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Certification Path for North American Pharmacist Licensure Examination

North American Pharmacist Licensure Examination is taken by foreign-educated pharmacists who have earned FPGEC Certification. The NAPLEX is just one component of the licensure process and is used by the boards of pharmacy to assess a candidate's competence to practice as a pharmacist.

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Sample Questions

The following are examples of question types that examinees may encounter when taking the NAPLEX. These questions are presented as examples to familiarize examinees with their formats and are not intended to represent content areas on the NAPLEX. Every examinee is presented with the opportunity to take a tutorial at the testing center prior to initiating the NAPLEX. The tutorial instructs examinees on how to respond to all of the types of questions that could be presented on the examination. NABP strongly encourages each examinee to take the tutorial in order to become familiar with how to submit responses in the computer-based examination.

Which of the following vaccines is contraindicated in immunocompromised patients?

  • B. Varicella
  • D. Subcutaneous influenza
  • A. Pneumococcal polysaccharide
  • C. Meningococcal conjugate

What counseling information should a pharmacist provide to a patient taking oral tacrolimus?

  • B. Avoid grapefruit and grapefruit juice
  • C. If a dose is missed, double up on the next dose
  • E. Medication levels need to be monitored
  • A. Avoid live virus vaccinations
  • D. Do not drink alcohol while taking this medication

Reference: https://nabp.pharmacy/programs/examinations/naplex/

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Introduction to North American Pharmacist Licensure Examination

The North American Pharmacist Licensure Examination is developed by the National Association of Boards of Pharmacy (NABP) for use by the state boards of pharmacy as part of their assessment of competence to practice pharmacy. It is a computer-adaptive test that provides the most precise measurement of your knowledge and ability in pharmacy. By using the NAPLEX, the state boards provide a valid and objective examination that tests competence in important aspects of the practice of pharmacy. The NAPLEX also assists the state boards of pharmacy in fulfilling one aspect of their responsibility to safeguard the public health and welfare.

The purpose of the NAPLEX exam dumps and NAPLEX practice exams is to spotlight areas of student difficulty, so that remedial measures can be taken before the chances for success are impaired. The North American Pharmacist Licensure Examination is generally given by students when they have completed their pharma degree.

The NAPLEX is exclusively a computer-administered exam. After receiving an authorization to test from NABP, applicants must register with an official testing facility, such as Pearson VUE, at least two business days in advance to schedule a testing appointment. The NABP's announcement of updates to the 2016 NAPLEX exam include increased fee price, number of exam questions, and time to sit for the exam. The NAPLEX exam fee is now $575, increased from $505. Exam questions number 250, increased from 185; and time to sit for the exam has increased from 4 hours and 15 minutes to 6 hours total. Of the 250 questions, only about 200 are used to tabulate the applicant's score. The remaining questions are “trial balloon” questions under consideration for inclusion on future NAPLEX tests. There is no way to distinguish a regular test question from a trial balloon question.

Prior to the changes in November 2016, the NAPLEX exam was presented as a computer adaptive exam in which the delivery of questions was modified based on the response of the test taker and questions on a specific subject may have increased or decreased in difficulty as the test progressed. The new exam is a pre-assembled linear format (standardized delivery for all test-takers) and will no longer adjust the exam based on user responses.

There are several question types on the NAPLEX: multiple choice, select all that apply, point and click (to select a place on a picture or graph for the purpose of mechanisms of action, site of action, application or injection site, etc.), and sequencing. Essay and short answer are not included and, though previously used, K-type questions have been eliminated.

NABP NAPLEX Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Person-Centered Assessment & Care Planning40%- Therapeutic Appropriateness
  • 1. Special Populations
    • 2. Evidence-Based Guidelines
      • 3. Indication & Dosing Regimens
        - Patient Monitoring & Follow-Up
        • 1. Treatment Adjustment
          • 2. Therapeutic Outcomes Assessment
            • 3. Clinical & Laboratory Evaluation
              Topic 2: Pharmacy Management & Leadership5%- Inventory & Supply Chain
              - Drug Shortages & Recalls
              - Quality Improvement & Risk Management
              Topic 3: Foundational Knowledge for Pharmacy Practice25%- Pharmaceutical Calculations
              • 1. Dosage & Administration Calculations
                • 2. Patient Parameters & Lab Measures
                  • 3. Dose Conversions
                    - Pharmaceutical Compounding
                    • 1. Sterile Preparations
                      • 2. Nonsterile Preparations
                        - Pharmaceutical Science Principles
                        • 1. Pharmacology
                          • 2. Pharmaceutics
                            • 3. Pharmacokinetics, Pharmacodynamics, Pharmacogenomics
                              Topic 4: Professional Practice5%- Immunization & Wellness Services
                              - Patient Counseling & Education
                              - Public Health & Regulatory Compliance
                              Topic 5: Medication Use Process25%- Order Verification & Preparation
                              • 1. Labeling & Dispensing Standards
                                • 2. Prescription Review & Accuracy
                                  • 3. Dosage Form & Route Selection
                                    - Medication Safety
                                    • 1. Error Prevention Strategies
                                      • 2. Drug Interactions & Contraindications
                                        • 3. Adverse Effects & Risk Management

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