PRE-NAPLEX EXAM Questions with 100%
Correct Answers
Which of the following are appropriate patient counseling points for the Combivent Respimat? (Select
ALL that apply.)
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?
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?
If an OTC analgesic is needed, it is best to use an NSAID such as Advil.
What is the mechanism of action of Arixtra?
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.)
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?
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.)
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.)
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.)
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?
Levemir 42 days, Apidra 28 days
What type of information can be found in The Red Book?
Average wholesale price
Which of the following bacterial organisms is not covered by ertapenem?
Acinetobacter
What should the pharmacist tell the nurse regarding intravenous administration of phenytoin in TU?
(Select ALL that apply.)
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?
Emtricitabine, efavirenz, tenofovir
Which of the following potential drug interactions should the pharmacist alert the medical team
about? (Select ALL that apply.)
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?
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?
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.
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.)
469
Which of the following chemotherapy drugs, that this patient has taken now or in the past, has the
highest emetogenic risk?
Cisplatin
Which of the following statements concerning the use of erythropoiesis stimulating agents (ESAs) in
this patient is correct?
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?
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?
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.)
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:
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?
Ledipasvir and sofosbuvir; Hepatitis C
A pharmacist has received a prescription for Gleevec. The patient most likely has which condition?
Cancer
What is the safest and most practical use of prescription stimulant agents for weight loss?
Correct Answers
Which of the following are appropriate patient counseling points for the Combivent Respimat? (Select
ALL that apply.)
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?
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?
If an OTC analgesic is needed, it is best to use an NSAID such as Advil.
What is the mechanism of action of Arixtra?
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.)
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?
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.)
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.)
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.)
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?
Levemir 42 days, Apidra 28 days
What type of information can be found in The Red Book?
Average wholesale price
Which of the following bacterial organisms is not covered by ertapenem?
Acinetobacter
What should the pharmacist tell the nurse regarding intravenous administration of phenytoin in TU?
(Select ALL that apply.)
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?
Emtricitabine, efavirenz, tenofovir
Which of the following potential drug interactions should the pharmacist alert the medical team
about? (Select ALL that apply.)
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?
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?
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.
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.)
469
Which of the following chemotherapy drugs, that this patient has taken now or in the past, has the
highest emetogenic risk?
Cisplatin
Which of the following statements concerning the use of erythropoiesis stimulating agents (ESAs) in
this patient is correct?
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?
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?
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.)
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:
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?
Ledipasvir and sofosbuvir; Hepatitis C
A pharmacist has received a prescription for Gleevec. The patient most likely has which condition?
Cancer
What is the safest and most practical use of prescription stimulant agents for weight loss?
