Test Prep North American Pharmacist Licensure Examination NAPLEX Dumps in PDF

Free Test Prep NAPLEX Real Questions (page: 8)

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?

  1. Add ciclesonide to current regimen
  2. Add salmeterol to current regimen
  3. Discontinue fluticasone and instead use salmeterol
  4. Add cromolyn to current regimen
  5. Discontinue fluticasone and add ipratropium to current regimen

Answer(s): B

Explanation:

Add salmeterol to the current regimen. This patient had mild persistent asthma but was using his albuterol daily, which indicates that a step up in therapy is warranted. The preferred first line treatment regimen for moderate persistent asthma are low to medium dose inhaled corticosteroids plus a long acting beta2 agonist, as well as a short acting beta2 agonist as needed. A is incorrect. Ciclesonide is an inhaled corticosteroid. The patient in the case is already using fluticasone, so adding ciclesonide would be therapeutic duplication. C is incorrect. Long-acting beta2 agonists should only be used as adjunctive therapy in patients who are currently receiving but not adequately controlled on an inhaled corticosteroid. These medications should not be used as monotherapy, due to an increased risk of asthma related deaths. D is incorrect. Cromolyn prevents the release of vasoactive mediators from mast cell and is primarily used for exercise-induced asthma, it is not indicated as an alternative agent in patientswith moderate persistent asthma. E is incorrect. Ipratropium is a short-acting anticholinergic, which is often used in COPD or in asthma exacerbations. It is not indicated for maintenance treatment of moderate persistent asthma.



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, K5.0 mmol/L, Na 135 mmol/L.
Which of the following medication may increase LN’s Blood glucose?

  1. Lisinopril
  2. Dexamethasone
  3. Famotidine
  4. Metoclopramide
  5. Hydromorphone

Answer(s): B

Explanation:

Dexamethasone can increase LN’s blood glucose. All glucocorticosteroids are known to increase blood glucose. Blood glucose would need to be monitored while LN is being treated with dexamethasone.



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, K5.0 mmol/L, Na 135 mmol/L.
Which of the following medication may cause tardive dyskinesia when given at a higher dose and for a long duration?

  1. Lisinopril
  2. Dexamethasone
  3. Famotidine
  4. Metoclopramide
  5. Hydromorphone

Answer(s): D

Explanation:

Metoclopramide may cause tardive dyskinesia when given at a higher dose and for a long duration of time of more than 3 months. Tardive dyskinesia is also listed as a Boxed Warning for metoclopramide. Tardive dyskinesia is a serious movement disorder that is irreversible. The risk increases with duration of treatment
and the total cumulative dose. If signs or symptoms of tardive dyskinesia develop, then metoclopramide should be discontinued. There is currently no known treatment for it, but symptoms can lessen or resolve after metoclopramide is stopped. Treatment should not be more than 12 weeks unless the benefits outweigh the risks of developing tardive dyskinesia.



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 4mg iv q6h prn for N/V, Levothyroxine 0.075 mg 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-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 135 mmol/L.
Which of the following medication may cause psychotic episode such as emotional lability, hallucinations, mania, mood swings and schizophrenic reasons?

  1. Lisinopril
  2. Dexamethasone
  3. Famotidine
  4. Metoclopramide
  5. Hydromorphone

Answer(s): B

Explanation:

Dexamethasone is associated with psychiatric disturbances. Corticosteroids may exacerbate pre- existing psychiatric conditions.



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 20K at 125mls/hour and Hydromorphone PCA at 0.2 mg/hour of basal rate, demand dose 0.1 mg. lock-out every 6min, 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 significantly cause QT prolongation?

  1. Lisinopril
  2. Levothyroxine
  3. Metformin
  4. Hydromorphone
  5. Citalopram

Answer(s): E

Explanation:

Celexa causes dose-dependent QT interval prolongation, which can cause Torsades de Pointes, ventricular tachycardia, and sudden death. Celexa is not recommended for use at doses greater than 40 mg per day because such doses cause too large an effect on the QT interval and confer no additional benefit. Celexa should be discontinued in patients found to have persistent QTc measurements greater than 500 ms. Ondansetron and Famotidine may cause QT prolongation. Ondansetron may cause QT prolongation. However, this would be dose-dependent. Doses greater than 16 mg of Ondansetron IV are no longer recommended due to an increased risk of QT prolongation. Famotidine may prolong the QT interval; this has been reported in those with renal dysfunction. There have also been reports of torsade de pointes. Use of all three medications may result in an arrhythmia occurring since both have the potential to prolong the QT interval. Therefore, close monitoring is recommended or discontinuation of one medication. The other medications listed do not have this warning/precaution.



