NAPLEX (North American Pharmacist Licensure) Exam

Question 1

A pharmacist is reviewing a new electronic prescription for 'hydrALAZINE 25 mg tablets, take one tablet by mouth three times daily.' The patient's profile also shows an active prescription for 'hydrOXYzine 25 mg capsules.' Which of the following is the MOST appropriate action for the pharmacist to take to prevent a medication error?

Add an alert to the pharmacy system to flag these two medications as look-alike/sound-alike. Dispense the hydralazine as prescribed and counsel the patient on the new medication. Contact the prescriber to confirm the indication for the new prescription. Ask the patient if they are aware of why they are starting a new blood pressure medication.

Correct Answer:

Contact the prescriber to confirm the indication for the new prescription.

Question 2

A hospital pharmacy is implementing new safety protocols for U-500 regular insulin, a high-alert medication. Which of the following strategies is the MOST critical to prevent a catastrophic dosing error?

Storing U-500 insulin vials in a separate, clearly labeled bin in the main pharmacy refrigerator. Requiring a mandatory pharmacist-led education session for all new nursing staff. Dispensing U-500 insulin only with U-500 specific syringes or dedicated pens. Applying an auxiliary label that states 'High-Alert Medication' to the vial before dispensing.

Correct Answer:

Dispensing U-500 insulin only with U-500 specific syringes or dedicated pens.

Question 3

A hospital's Pharmacy and Therapeutics (P&T) committee is updating its list of approved 'Tall Man Lettering' conventions to reduce medication errors. Which of the following pairs correctly uses this technique according to ISMP/FDA recommendations?

predniSONE and prednisoLONE AmloDIPINE and LisinoPRIL MetformiN and MetoproloL HYDROcodone and Oxycodone

Correct Answer:

predniSONE and prednisoLONE

Question 4

A patient on a medical-surgical unit experienced a severe hypoglycemic event. A root cause analysis (RCA) revealed the patient received glipizide instead of glyburide, which had been ordered. The investigation found that the two drugs were stored in adjacent bins in the automated dispensing cabinet (ADC) on the nursing unit. Which of the following interventions represents the strongest system-based change to prevent this error from recurring?

Requiring two nurses to verify all sulfonylurea administrations. Implementing barcode scanning for medication removal from the ADC and at the bedside. Placing a high-alert warning sticker on the glyburide and glipizide bins. Educating all nursing staff on the differences between glipizide and glyburide during the next staff meeting.

Correct Answer:

Implementing barcode scanning for medication removal from the ADC and at the bedside.

Question 5

A pharmacist receives an electronic prescription for a Schedule II controlled substance. According to federal law, which of the following is an essential responsibility of the pharmacist before dispensing?

Ensuring the patient has not received a similar prescription from another prescriber within the last 30 days. Verifying the prescription was transmitted using a two-factor authentication method by the prescriber. Confirming the patient's diagnosis is a legitimate indication for the prescribed medication. Ensuring the prescription is for a legitimate medical purpose by a practitioner acting in the usual course of professional practice.

Correct Answer:

Ensuring the prescription is for a legitimate medical purpose by a practitioner acting in the usual course of professional practice.

Question 1

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About this Exam

Prepare with the NAPLEX (North American Pharmacist Licensure) Exam practice quiz. This question bank includes 222 questions covering patient, pharmacist, medication, year-old, and pharmacy. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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NAPLEX (North American Pharmacist Licensure) Exam

This practice set contains 222 questions from the matching question bank and focuses on patient, pharmacist, medication, year-old, and pharmacy. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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NAPLEX (North American Pharmacist Licensure) Exam

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