Free NABP NAPLEX Exam Dumps Questions & Answers

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 20 mg iv q12hr, Metoclopramide 10mg iv q6h, Metformin 500mg po bid, D51/2NS with 20K at 125 mls/hour and Hydromorphone PCA at 0.2 mg/hour of basal rate, demand dose 0.1mg.
lock-out every 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. Day 3 post-operation LN's pain was much better and only used
3 mg of hydromorphone in the 24hrs.
Physician wants to change to oral morphine. What would be your best recommendation?

• A.  Morphine SR 10mg po daily and morphine 5mg po q6h prn for breakthrough pain
• B.  Morphine 15mg ER po q12hr and morphine 15mg po q6h prn for breakthrough pain
• C.  Morphine 15mg ER po q12hr and morphine 5mg po q6h prn breakthrough pain
• D.  Morphine 60mg ER po daily and morphine 15mg po q6h prn breakthrough pain
• E.  Morphine 30mg ER po q6hr and morphine 5mg q6h prn for breakthrough pain

A 51-year-old patient, who takes a calcium channel blocker (CCB), reports that he is experiencing constipation. Which CCB is the patient most likely to be taking?

• A.  Amlodipine
• B.  Diltiazem
• C.  Verapamil
• D.  Nifedipine

What is the Osmolarity in mOsm/L of 40mEq of KCl in 100ml sterile water? (Molecular weight of KCl is
74.5gm/ mol.)?

• A.  400mOsm/L
• B.  1600mOsm/L
• C.  80mOsm/L
• D.  200mOsm/L
• E.  800mOsm/L

RL is a 54 YOM who's calculated 10-year atherosclerotic cardiovascular disease (ASCVD) risk is 18 %.
Which of the following is the most appropriate pharmacotherapy recommendation for CR?

• A.  Atorvastatin 20mg PO QHS
• B.  Rosuvastatin 10 mg PO QHS
• C.  Lovastatin 10 mg PO QHS
• D.  Atorvastatin 80 mg PO QHS
• E.  Pravastatin 20 mg PO QHS

When does the newer chronic kidney disease (CKD) guidelines recommend stopping metformin?

• A.  when the estimated glomerular filtration (eGFR) is <30 mL/min/1.73 m2
• B.  when creatinine clearance <30 ml/min
• C.  when creatinine clearance <50 ml/min
• D.  when serum creatinine is <1.8 mg/dL
• E.  when estimated glomerular filtration (eGFR) is <50 mL/min/1.73 m2