Free NAPLEX Exam Braindumps (page: 19)

Page 19 of 39

You get an order for 5% amino acid 15% dextrose premixed parenteral nutrition solution, 2 L at 83mls/hr. Your pharmacy technician tells you there is manufacture’s backorder on those. How many ml of 20% dextrose would you need to provide the same amount of dextrose in 24 hrs?

  1. 1000ml
  2. 1400ml
  3. 1500ml
  4. 200ml
  5. 2500ml

Answer(s): C

Explanation:

15% dextrose = 15gm/100ml = 300gm/2000ml. Patient needs 300gm. 300gm/Xml = 20gm/100ml = 1500ml



A physician orders 300gms of albumin post paracentesis, how many milliliters of 25% albumin do you need to give 300gms?

  1. 300ml
  2. 25ml
  3. 100ml
  4. 1200ml
  5. 1000ml

Answer(s): D

Explanation:

25g/100ml = 300g/Xml Xml = 1200mL



Which of the following antidiabetic medication may cause cyanocobalamin deficiency?

  1. Saxagliptin
  2. Canagliflozin
  3. Pioglitazone
  4. Glimepiride
  5. Metformin

Answer(s): E

Explanation:

Metformin is associated with vitamin B12 deficiency because it affects the calcium dependent membrane uptake of it. All other drug classes are not associated with this.



Octreotide 50mcg/hr is ordered for a patient with esophageal varices, nurses prepared by mixing 1ml of concentration 0.5mg/ml of octreotide in 50mls NS. What rate should the bag be infused?

  1. 50ml/hr
  2. 5ml/hr
  3. 5ml/min
  4. 0.5ml/min
  5. 7ml/hr

Answer(s): B

Explanation:

The concentration is the first thing to calculate, using 1 mL of octreotide solution containing a concentration of 0.5mg/mL is really using 0.5mg of octreotide. If this is placed in 50 mL NS then it is 0.5mg/50mL which is 0.01mg/mL or 10 mcg/mL. If the patient needs 50 mcg of octreotide per hour then the patient will need 5, 10 mcg/mL doses or 5 mLs. So the rate for this patient would be 5 mL/hr.



Page 19 of 39



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