NAPLEX case studies
NAPLEX · Put your knowledge to work in context.
The North American Pharmacist Licensure Examination (NAPLEX) is the computer-based licensure exam that pharmacy graduates in the United States must pass, alongside jurisprudence requirements in their state or jurisdiction, before they can practice as licensed pharmacists. It is aimed at candidates who have completed or are completing a Doctor of Pharmacy program and are preparing to enter patient-facing practice in community, hospital, ambulatory, or other settings. The NAPLEX case studies are 5 cases and about 4,019 words.
1New Atrial Fibrillation in an Older Adult with HFrEF and Stage 4 CKD
is a 78-year-old woman (58 kg, SCr 1.6 mg/dL) with heart failure with reduced ejection fraction (LVEF 30%), hypertension, and diet-controlled type 2 diabetes. Her medications are lisinopril 20 mg daily, spironolactone 25 mg daily, furosemide 40 mg daily, carvedilol 6.25 mg twice daily, and potassium chloride 20 mEq daily.
783 words, about 4 min2Compounding a Pediatric Sildenafil Suspension from Tablets
A 16 kg, 4-year-old child with pulmonary arterial hypertension is prescribed sildenafil 10 mg by mouth three times daily. The pharmacy stocks only sildenafil 20 mg film-coated tablets and a preserved oral suspending vehicle (Ora-Plus and Ora-Sweet combined 1:1, containing methylparaben and potassium sorbate).
738 words, about 4 min3A Failed Product-Identifier Scan and a Class II Recall on the Same Day
A community pharmacy receives a case of apixaban 5 mg from its primary wholesaler at 0930. While scanning the 2D DataMatrix product identifiers at receipt, the receiving technician finds one carton whose serialized identifier will not verify in the approved verification system; the system returns an error rather than a verified status.
847 words, about 4 min4Detecting a Weekly-Dose Error at the Counseling Window
A 62-year-old woman with rheumatoid arthritis comes to the counter to pick up a new prescription for folic acid 1 mg daily. She mentions she started 'the new arthritis pill' about 3 weeks ago and has been taking 'three of the 2.5 mg tablets every morning, with my coffee.' The bottle label reads: methotrexate 2.5 mg - take 3 tablets (7.5 mg) by mouth once weekly.
778 words, about 4 min5Corresponding Responsibility: A Saturday-Night Schedule II Prescription
A 29-year-old man presents at 2140 on a Saturday with a paper prescription for oxycodone 15 mg tablets, quantity 120, one tablet every 6 hours as needed for pain, written that day by a dentist whose office is 90 miles away in a neighboring state. He says the tooth was extracted yesterday.
873 words, about 4 min