Free NABP NAPLEX Exam Questions

Become NABP Certified with updated NAPLEX exam questions and correct answers

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Total 154 Questions | Updated On: Jun 17, 2026

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Question 1

CJ is a 69-year-old male with a history of diabetes, hypertension and hypercholesterolemia. His fasting lipid

profile is TC 530 mg/dL; LDL-C 125; HDL-C 48 mg/dL; and TG 640 mg/dL. His A1c 8.1, calculate creatinine

clearance is 65mls/hr, BP 135/80 mm Hg, HR 70 beats /min.

His current medications include metformin 1000mg po bid, lisinopril 20mg daily, sitagliptin 50mg bid and

atorvastatin 40mg daily.

What is the best pharmacological agent to initiate on CJ?

A : crease atorvastatin to 80mg

B : acin 500mg twice daily

C : nofibrate 162mg daily

D : mfibrozil 600mg twice daily

E : h oil 500mg twice daily

Answer: C

Question 2

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,

K 5.0 mmol/L, Na 135 mmol/L.

Which of the following medication may increase LN’s Blood glucose?

A : inopril

B : xamethasone

C : motidine

D : toclopramide

E : dromorphone

Answer: B

Question 3

Which of the following statements is true regarding Drug-receptor bonds?

A : valent bonds of drugs with receptors are strong and mostly reversible

B : valent bonding is much more common than electrostatic bonding in drug-receptor interactions

C : ectrostatic bonds are stronger than covalent bonds

D : drophobic bonds are weak bonds and they are important in the interactions of highly water soluble drugs with the lipids of cell membranes

E : Bond formation of between the acetyl group of aspirin and cyclo-oxygenase enzyme is a covalent bond

Answer: A

Question 4

Select the class of Anti-diabetic medication that works in the specified organ to prevent hyperglycemia.

Select all that applies. Liver (D)

A : lfonylureas

B : pha- Glucosidase Inhibitors

C : DPP4 Inhibitors

D : ucagon-like peptide-1 receptor agonists

E : iazolidinediones

F : guanide

G : LT2 inhibitors

Answer: C

Question 5

Which of these is an example of postrenal acute kidney injury (AKI)?

A : nign prostatic hyperplasia

B : art failure

C : hydration

D : Renal vein thrombosis

Answer: A

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Total 154 Questions | Updated On: Jun 17, 2026

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