Naplex Exam 2|463 Questions with Verified Answers
JS has been using famotadine 20 mg BID for 5 years, intially his CrCl was 78. his
blood pressure has been poorly controlled which has worsened his renal function
and the CrCl has declined to 26. which of the following statements is correct
regarding his famotidine use? - CORRECT ANSWER famotidine could accumulate
and cause adverse effects
which of the following a nephrotoxic? - CORRECT ANSWER cisplatin, ibuprofen,
furosemide, amikacin
which of the following is an appropriate initial treatment for hyperphosphatemia
in chronic kidney disease? - CORRECT ANSWER limiting dietary phosphate intake
TH should be instructed to separate Renvela from administration of which
medication? - CORRECT ANSWER synthroid
Senispar is used for what purpose in TH? - CORRECT ANSWER calcimimetic used
to treat hyperthyroidism
KL (52) presents to the ED feeling lightheaded and dizzy. which of KL's
medications interact with his HCV regimen and can cause this presentation? -
CORRECT ANSWER pacerone
which of the following medications can cause liver damage? - CORRECT ANSWER
tylenol, isoniazid, depakote, nefazodone
which of the following is correct regarding the need to test for HIV before starting
HBV therapy? - CORRECT ANSWER antivirals used for HBV can have activity
against HIV
HIV resistance can occur if HIV is unrecognized
HIV and HBV share similar routes of transmission
,the pharmacist receives an Rx for a female patient for epivir 100 mg PO once daily
for hep B. what is wrong with this Rx? - CORRECT ANSWER the prescribed drug is
incorrect
SH is beginning therapy with Pegasys. The pharmacist will counsel him on possible
side effects from Pegasys therapy. Which of the following side effects should be
included in the counseling? - CORRECT ANSWER depression
flu-like syndome
fatigue
liver damage
MT is a 33 year old female presenting to the clinic for a follow-up. her physician
asked for assistance in selecting a HCV regimen. which of the following is
contraindicated at this time due to the information provided? - CORRECT
ANSWER partiaprevir/ ritonavir/ ombitasavir + dasabuvir
A systolic HF patietn takes vasotec 5 mg twice daily and toprol xl 50 mg daily. his
BP is 130/80 and his HR is 78. he feels well overall but has noticed a tickle in his
throat that causes a constant irritating dry cough. which medication change is
appropriate at this time? - CORRECT ANSWER D/c vasotec and begin valsartan
which of the following medications is most appropriate to decrease fluid volume
in a patient with a sulfa allergy? - CORRECT ANSWER ethacrynic acid
which of the following are primary engineering controls designed for preparing
non-hazardous compounded sterile products? - CORRECT ANSWER laminar
workflow bench
compounding aseptic isolator
reconstituting a 1 g vial of ceftazidime with 10 ml of sterile water for injection. the
reconstituted solution will be added to a bag of NS for IV administration. what
PEC are needed? - CORRECT ANSWER postive air pressure
at least ISO 5 air
horizontal laminar airflow
another name for the buffer room is - CORRECT ANSWER secondary engineering
control
,a pharmacy only prepares low and medium risk CSP. If today's date is jan 22,
2020, which of the following personnel need a gloved finger tip test in the next
month - CORRECT ANSWER karen
how often should a laminar airflow workbench be cleaned when compounding
sterile preparations - CORRECT ANSWER before and after each back
every 30 minutes of continuous compounding
before each shift
which statement is not correct regarding cleaning and disinfecting the sterile
compounding area - CORRECT ANSWER cleaning should move from dirtiest to the
cleanest area
KCl will be mixed in NS for IV adminsitration. where should handwashing take
place before sterile compounding - CORRECT ANSWER anteroom
a compound is made mixing 2% hydrocortisone cream and aquaphor without any
available stability data. what level of compounding is this considered? - CORRECT
ANSWER moderate
which of the following would be found on a safety data sheet for valganciclovir -
CORRECT ANSWER PPE recommendations
first aid procedures
spill clean-up procedures
new compounding clean room for preparing sterile and non-sterile hazardous
drugs within the same buffer room. which of the following plans for containment
PECs is compliant with USP standards - CORRECT ANSWER Two C-PECs each
dedicated for either sterile or non-sterile products, separated by at least 1 meter
which of the following is required to prepare a sterile hazardous drug - CORRECT
ANSWER a containment primary engineering control
reconstituting a 10 ml vial of doxorubicin powder with 5 ml of NS. in which
location should the product be reconstituted - CORRECT ANSWER class II
biological safety cabinet
, reconstituting a 10 ml vial of doxorubicin powder with 5 ml of NS. what type of
gloves should the tech wear - CORRECT ANSWER two pairs of ASTM-rated gloves
an oncology nurse accidentally drops a vial of reconstituted carmustine solution
resulting in a large spill. which product can be used for decontamination? -
CORRECT ANSWER sodium hyperchloride
the tech will sanitize the class II biological safety cabinet used for preparing sterile
HDs which of the following is correct - CORRECT ANSWER peroxide-containing
agents can be used to both deactivate and decontaminate surfaces
the technician has finished preparing all the herceptin IV admixtures and will be
leaving the compounding area. the area has an anteroom and a buffer room.
