Free North American Pharmacist Licensure Examination Exam NAPLEX Exam Practice Test

Number of new cases per population at risk in a given time period is a definition of which of the following?

• Incidence rate
• Prevalence rate
• Mortality rate
• Odds ratio
• Confidence Interval

Which of the following is a side effect of valproic acid?

• Gingival hyperplasia
• Pancreatitis
• Kidney stones
• Weight loss
• Euphoria

How many kcal per gram does IV dextrose provide?

• 0.9 kcal/g
• 1.2 kcal/g
• 1.5 kcal/g
• 3.4 kcal/g

According to the 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults, which of the following medications and dosing regimens is considered moderate-intensity statin therapy?

• Atorvastatin 80 mg PO QHS
• Lovastatin 20 mg PO QHS
• Simvastatin 40 mg PO QHS
• Rosuvastatin 40 mg PO QHS
• Atorvastatin 20mg PO QHS

LN is 84 YOM who is in hospital for a back surgery. His height is 5 feet and 4 inches, weight 85 kg and NKDA.His past medical history includes hypertension, diabetes mellitus, major depression, hypothyroidism and chronic back pain. Post-op day 1, LN's medication includes Dexamethasone 8mg iv q6h with taper dosing,Ondansetron 4mg iv q6h prn for N/V, Levothyroxine 0.075mg po daily, Lisinopril 10mg po daily, Citalopram 20mg po daily, Docusate sodium / Senna 1 tab po twice a day, Bisacodyl 10mg suppository daily prn for constipation, Famotidine 20mg iv q12hr, Metoclopramide 10mg iv q6h, Metformin 500mg po bid, D51/2NS with 20K at 125mls/hour and Hydromorphone PCA at 0.2mg/hour of basal rate, demand dose 0.1mg. lock-outevery 6min, one hour limit 2.2mg/hour. Pertinent morning labs includes serum creatinine 1.4mg/dl, Mg 1.5mg/ dl, K 5.0mmol/L, Na 135mmol/L.LN used 5 on-demand bolus doses from the hydromorphone PCA, how much hydromorphone did the patient get in 24 hours?

• 10mg
• 5.3mg
• 4.8mg
• 0.5mg
• 52.8mg

A 7-year-old boy has been suffering from influenza and had been given a drug by his father to decrease his high fever. A few hours later, his father brought him to the emergency room in a comatose state with a papulovesicular rash all over the body, moderate hepatomegaly, and asterixis. Laboratory studies reveal elevated levels of blood ammonia, AST, ALT, and PT. CT scan findings are suggestive for generalized cerebral edema.The drug the father gave his son is most likely which of the following drugs?

• Aspirin
• Acetaminophen
• Indomethacin
• Mefenamic acid
• Diclofenac

A 49-year-old's blood test results have come back from the lab. Their chloride level currently measures 99 mEq/L. How should you interpret this result?

• Very low, requires immediate treatment
• Slightly below normal
• Within the normal range
• Very high, requires immediate treatment

A Physician orders Dobutamine HCl IV infusion at 5 mcg/kg/min. Dobutamine HCl is available as 500 mg in 250 mL of D5W. The patient weighs 68 kg. Calculate the infusion rate in mL/hr.

• 10.2mls/hr
• 5.2mls/hr
• 0.17mls/hr
• 22.4mls/hr
• 340mls/hr

Your patient is a 43-year-old male who is experiencing post-operative voiding difficulty after an elective inguinal hernia repair. His post void residual volume was 280 cc.Which of the following medications is the most appropriate choice of therapy for this patient?

• Bethanechol
• Oxybutynin
• Phenylephrine
• Finasteride
• Imipramine

Select the class of Anti-diabetic medication that works in the specified organ to prevent hyperglycemia. Select all that applies. Liver (D)

• Sulfonylureas
• Alpha- Glucosidase Inhibitors
• DPP4 Inhibitors
• Glucagon-like peptide-1 receptor agonists
• Thiazolidinediones
• Biguanide
• SGLT2 inhibitors