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NAPLEX
NAPLEX PRACTICE EXAM|| ACTUAL EXAM ALL
QUESTIONS AND CORRECT ANSWERS with
RATIONALES ALREADY GRADED A+|| LATEST
AND COMPLETE UPDATE WITH EXPERT
VERIFIED SOLUTIONS|| ASSURED PASS!!
NAPLEX PRACTICE EXAM|| ACTUAL EXAM ALL
QUESTIONS AND CORRECT ANSWERS with
RATIONALES ALREADY GRADED A+|| LATEST
AND COMPLETE UPDATE 2024-2025 WITH EXPERT
VERIFIED SOLUTIONS|| ASSURED PASS!!
A patient is on her 4th cycle of chemotherapy paclitaxel/carboplatin (Taxol/Carbo)
for ovarian cancer 12 days ago. She presents to the hospital with the following:
Temp 103°F
BP 115/60 mmHg
RR 15 breaths/minute
WBC 4.3 x10^3 cells/mm3
Segmented neutrophils 53%
Band neutrophils 5%
Basophile 15%
Eosinophils 5%
Monocytes 15%
Platelets 99,000 cells/mm3
Which of these best represents this patient's absolute neutrophil count?
a. 3.0 x 10^3 cells/mm3
b. 1.3 x 10^3 cells/mm3
c. 2.5 x 10^3 cells/mm3
d. 2.3 x 10^3 cells/mm
c. 2.5 x 10^3 cells/mm3
,2|Pag e
(WBC) x total neutrophils (segmented neutrophils% + segmented bands%) x 10 =
ANC.
A 28 year-old male is set to be discharged from the hospital following surgery to
remove his inflamed appendix. The patient's only other medical condition is a
seizure disorder, which is well-controlled with phenytoin. The patient reports some
ongoing moderate pain on the day of discharge.
Which of the following medication regimens would be MOST appropriate for this
patient?
a. Hydrocodone/APAP (Norco®) 5/325 mg one to two tablets PO every 6 hours as
needed
b. Oxycodone/APAP (Percocet®) 10 mg/650 mg one to two tablets PO every 4
hours as needed
c. Hydromorphone (Dilaudid®) 16 mg PO every 6 hours as needed
d. Tramadol (Ultram®) 50 mg PO every 6 hours as needed
a. Hydrocodone/APAP (Norco®) 5/325 mg one to two tablets PO every 6 hours as
needed
A 60 year-old male with chronic pain related to colon cancer (but with good
residual functional status) calls your office to report that he is no longer able to
afford his ER oxycodone after falling into the Medicare "donut hole." The patient
reports excellent pain control on his current regimen of oxycodone ER 20 mg three
times daily and reports that he rarely has to take any other medications for
breakthrough pain. He is very anxious about not being able to afford his
medication, and asks if there are any other pain medications that would be more
affordable.
Which of the following opioid regimens would be MOST appropriate given the
patient's current opioid use?
,3|Pag e
a. Morphine sustained-release (MS Contin®) 30 mg twice daily
b. Morphine sustained-release (MS Contin®) 15 mg twice daily
c. Morphine sustained-release (MS Contin®) 15 mg three times daily
d. Morphine sustained-release (MS Contin®) 30 mg three times
a. Morphine sustained-release (MS Contin®) 30 mg twice daily
understand why with MME conversion?
In a patient taking morphine SR 30 mg orally twice daily, which of the following
medication regimens would be In a patient taking morphine sustained-release 30
mg orally twice daily, which of the following medication regimens would be
MOST appropriate to prescribe to this patient for breakthrough pain?
a. Oxycodone (Roxicodone®) 5-10 mg PO every 4 hours as needed
b. Morphine IR 20-30 mg PO every 4 hours as needed
c. Hydromorphone (Dilaudid®) 2-4 mg IV every 3 hours as needed
d. Fentanyl lozenge (Actiq®) 200 mcg every 4 hours as needed
Oxycodone (Roxicodone®) 5-10 mg PO every 4 hours as needed
think commonly filled at hospital upon discharge
Which of the following patients would be MOST likely to benefit from opioid
therapy assuming no other medications have already been trialed?
a. A 52 year-old male with acute pain related to total knee replacement surgery 2
days ago
, 4|Pag e
b. A 48 year-old female with fibromyalgia complaining of widespread
musculoskeletal pain
c. A 23 year-old female with chronic severe migraines that occur 4-5 times per
month
d. A 40 year-old male with impingement of his sciatic nerve complaining of acute
"shooting" pain that radiates into both his legs
a. A 52 year-old male with acute pain related to total knee replacement surgery 2
days ago
A patient on chronic, high-dose Oxycontin® is admitted with acute abdominal
pain. After receiving several doses of IV hydromorphone and usual dose of
oxycodone, you note that the patient is poorly responsive to voice commands and
sternal rub, breathing shallowly and he has pinpoint pupils. In addition to
supportive measures, which pharmacologic agent is most appropriate to reverse the
opioid effects as rapidly as possible?
a. Naloxone (Narcan®) 0.1 mg intravenously
b. Naltrexone 50 mg orally
c. Methylnaltrexone (Relistor®) 12 mg subcutaneously
d. Buprenorphine/naloxone (Suboxone®) 8/2 mg sublingually
a. Naloxone (Narcan®) 0.1 mg intravenously
Which of the following is an effective strategy to prevent NSAID-induced GI
ulceration in a patient at high-risk due to a history of gastrointestinal bleeding?
a. Utilize a COX-2 selective NSAID in preference to a non-selective agent
b. Ensure that an enteric-coated NSAID is used, and that it is taken with food or
milk
c. Take an antacid with each dose of NSAID
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