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NAPLEX Exam Dumps - North American Pharmacist Licensure Examination

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Question # 9

An order is received for 0.03 units /min of vasopressin for Sepsis to maintain MAP >65. The standard mixed in your hospital for vasopressin is 40 units in 100ml NS.

What is the rate in mLs/hr should the vasopressin be infused at?

A.

4.0 ml/hr

B.

4.9ml/hr

C.

4.5ml/hr

D.

3.5ml/hr

E.

6ml/hr

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Question # 10

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.

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

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Question # 11

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 8 mg iv q6h with taper dosing, Ondansetron 4 mg iv q6h prn for N/V, Levothyroxine 0.075 mg po daily, Lisinopril 10 mg po daily, Citalopram 20 mg po daily, Docusate sodium / Senna 1 tab po twice a day, Bisacodyl 10 mg suppository daily prn for constipation, Famotidine 20 mg iv q12hr, Metoclopramide 10 mg iv q6h, Metformin 500 mg po bid, D51/2NS with 20 K at 125 mls/hour and Hydromorphone PCA at 0.2 mg/hour of basal rate, demand dose 0.1 mg. lock-out every 6 min, one hour limit 2.2 mg/hour. Pertinent morning labs includes serum creatinine 1.4 mg/dl, Mg 1.5 mg/dl, K

5.0 mmol/L, Na 135 mmol/L.

Which of the following medication may increase LN’s Blood glucose?

A.

Lisinopril

B.

Dexamethasone

C.

Famotidine

D.

Metoclopramide

E.

Hydromorphone

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Question # 12

MT is 47-year-old man who presents to the ER with painful, red, swollen area on his left leg. His temperature is 38.4, respiratory rate 30 and heart rate 95. He has been taking cephalexin day 4 today, as prescribed by his primary care physician. His CMP is normal a CBC shows elevated WBC of 16,000/mm3.

What would be the most appropriate antibiotic/s to initiate on MT empirically?

A.

Vancomycin IV and Piperacillin/Tazobactam

B.

IV Doxycycline and Ceftazidime

C.

Nafcillin

D.

Vancomycin IV.

E.

Ceftriaxone

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Question # 13

A Physician orders amiodarone 1 mg/min for six hours, then 0.5 mg/min thereafter. The patient’s weight is 156 lbs. The concentration of the IV bag comes as 1.8 mg per ml. Calculate the infusion rate in mL/hr.

A.

33.33mls/hr then /16.67mls/hr

B.

60mls/hr then 30mls/hr

C.

30mls/hr then 15mls/hr

D.

16.67mls/hr then 8.3mls/hr

E.

8.3mls/hr then 4.15mls/hr

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Question # 14

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?

A.

Very low, requires immediate treatment

B.

Slightly below normal

C.

Within the normal range

D.

Very high, requires immediate treatment

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Question # 15

A 54-year-old male with a long history of mild persistent asthma on daily fluticasone therapy has been using his albuterol inhaler every day for the past month, and presents requesting a refill. What changes should be made to his current regimen?

A.

Add ciclesonide to current regimen

B.

Add salmeterol to current regimen

C.

Discontinue fluticasone and instead use salmeterol

D.

Add cromolyn to current regimen

E.

Discontinue fluticasone and add ipratropium to current regimen

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Question # 16

Which of the following would you use for aspiration pneumonia with an intention to cover anaerobes?

A.

Piperacillin-Tazobactam

B.

Cefepime

C.

Ampicillin-sulbactam

D.

Cefazolin

E.

Levofloxacin

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