Share your comments for Test Prep NAPLEX exam with other users:

L
Lewis
7/6/2023 8:49:00 PM

kool thumb up

M
Moreece
5/15/2023 8:44:00 AM

just passed the az-500 exam this last friday. most of the questions in this exam dumps are in the exam. i bought the full version and noticed some of the questions which were answered wrong in the free version are all corrected in the full version. this site is good but i wish the had it in an interactive version like a test engine simulator.

T
Terry
5/24/2023 4:41:00 PM

i can practice for exam

E
Emerys
7/29/2023 6:55:00 AM

please i need this exam.

G
Goni Mala
9/2/2023 12:27:00 PM

i need the dump

L
Lenny
9/29/2023 11:30:00 AM

i want it bad, even if cs6 maybe retired, i want to learn cs6

M
MilfSlayer
12/28/2023 8:32:00 PM

i hate comptia with all my heart with their "choose the best" answer format as an argument could be made on every question. they say "the "comptia way", lmao no this right here boys is the comptia way 100%. take it from someone whos failed this exam twice but can configure an entire complex network that these are the questions that are on the test 100% no questions asked. the pbqs are dead on! nice work

S
Swati Raj
11/14/2023 6:28:00 AM

very good materials

K
Ko Htet
10/17/2023 1:28:00 AM

thanks for your support.

P
Philippe
1/22/2023 10:24:00 AM

iam impressed with the quality of these dumps. they questions and answers were easy to understand and the xengine app was very helpful to use.

S
Sam
8/31/2023 10:32:00 AM

not bad but you question database from isaca

B
Brijesh kr
6/29/2023 4:07:00 AM

awesome contents

J
JM
12/19/2023 1:22:00 PM

answer to 134 is casb. while data loss prevention is the goal, in order to implement dlp in cloud applications you need to deploy a casb.

N
Neo
7/26/2023 9:36:00 AM

are these brain dumps sufficient enough to go write exam after practicing them? or does one need more material this wont be enough?

B
Bilal
8/22/2023 6:33:00 AM

i did attend the required cources and i need to be sure that i am ready to take the exam, i would ask you please to share the questions, to be sure that i am fit to proceed with taking the exam.

J
John
11/12/2023 8:48:00 PM

why only give explanations on some, and not all questions and their respective answers?

B
Biswa
11/20/2023 8:50:00 AM

refresh db knowledge

S
Shalini Sharma
10/17/2023 8:29:00 AM

interested for sap certification

E
ethan
9/24/2023 12:38:00 PM

could you please upload practice questions for scr exam ?

V
vijay joshi
8/19/2023 3:15:00 AM

please upload free oracle cloud infrastructure 2023 foundations associate exam braindumps

A
Ayodele Talabi
8/25/2023 9:25:00 PM

sweating! they are tricky

R
Romero
3/23/2022 4:20:00 PM

i never use these dumps sites but i had to do it for this exam as it is impossible to pass without using these question dumps.

J
John Kennedy
9/20/2023 3:33:00 AM

good practice and well sites.

N
Nenad
7/12/2022 11:05:00 PM

passed my first exam last week and pass the second exam this morning. thank you sir for all the help and these brian dumps.

L
Lucky
10/31/2023 2:01:00 PM

does anyone who attended exam csa 8.8, can confirm these questions are really coming ? or these are just for practicing?

P
Prateek
9/18/2023 11:13:00 AM

kindly share the dumps

I
Irfan
11/25/2023 1:26:00 AM

very nice content

P
php
6/16/2023 12:49:00 AM

passed today

D
Durga
6/23/2023 1:22:00 AM

hi can you please upload questions

J
JJ
5/28/2023 4:32:00 AM

please upload quetions

N
Norris
1/3/2023 8:06:00 PM

i passed my exam thanks to this braindumps questions. these questions are valid in us and i highly recommend it!

A
abuti
7/21/2023 6:10:00 PM

are they truely latest

C
Curtis Nakawaki
7/5/2023 8:46:00 PM

questions appear contemporary.

V
Vv
12/2/2023 6:31:00 AM

good to prepare in this site

AI Tutor 👋 I’m here to help!