NAPLEX EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS, Exams of Nursing

Download NAPLEX EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS and more Exams Nursing in PDF only on Docsity!

NAPLEX EXAM 2024/2025 WITH 100%

ACCURATE SOLUTIONS

Which of the following statements concerning use of Precedex in critical care patients is correct? A It can only be used if the patient is intubated. B It can only be used if the patient is also receiving a paralytic. C It will decrease blood pressure. D It is indicated for use up to 72 hours. E It is more likely to cause delirium than a benzodiazepine. - Precise Answer ✔✔It will decrease blood pressure. MH is a 65 year old post-menopausal female with a family history of breast cancer. She was recently diagnosed with osteoporosis and wants

to know if she can use raloxifene. Which statement concerning raloxifene is correct? A It increases the risk of breast cancer. B It is not indicated for treatment of osteoporosis. C It can cause dangerous blood clots. D The brand name is Prezista. E It reduces hot flashes and other vasomotor symptoms. - Precise Answer ✔✔It can cause dangerous blood clots. The pharmacist performs a screening to see if JC requires any immunizations. Which drug references would be useful to determine vaccine requirements for JC? (Select ALL that apply.) Answer A USP 800

B

The American Diabetes Association Standards of Medical Care C Morbidity and Mortality Weekly Report D The CDC's Pink Book E The FDA's Orange Book - Precise Answer ✔✔C Morbidity and Mortality Weekly Report D The CDC's Pink Book Which medication increases the risk for C. difficile infections and fractures if used long-term? Answer A Metoclopramide B Naproxen

C

Pantoprazole D Fluoxetine E Simvastatin - Precise Answer ✔✔C Pantoprazole The patient qualifies for a fentanly patch because he has been taking ____ of morphine equivalent daily for at least ______. - Precise Answer ✔✔60 mg, 7 days tapentadol ER brand? - Precise Answer ✔✔Nucynta ER A patient is receiving ribavirin as part of her hepatitis C regimen. Which of the following are boxed warnings for ribavirin? Answer A Teratogenic effects and lactic acidosis B Lactic acidosis and hemolytic anemia

C

Hemolytic anemia and vesicant potential D Teratogenic effects and hemolytic anemia E Vesicant potential and teratogenic effects - Precise Answer ✔✔Teratogenic effects and hemolytic anemia The combined calcium and phosphorus in a PN should not exceed 45 mEq/L. What is the combined calcium and phosphorus (there are 2 mEq PO4/mmol) in this PN order and is it considered safe? Phosphate 24 mmol Calcium 12 mEq - Precise Answer ✔✔30 mEq/L yes Calculate the daily grams of nitrogen that LB will be receiving from the parenteral nutrition. (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) AA 105 g - Precise Answer ✔✔17g PK has received a prescription for Forteo. Which statement concerning Forteo is correct? A

It should not be used for more than 5 years. B The generic name is denosumab. C It can cause hypocalcemia. D It is an analog of human parathyroid hormone. E The prefilled pen should be kept at room temperature. - Precise Answer ✔✔D It is an analog of human parathyroid hormone. Which of the following antipsychotics are available in oral formulations suitable for patients with difficulty swallowing or for use in patients who might try to hide the medication in their mouth in order to spit it out? (Select ALL that apply.) Answer A Clozapine B

Olanzapine C Risperidone D Quetiapine E Ziprasidone - Precise Answer ✔✔A Clozapine B Olanzapine C Risperidone Intralipid 20% = _____ kcal/ml Intralipid 10% = ____kcal/mL - Precise Answer ✔✔2 kcal/ml 1.1 kcal/ml

A young adult female patient was prescribed an appropriate dose of Tylenol #3 during an emergency department visit. Within 48 hours, the patient was brought back to the emergency department by ambulance due to respiratory depression and somnolence. Which of the following is the most likely cause of this response? Answer A The patient is HLA-B*5701 positive. B The patient has 2C192 or 3 alleles. C The patient is a 2D6 ultra-rapid metabolizer. D The patient has a deficiency of thiopurine methyltransferase (TPMT). E The patient has 2C92 or 3 alleles. - Precise Answer ✔✔C The patient is a 2D6 ultra-rapid metabolizer. A pharmacist will counsel a female patient who is beginning lamotrigine therapy for bipolar disorder. There are no interacting medications on the profile. Which of the following counseling statements should the pharmacist share with the patient? (Select ALL that apply.) Answer

