days Free Updates 30 Days Money Back Guarantee Instant Download Once Purchased 24/7 Online Chat Support Its Latest Version Visit us athttps://www.certswarrior.com/exam/naplex/

2. Latest Version: 6.0 Question: 1 Which of the following is/are ordinal data? A. NYHA I-IV B. Grade of breast cancer C. Sex D. Improvement Yes/No E. Alive or Dead Answer: B Explanation: Categorical data includes ordinal (ordered categories) and nominal (unordered categories). NYHA I-IV and grade of breast cancer are considered ordinal data because the categories for the answer choice are in order, you can have NYHA class I, II, III, or IV. Grade of breast cancers are also in order, grade 1, 2, or 3. Sex, Improvemnet Yes/No, Alive or Dead is considered nominal, unordered data because the answer choices are female or male, and do not have a set order. Question: 2 Octreotide 50mcg/hr is ordered for a patient with esophageal varices, nurses prepared by mixing 1ml of concentration 0.5mg/ml of octreotide in 50mls NS. What rate should the bag be infused? A. 50ml/hr B. 5ml/hr C. 5ml/min D. 0.5ml/min E. 7ml/hr Answer: B Explanation: The concentration is the first thing to calculate, using 1 mL of octreotide solution containing a concentration of 0.5mg/mL is really using 0.5mg of octreotide. If this is placed in 50 mL NS then it is 0.5mg/50mL which is 0.01mg/mL or 10 mcg/mL. If the patient needs 50 mcg of octreotide per hour then the patient will need 5, 10 mcg/mL doses or 5 mLs. So the rate for this patient would be 5 mL/hr. Question: 3 Visit us athttps://www.certswarrior.com/exam/naplex/

3. RL is a 54 YOM who’s calculated 10-year atherosclerotic cardiovascular disease (ASCVD) risk is 18 %. Which of the following is the most appropriate pharmacotherapy recommendation for CR? A. Rosuvastatin 10 mg PO QHS B. Atorvastatin 80 mg PO QHS C. Lovastatin 10 mg PO QHS D. Pravastatin 20 mg PO QHS E. Atorvastatin 20mg PO QHS Answer: B Explanation: This patient belongs in one of the four statin benefit groups because his estimated 10-year ASCVD risk is over 7.5%. Adults 40 to 75 years of age with LDL–C 70 to 189 mg/dL, with an estimated 10-year ASCVD risk 7.5% and without clinical ASCVD or diabetes should receive either a moderate-intensity or high- intensity statin. Since the extent of reducing the risk of ASCVD is proportionally related to the degree of LDL-C reduction, risk could be reduced more so with a high intensity statin. Considering the given options, Atorvastatin 80 mg PO QHS is the best choice. Question: 4 You get an order for 5% amino acid 15% dextrose premixed parenteral nutrition solution, 2 L at 83mls/hr. Your pharmacy technician tells you there is manufacture’s backorder on those. How many ml of 20% dextrose would you need to provide the same amount of dextrose in 24 hrs? A. 1000ml B. 1400ml C. 1500ml D. 200ml E. 2500ml Answer: C Explanation: 15% dextrose = 15gm/100ml = 300gm/2000ml. Patient needs 300gm. 300gm/Xml = 20gm/100ml = 1500ml Question: 5 JM is a 32-year-old women who comes to your diabetic clinic with complain of several episodes of hypoglycemia. She is on Insulin NPH/regular 70/30, 22 units twice a day with breakfast and dinner. 8 units with lunch. Visit us athttps://www.certswarrior.com/exam/naplex/

4. After discussing with physician you decide to decrease the total daily insulin by 10% and change to insulin glargine once a day and Insulin Lispro three time a day at ratio of 50:50 – 50 % of long and 50 % of short acting insulin. What is her new insulin regimen? Round down to the nearest 1 unit. A. 16 units of insulin glargine once daily, Insulin Lispro 4 units 3 times a day with meals B. 15 units of insulin glargine once daily, Insulin Lispro 5 units 3 times a day with meals C. 23 units of insulin glargine once daily, Insulin Lispro 7 units 3 times a day with meals D. 30 units of insulin glargine once daily, Insulin Lispro 6 units 3 times a day with meals E. 18 units of insulin glargine once daily, Insulin Lispro 6 units 3 times a day with meals Answer: C Explanation: 22 × 2 + 7 = 51 units of total insulin per day. Decrease by 10% 51 units × 0.9 = 45.9 units per day round up to 46 units. 46 units × 0.50 = 23 units, administer 23 units of insulin glargine once daily. 46 units × 0.50 = 23 units total Insulin Lispro. Round down, divided by three times a day, 7 units 3 times a day with meals. Question: 6 A fasting blood glucose level greater than what value is an indicator of type 2 diabetes? A. 5 mmol/L B. 6 mmol/L C. 7 mmol/L D. 8 mmol/L E. 9 mmol/L Answer: C Explanation: A fasting blood glucose level of greater than 7 mmol/L (or greater than 126mg/dL) is an indicator of type 2 diabetes. Question: 7 Which of these ranges reflects normal serum creatinine levels? A. 0.2 - 0.5 mg/dL B. 0.6 - 1.2 mg/dL C. 1.5 - 2.0 mg/dL D. 2.4 - 3.2 mg/dL E. 3.5 - 5.0 mg/dL Visit us athttps://www.certswarrior.com/exam/naplex/