where should the tech throw away the garb? - CORRECT ANSWER the gown and
outer shoe cover are thrown away in the trace chemotherapy bin before leaving
the buffer room
a nurse is administering IV busulfan to a patient. what PPE should she be wearing
- CORRECT ANSWER two pairs of chemotherapy gloves
a chemotherapy gown
a technician will be using a syringe and needle to withdraw ifosfamide solution
from the vial, this should be done in the cleanest air which is - CORRECT ANSWER
the first air that is coming out from the top of the vertical airflow biological safety
cabinet
which organization provides guidance for acute care facilities on the implantation
of sterile compounding standards - CORRECT ANSWER ASHP
a type of PEC which requires materials to be passed through a chamber into an
enclosed working area that is accessed through glove ports is called a - CORRECT
ANSWER compounding aseptic isolator
which of the following drugs would be found on the NIOSH list - CORRECT
ANSWER bleomycin
tacrolimus
JS has been using famotadine 20 mg BID for 5 years, intially his CrCl was 78. his
blood pressure has been poorly controlled which has worsened his renal function
and the CrCl has declined to 26. which of the following statements is correct
regarding his famotidine use? - CORRECT ANSWER famotidine could accumulate
and cause adverse effects
which of the following a nephrotoxic? - CORRECT ANSWER cisplatin, ibuprofen,
furosemide, amikacin
which of the following is an appropriate initial treatment for hyperphosphatemia
in chronic kidney disease? - CORRECT ANSWER limiting dietary phosphate intake
TH should be instructed to separate Renvela from administration of which
medication? - CORRECT ANSWER synthroid
Senispar is used for what purpose in TH? - CORRECT ANSWER calcimimetic used
to treat hyperthyroidism
KL (52) presents to the ED feeling lightheaded and dizzy. which of KL's
medications interact with his HCV regimen and can cause this presentation? -
CORRECT ANSWER pacerone
which of the following medications can cause liver damage? - CORRECT ANSWER
tylenol, isoniazid, depakote, nefazodone
which of the following is correct regarding the need to test for HIV before starting
HBV therapy? - CORRECT ANSWER antivirals used for HBV can have activity
against HIV
HIV resistance can occur if HIV is unrecognized
HIV and HBV share similar routes of transmission
,the pharmacist receives an Rx for a female patient for epivir 100 mg PO once daily
for hep B. what is wrong with this Rx? - CORRECT ANSWER the prescribed drug is
incorrect
SH is beginning therapy with Pegasys. The pharmacist will counsel him on possible
side effects from Pegasys therapy. Which of the following side effects should be
included in the counseling? - CORRECT ANSWER depression
flu-like syndome
fatigue
liver damage
MT is a 33 year old female presenting to the clinic for a follow-up. her physician
asked for assistance in selecting a HCV regimen. which of the following is
contraindicated at this time due to the information provided? - CORRECT
ANSWER partiaprevir/ ritonavir/ ombitasavir + dasabuvir
A systolic HF patietn takes vasotec 5 mg twice daily and toprol xl 50 mg daily. his
BP is 130/80 and his HR is 78. he feels well overall but has noticed a tickle in his
throat that causes a constant irritating dry cough. which medication change is
appropriate at this time? - CORRECT ANSWER D/c vasotec and begin valsartan
which of the following medications is most appropriate to decrease fluid volume
in a patient with a sulfa allergy? - CORRECT ANSWER ethacrynic acid
which of the following are primary engineering controls designed for preparing
non-hazardous compounded sterile products? - CORRECT ANSWER laminar
workflow bench
compounding aseptic isolator
