Naplex Practice Exam Questions with 100% Correct Answers

Naplex Practice Exam Questions with 100%
Correct Answers
Which of the following medications used in the treatment of Alzheimer's disease inhibits glutamate
from binding to NMDA receptors?
Memantine


Truvada is a combination product containing which of the following nucleoside reverse transcriptase
inhibitors?
Tenofovir + emtricitabine


An order is received for 1.5 liters of D5W, to be infused over 24 hours. If the IV administration set is
calibrated to deliver 20 gtts/mL, how many drops per minute will there be? (Answer must be numeric;
round the final answer to the nearest whole number.)
21 gtts/min


A patient is being treated with fluoxetine for depression but is experiencing sexual dysfunction. Which
of the following medications may be considered as an alternative treatment option?
Bupropion


Which of the following occurs when there is an increase in serum calcium
Calcitonin is released by the thyroid gland


Which of the following glucocorticoids most closely resembles endogenous cortisol?
Hydrocortisone


The tested level of lead in drinking water was measured to be 7.8 ppm. How many milligrams of lead
are present in 15 gallons of water? (Answer must be numeric; round the final answer to the nearest
whole number.)
443 mg


Which of the following NSAIDs is available in a topical formulation
Diclofenac


Which of the following is an oil-in-water emulsion ointment base?
Cetaphil


Which of the following medications should be withheld 48 hours prior to any procedure requiring the
use of parenteral iodinated contrast dye?
Metformin


Which of the following NSAIDs irreversibly inhibits platelet cyclooxygenase?
Aspirin


Which of the following medications can increase the levels of penicillins when used concurrently?
Allopurinol

,This question relates to the following patient case.
- Patient Name: Pauline Simpson
- Height: 5'4"
- Weight: 142 lb
- Age: 58
- Sex: Female
- Race: Caucasian
- Allergies: NKDA
- Diagnosis: Hypertension, osteoarthritis, asthma
- Vital Signs: BP 137/89 mm Hg (sitting; repeat 138/86), HR 74 (regular), RR 17 per min, T 38°C
- Medications: Advair Diskus 250/50 1 puff bid, ProAir HFA 90 mcg 1-2 puffs q4-6h prn wheezing or
shortness of breath, lisinopril 20 mg 1 po tab qd, tramadol 50 mg 1 tab po q6h prn pain, glucosamine
500 mg 1 tab po tid
Mrs. Simpson states that she has a developed a dry cough that has been persistent over the past
month and is wondering if any of her medications could be the cause. Which of her medications is
associated with a dry, persistent cough?
Lisinopril


Which of the following neuromuscular blocking agents can be used in patients with renal or hepatic
dysfunction?
Cisatracurium


This question relates to the following patient profile.
- Patient Name: Jeanette Miller
- Height: 5'7"
- Weight: 163 lb
- Age: 54
- Sex: Female
- Race: Caucasian
- Allergies: Penicillin
- Diagnosis: Hypertension, hyperlipidemia, gout
- Vital Signs: BP 138/86 mm Hg, HR 76 (regular), RR 15 per min, T 37°C
- Medications: Hydrochlorothiazide 50 mg 1 tab po qd, lisinopril 20 mg 1 tab po qd, allopurinol 300 mg
1 tab po qd, indomethacin 50 mg 1 cap po tid prn gout flares
- Labs: Na 139 mEq/L, K 4.7 mEq/L, BUN 22 mg/dL, SCr 1.1 mg/dL, TC 248 mg/dL, TG 147 mg/dL, HDL
26 mg/dL
Mrs. Miller is prescribed Lipitor 40 mg daily. When should a fasting lipid profile be performed to
assess the effectiveness of therapy?
In 6 weeks


The continental (dry gum) method of preparing an emulsion uses oil, purified water, and dry gum
emulsifier in the ratio of ______________.
4:2:1


Which of the following histamine2-receptor antagonists is a potent inhibitor of the CYP450 enzyme
system?
Cimetidine


Which of the following medications contains desiccated thyroid USP?
Nature thyroid

, Calculate how many grams of hydrochlorothiazide are required for the following prescription.
Rx:
Losartan
Hydrochlorothiazide aa qs 50 mg
Dispense 30 charts
Sig: i chart po qd ud
0.75


Antiarrhythmic medications in class I of the Vaughan-Williams classification system have which of the
following mechanisms of action?
Blockade of sodium channels


Anticholinergic side effects occur more commonly with which of the following antihistamines?
Diphenhydramine


All of the following are examples of long-term asthma control medications?
Salmeterol
Budesonide
Montelukast


Patients should be counseled to wear protective clothing in cold climates, wear gloves when touching
cold objects, and avoid drinking cold liquids for the first week after treatment with which of the
following chemotherapy agents?
Oxaliplatin


This question relates to the following patient case.
- Patient Name: Pauline Simpson
- Height: 5'4"
- Weight: 142 lb
- Age: 58
- Sex: Female
- Race: Caucasian
- Allergies: NKDA
- Diagnosis: Hypertension, osteoarthritis, asthma
- Vital Signs: BP 137/89 mm Hg (sitting; repeat 138/86), HR 74 (regular), RR 17 per min, T 38°C
- Medications: Advair Diskus 250/50 1 puff bid, ProAir HFA 90 mcg 1-2 puffs q4-6h prn wheezing or
shortness of breath, lisinopril 20 mg 1 po tab qd, tramadol 50 mg 1 tab po q6h prn pain, glucosamine
500 mg 1 tab po tid
Mrs. Simpson's blood pressure is re-checked 6 weeks later and is found to be 148/87 mm Hg. Her
physician is considering adding a second medication. Which of the following medications should be
avoided in Mrs. Simpson?
Propanolol


Which of the following tests should be performed prior to the start of therapy with infliximab?
TB test


Which of the following medications require rapid inhalation during administration?
Asmanex Twisthaler