5. Answer: B Explanation: Normal serum creatinine levels are 0.6 – 1.2 mg/dL. Question: 8 Which of the following class of antidiabetic medication may cause fluid retention? A. Bile acid sequestrant B. GLP-1 agonist C. Thiazolidinediones D. SGLT2 Inhibitor E. Alpha-glucosidase inhibitor Answer: C Explanation: Thiazolidinediones may cause fluid retention through proposed mechanism of increasing reabsorption in the collecting duct of the kidney and increasing vascular permeability in adipose tissue. Bile acid sequestrants work in the intestine to bind bile acids which doesn’t affect fluid retention. GLP-1 receptor agonists work to activate these receptors to secrete insulin from beta pancreatic cells/decrease glucagon secretion/ increase satiety and doesn’t affect fluid retention. SGLT2 inhibitors actually cause increase of fluid elimination through the kidneys. Alpha-glucosidase inhibitors work in the gut to decrease carb absorption/digestion and have no affect on fluid retention. Question: 9 Pyridoxine is often used in pregnancy to manage which of the following conditions? A. Hot flushes B. Diarrhea C. Nausea / vomiting D. Mood disturbances E. Insomnia Answer: C Explanation: Pyridoxine is combined with doxylamine to treat morning sickness in pregnant women. Visit us athttps://www.certswarrior.com/exam/naplex/

6. Question: 10 Which of the following medication may increase LDL? A. Amiodarone B. Lisinopril C. Hydrochlorothiazide D. Acetaminophen E. Cyclosporine Answer: E Explanation: LDL can be elevated by diuretics, cyclosporine, glucocorticoids, and amiodarone. Question: 11 CJ is a 69-year-old male with a history of diabetes, hypertension and hypercholesterolemia. His fasting lipid profile is TC 530 mg/dL; LDL-C 125; HDL-C 48 mg/dL; and TG 640 mg/dL. His A1c 8.1, calculate creatinine clearance is 65mls/hr, BP 135/80 mm Hg, HR 70 beats /min. His current medications include metformin 1000mg po bid, lisinopril 20mg daily, sitagliptin 50mg bid and atorvastatin 40mg daily. What is the best pharmacological agent to initiate on CJ? A. Increase atorvastatin to 80mg B. Niacin 500mg twice daily C. Fenofibrate 162mg daily D. Gemfibrozil 600mg twice daily E. Fish oil 500mg twice daily Answer: C Explanation: It is reasonable to add triglyceride-lowering medications such as fibrates or niacin to prevent pancreatitis in those with triglyceride levels >500 mg/dL, which applies to this patient as his TG level is 640 mg/dL . C. is wrong because gemfibrozil should not be initiated in patients on statin therapy because of an increased risk for muscle symptoms and rhabdomyolysis. Fenofibrate may be considered concomitantly with a low- or moderate- intensity statin when triglycerides are above 500 mg/dL,2, however he is on a high intensity statin therapy. For niacin, the IR dose should start at 100 mg TID2 and niacin does not lower triglyceride levels as much as fibrate do.4 Fenofibrates are dose adjusted for renal function lower than 60 mL/min to 54 mg/mL, so this dose is appropriate for this patient because of his renal function being above 60 mL/min. The best option is fenofibrate 162 mg daily, but this needs to be monitored for any symptoms of muscle pain exhibited by the patient, especially as the patient is at a higher risk due to being a diabetic. Fish oil is not a first line agent to treat hypertriglyceridemia. Visit us athttps://www.certswarrior.com/exam/naplex/

7. Question: 12 A physician orders Dopamine 5 mcg/kg/min. The concentration of the Dopamine IV bag is 400 mg in 250 D5W. The patient’s weight is 168 lbs. Calculate the infusion rate in mL/hr. A. 10.2mls/hr B. 5.2mls/hr C. 14.29mls/hr D. 22.4mls/hr E. 0.17mls/hr Answer: C Explanation: Pt’s weight in Kg 76.4. 76.4 × [5 mcg/kg/min] = 381.18 mcg/min Concentration of the bag [400 mg/250 mL] = 1.6 mg/ml or 1600mcg 381.18 mcg × [1 mL/1600 mcg] = 0.2382 mL/ml 60 in × [0.0.2382 mL/min] = 14.29 mL in one hour Visit us athttps://www.certswarrior.com/exam/naplex/

8. http://www.certswarrior.com/ Questions and Answers (PDF) For More Information – Visit link below: http://www.certswarrior.com Disc ount Coupon Code: CERT SWARRIOR10 Page | 1 http://www.certswarrior.com/exam/M2180-651/ Visit us athttps://www.certswarrior.com/exam/naplex/ Powered by TCPDF (www.tcpdf.org)