reconstituting a 1 g vial of ceftazidime with 10 ml of sterile water for injection. the
reconstituted solution will be added to a bag of NS for IV administration. what
PEC are needed? - CORRECT ANSWER postive air pressure
at least ISO 5 air
horizontal laminar airflow
another name for the buffer room is - CORRECT ANSWER secondary engineering
control
,a pharmacy only prepares low and medium risk CSP. If today's date is jan 22,
2020, which of the following personnel need a gloved finger tip test in the next
month - CORRECT ANSWER karen
how often should a laminar airflow workbench be cleaned when compounding
sterile preparations - CORRECT ANSWER before and after each back
every 30 minutes of continuous compounding
before each shift
which statement is not correct regarding cleaning and disinfecting the sterile
compounding area - CORRECT ANSWER cleaning should move from dirtiest to the
cleanest area
KCl will be mixed in NS for IV adminsitration. where should handwashing take
place before sterile compounding - CORRECT ANSWER anteroom
a compound is made mixing 2% hydrocortisone cream and aquaphor without any
available stability data. what level of compounding is this considered? - CORRECT
ANSWER moderate
which of the following would be found on a safety data sheet for valganciclovir -
CORRECT ANSWER PPE recommendations
first aid procedures
spill clean-up procedures
new compounding clean room for preparing sterile and non-sterile hazardous
drugs within the same buffer room. which of the following plans for containment
PECs is compliant with USP standards - CORRECT ANSWER Two C-PECs each
dedicated for either sterile or non-sterile products, separated by at least 1 meter
which of the following is required to prepare a sterile hazardous drug - CORRECT
ANSWER a containment primary engineering control
reconstituting a 10 ml vial of doxorubicin powder with 5 ml of NS. in which
location should the product be reconstituted - CORRECT ANSWER class II
biological safety cabinet
, reconstituting a 10 ml vial of doxorubicin powder with 5 ml of NS. what type of
gloves should the tech wear - CORRECT ANSWER two pairs of ASTM-rated gloves
an oncology nurse accidentally drops a vial of reconstituted carmustine solution
resulting in a large spill. which product can be used for decontamination? -
CORRECT ANSWER sodium hyperchloride
the tech will sanitize the class II biological safety cabinet used for preparing sterile
HDs which of the following is correct - CORRECT ANSWER peroxide-containing
agents can be used to both deactivate and decontaminate surfaces
the technician has finished preparing all the herceptin IV admixtures and will be
leaving the compounding area. the area has an anteroom and a buffer room.
where should the tech throw away the garb? - CORRECT ANSWER the gown and
outer shoe cover are thrown away in the trace chemotherapy bin before leaving
the buffer room
a nurse is administering IV busulfan to a patient. what PPE should she be wearing
- CORRECT ANSWER two pairs of chemotherapy gloves
a chemotherapy gown
a technician will be using a syringe and needle to withdraw ifosfamide solution
from the vial, this should be done in the cleanest air which is - CORRECT ANSWER
the first air that is coming out from the top of the vertical airflow biological safety
cabinet
which organization provides guidance for acute care facilities on the implantation
of sterile compounding standards - CORRECT ANSWER ASHP
a type of PEC which requires materials to be passed through a chamber into an
enclosed working area that is accessed through glove ports is called a - CORRECT
ANSWER compounding aseptic isolator
which of the following drugs would be found on the NIOSH list - CORRECT
ANSWER bleomycin
tacrolimus