A

This medication can cause serious skin reactions, including a very severe rash. B It is important that this medication is titrated slowly; follow the instructions carefully. C One of the brand names for this medication is Trileptal. D Your starter kit packaging should be orange. E Your starter kit packaging should be blue. - Precise Answer ✔✔A This medication can cause serious skin reactions, including a very severe rash. B It is important that this medication is titrated slowly; follow the instructions carefully. D

Your starter kit packaging should be orange. 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 an 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.) Solumedrol IV 20mg q8h - Precise Answer ✔✔75 mg prednisone daily 4 methylprednisolone: 5 prednisone: 5 prednisolone: 20 hydrocortisone Which of the following statements concerning sumatriptan is correct? Answer A It is contraindicated in patients with uncontrolled hypertension. B It is available as a needle-free intramuscular injection. C Popular brand names include Maxalt and Zomig. D

It is a serotonin antagonist that causes vasodilation of cranial blood vessels. E The nasal spray formulation must be primed before use. - Precise Answer ✔✔A It is contraindicated in patients with uncontrolled hypertension. Which which vitamin deficiency is at risk with excessive alcohol use? A Vitamin B1 (thiamine) B Vitamin B2 (riboflavin) C Vitamin B3 (niacin) D Vitamin B6 (pyridoxine) E Vitamin B12 (cobalamin) - Precise Answer ✔✔A Vitamin B1 (thiamine)

Arixtra generic? MOA? - Precise Answer ✔✔fondaparinux sodium MOA: It binds to antithrombin to selectively inhibit factor Xa The pharmacist is preparing a master formulation record for cod liver oil. She wishes to compound the cod liver oil as an oil-in-water emulsion and to add a flavoring agent in order to mask the fishy taste. The flavoring agent should be added to which phase? Answer A Continuous phase B Discontinuous phase C Internal phase D Dispersed phase E Oil phase - Precise Answer ✔✔A Continuous phase

Requip is titrated weekly because of risk of ______. - Precise Answer ✔✔orthostatic hypotension Anemia of Chemotherapy. In patients treated with curative intent, ESAs should be used with caution [D]. at what hemglobin would ESA therapy be indicated? - Precise Answer ✔✔<10m, can consider if symptomatic and Hg 10- This patient will be given an antiemetic regimen 30 minutes prior to the infusion. Which of the following combinations is appropriate? Chemotherapy regimen: Cisplatin 100 mg/m2 IV Q4weeks Vinorelbine 25 mg/m2 IV weekly Answer A Aprepitant + Prednisone + Lorazepam B Aprepitant + Methylprednisolone + Metoclopramide C Aprepitant + Methylprednisolone + Compazine

D

Aprepitant + Prednisone + Compazine E Aprepitant + Dexamethasone + Ondansetron - Precise Answer ✔✔E Aprepitant + Dexamethasone + Ondansetron During the chemotherapy infusion, the patient begins to complain of burning at the infusion site. The nurse determines that the vinorelbine has extravasated so she stops the infusion and applies a warm compress. What can be administered to counteract the effects of the vesicant? - Precise Answer ✔✔hyaluronidase A pharmacist is compounding diphenhydramine soft lozenges. Which of the following would be an appropriate ingredient to prepare the base of the lozenges? Answer A Sucrose B PEG

C

Gelatin D Lactose E Cocoa butter - Precise Answer ✔✔PEG Cencerta has a special release capsule that releases immediate acting and long acting medication. Does it come as a liquid? - Precise Answer ✔✔Nope Max dose of citalopram a day? - Precise Answer ✔✔40 mg 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? Answer A This drug requires regular lab (blood) monitoring tests. B This medication can interact with many other drugs.

