NAPLEX ACTUAL EXAM 100 QUESTIONS AND

NAPLEX ACTUAL EXAM 100 QUESTIONS AND

CORRECT ANSWERS - LATEST

ALREADY GRADED A+

The pharmacy has an order for a glucose test meter and strips, and another order for a nebulizer to be used with budesonide respules. Which of the following statements is correct?

• the nebulizer is billed under part B, and the glucose meter and strips is part D
• the nebulizer is billed under part D, and the glucose meter and strips is part B.
• the nebulizer, glucose meter, and strips are all billed under part B
• the nebulizer, glucose meter, and strips are all billed under part D
• none of these are sold in the pharmacy; - CORRECT ANSWER-they are only sold by mail order

the nebulizer, glucose meter, and strips are all billed under part D

Application instructions for the hormone patches (estrogen, progestin and testosterone) include the

following correct counselling points: SELECT ALL

• do not let children or animals near used patches; dispose of safely
• do not apply more than one patch at a time, or to broken or irritated skin
• estrogen patches can be used if the women has had breast cancer, but the oral formulations

cannot be used with this history

• do not apply to breasts or genitals
• can be applied to lower abdomen - CORRECT ANSWER-do not let children or animals near used

patches; dispose of safely do not apply more than one patch at a time, or to broken or irritated skin do not apply to breasts or genitals can be applied to lower abdomen

If a drug has any of the following suffixes in the name, the pharmacist should counsel the patient not

to crush/chew the medications: SELECT ALL

a) CR

b) IR

c) XL

d) ER

e) LA - CORRECT ANSWER-CR, XL, ER, LA 1 / 4

A middle aged man has paranoid schizophrenia. He has been in intensive therapy and states he is willing to use his antipsychotic. However, he is likely to forget to take a daily dose and may change his mind and decide not to use it. Which medications come in a long acting injection that may be useful to improve adherence? SELECT ALL

a) Abilify

b) Seroquel

c) Haldol

d) Latuda

e) Risperdal - CORRECT ANSWER-Haldol deconoate and Abilify Maintena Q 4 weeks

Invega/Risperdal consta Q 2 weeks

Which of the following opioids comes in several sublingual formulations designed to provide faster onset of action (relative to oral gut absorption) for cancer patients requiring breakthrough pain medication?

a) Oxycodone

b) Morphine

c) Fentanyl

d) Buprenorphine/Naloxone

e) Hydromorphone - CORRECT ANSWER-Fentanyl

A 30 yo male has migraines with dizziness, nausea, and occasional vomiting. The migraines come on quickly and cause debilitating pain. Choose the drug and formulation that would be preferable:

a) Frovatripan compressed tablet

b) Maxalt-MLT

c) Imitrex STAT dose

d) Duragesic injection

e) Calcitonin nasal spray - CORRECT ANSWER-Imitrex STAT

Select the most accurate definition of durable medical equipment (DME):

• long lasting items used for a medical condition kept in the patient's home
• long last items kept in skilled nursing facilities labelled for patient's use
• medical items designed to be disposed of after each use 2 / 4

• medical items used for acute care conditions only
• items such as oral medications, patches, and injections - CORRECT ANSWER-long lasting items

used for a medical condition kept in the patient's home

CMS routinely audits pharmacies providing DME. The most important requirement is documentation that can support DME-approved practices. Which of the following represents a DME-approved practice?

• refills for supplies come only from the pharmacy
• "as-needed" orders are acceptable
• delivery documentations should be kept for three years
• refills for supplies come only from the patient or the patient's caregiver
• transfers from one pharmacy to another do not require a new order, the transfer alone is

acceptable to fill and fill for DME - CORRECT ANSWER-refills for supplies come only from the patient or the patient's caregiver

Which of the following items are covered under DME? SELECT ALL

• enteral nutrition
• walkers
• supplies to receive medications by the intravenous route at home
• ostomy supplies

e) OTC medications, such as the Oxytrol patch - CORRECT ANSWER-enteral nutrition, walkers,

supplies to receive medications by the intravenous route at home, ostomy supplies

Which of the following statements concerning durable medical equipment (DME) is accurate?

a) DME does not require a prescription or order to be billed under the patient's insurance, but drugs

do require a prescription for billing

b) DME is paid for by CMS under part D

• nebulizers are covered by part D, as they are used with drugs
• prosthetics are not covered under DME
• the patient will bring in an order for the DME, and the pharmacy will be paid by CMS under part B
• CORRECT ANSWER-the patient will bring in an order the DME, and the pharmacy will be paid by

CMS under part B

What is the primary purpose of using glycerin suppository in a child or adult? 3 / 4

• prevent constipation
• treat constipation
• prevent ileus
• treat ileus
• avoid the use of oral agents - CORRECT ANSWER-treat constipation

A patient is using oxybutynin 5mg TID. She often forgets to take her evening dose. She complains of

incontinence and dry mouth. Choose the correct statement:

• it would be preferable for her to take the medication more frequently so that she can use smaller

doses, such as 1mg QID or 5 times a day

• she would have less dry mouth if she used a longer acting formulation or the patch formulation
• she should be counseled to take the medication on an empty stomach to assist with the dry

mouth

• oxybutynin worsens urge incontinence episodes and should not be recommended in a patient

with this pre-existing condition

• oxybutynin does not cause dry mouth - CORRECT ANSWER-she would have less dry mouth if she

used a longer acting formulation or patch formulation

Patients with cystic fibrosis require pancreatic enzymes taken with meals and snacks to assist with food absorption. Which of the following statements concerning pancreatic enzymes are correct?

• these medications are not required if the child can limit their fat intake
• these can be mixed with foods with a hight pH only, such as mashed peas
• these are taken only if the snack or meal is >300 kcal
• instruct the child not the chew the capsule contents
• they are taken 1/2 hour after the meal has been consumed - CORRECT ANSWER-instruct the child

not the chew the capsule

Which of the following sublingual medications is used for patients who have difficulty falling asleep when they go to bed in the evening?

a) Intermezzo

b) Fentora

c) Bunavail

d) Edluar

e) Abstral - CORRECT ANSWER-Intermezzo (zolpidem SLG) for middle of the night awakening

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