C

Use an NSAID such as Advil if an OTC analgesic is needed. D This medication can increase blood glucose and blood pressure. E This medication increases your risk of infection. - Precise Answer ✔✔C Use an NSAID such as Advil if an OTC analgesic is needed. NM is a business executive being seen in the Family Medicine Clinic for "really bad sadness and feeling really depressed" every month during the week prior to her menstrual cycle. She is asking for a medication that will help her avoid becoming depressed every month. Which medication can be prescribed to help NM? Answer A Addyi B Sarafem C

Brisdelle D Elavil E Zyban - Precise Answer ✔✔B Sarafem (fluoxetine) 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. Answer A Hydrocortisone B Cortisone C Prednisone D Methylprednisolone E Dexamethasone - Precise Answer ✔✔cortisone - hydrocortisone - prednisone - methylprednisone - dexamethasone

MH is a 65 year old post-menopausal female with a family history of breast cancer. She was recently diagnosed with osteoporosis and wants to know if she can use raloxifene. Which statement concerning raloxifene is correct? Answer A It increases the risk of breast cancer. B It is not indicated for treatment of osteoporosis. C It can cause dangerous blood clots. D The brand name is Prezista. E It reduces hot flashes and other vasomotor symptoms. Incorrect - Precise Answer ✔✔C It can cause dangerous blood clots. decreases risk of breast cancer, brand is evista, and is indicated for osteoporosis

What is Zenpep? - Precise Answer ✔✔pancrelipase keep in original container and don't refrigerate Plan (10/19): continue heparin drip per protocol and begin warfarin, pharmacy to dose. Start oxygen 2 L via nasal canula. Consult pharmacy for oral antibiotic to cover MSSA once vancomycin level < 10 mcg/mL. Question Which of the following antibiotics can be recommended for PK based on the plan documented on 10/19? Answer A Linezolid B Cephalexin C Doxycycline D Nafcillin E Ampicillin - Precise Answer ✔✔B Cephalexin

Medical Plaza Pharmacy frequently prepares Magic Mouthwash, a mucosal liquid for chemotherapy patients with mucositis. Based on the master formulation record and prescription information below, what would be the appropriate beyond-use-date for this compounded preparation? Magic Mouthwash Mucosal Liquid Viscous lidocaine 2% 80 mL Mylanta 80 mL Diphenhydramine 12.5 mg/5 mL 80 mL Nystatin suspension 80 mL Prednisolone 15 mg/5 mL 80 mL Distilled water 80 mL Storage: store at room temperature. Instructions: Swish, gargle and spit 5 - 10 mL Q6H PRN. Do not swallow. Answer A 7 days B 14 days

C

30 days D 45 days E 60 days - Precise Answer ✔✔C 30 days A 43 year-old female patient with type 2 diabetes and normal renal function started taking Januvia 100 mg daily in the morning. Which of the following is correct regarding Januvia? Answer A The generic name is saxagliptin. B It is a glucagon-like peptide (GLP-1) agonist. C It is an alpha-glucosidase inhibitor.

D

It does not require renal dose adjustments. E It can cause pancreatitis. - Precise Answer ✔✔E It can cause pancreatitis. Which of the following are safety concerns when using etanercept? (Select ALL that apply.) Answer A Embryo-fetal toxicity B Increased risk of serious infections C High risk of severe skin reactions such as SJS/TEN D Increased risk of malignancies

E

Reactivation of latent tuberculosis - Precise Answer ✔✔B Increased risk of serious infections D Increased risk of malignancies E Reactivation of latent tuberculosis What should the pharmacist tell the nurse regarding the phenytoin loading dose prescribed for TU? (Select ALL that apply.) 15 mg/kg IV Answer A It is only compatible with normal saline. B It can cause arrhythmias if administered too quickly. C Once prepared, it is only stable for 4 hours. D Tube feeds should be held while the loading dose is administered. E

The maximum rate of administration is 50 milligrams per minute. - Precise Answer ✔✔A It is only compatible with normal saline. B It can cause arrhythmias if administered too quickly. C Once prepared, it is only stable for 4 hours. E The maximum rate of administration is 50 milligrams per minute. Which of the following potential drug interactions should the pharmacist alert the medical team about? (Select ALL that apply.) Answer A Phenytoin may decrease the effects of the HIV medication. B The HIV medication may increase the effects of Lipitor. C Tube feedings should be held before and after maintenance doses of phenytoin.

D

Lipitor may decrease the effects of phenytoin. E Phenytoin may increase the effects of duloxetine. - Precise Answer ✔✔A Phenytoin may decrease the effects of the HIV medication. C Tube feedings should be held before and after maintenance doses of phenytoin. Which medication on SL's profile is a glycoprotein IIb/IIIa receptor antagonist? Answer A Plavix B Bydureon C Integrilin