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1.1.0 - Evaluate the patient and/or patient information to determine the presence of a
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NAPLEX Candidate's Review Guide Page 2 of 7
disease or medical condition, to determine the need for treatment and/or referral, and to
identify patient-specific factors that affect health, pharmacotherapy, and/or disease
management
1.1.1 - Identify and/or use instruments and techniques related to patient assessment
and diagnosis
1.1.2 - Identify and define the terminology, signs, and symptoms associated with
diseases and medical conditions
1.1.3 - Identify drug and non-drug methods of preventing and treating diseases and
medical conditions
1.1.4 - Identify patient factors, biosocial factors, and concurrent drug therapy that are
relevant to the maintenance of wellness and the prevention or treatment of a disease
or medical condition
1.2.1 - Identify drug products by their generic, trade, and/or common names
1.3.0 - Monitor the patient and/or patient information and manage the drug regimen to
promote health and assure safe and effective pharmacotherapy
1.3.3 - Identify, describe the mechanism of, and remedy adverse reactions and
iatrogenic or drug-induced illness
1.3.4 - Prevent, recognize, and remedy noncompliance and drug misuse or abuse
Area 2 Assure the Safe and Accurate Preparation and Dispensing of Medications
(Approximately 25% of Test)
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and enlarge formulation quantities, and calculate the quantity or ingredients needed
to compound the proper amount of the preparation
2.1.2 - Calculate nutritional needs and the caloric content of nutrient sources
2.2.3 - Interpret and apply pharmacokinetic parameters and quality assurance data to
determine equivalence among manufactured drug products, and identify products for
which documented evidence of inequivalence exists
2.2.5 - Identify and describe the use of equipment and apparatus required to
administer medications
2.3.1 - Identify and describe techniques and procedures related to drug preparation,
compounding, and quality assurance
Area 3 Provide Drug Information and Promote Public Health (Approximately 25% of
Test)
3.1.0 - Access, evaluate, and apply information to promote optimal health care
3.1.1 - Identify the typical content and organization of specific sources of drug and
health information
3.1.2 - Interpret and evaluate data presented in textual, tabular, or graphic form
3.1.3 - Evaluate the suitability, accuracy, and reliability of information from reference
sources by explaining and evaluating the adequacy of experimental design, and by
applying and evaluating statistical tests and parameters
3.2.0 - Educate patients and health care professionals regarding prescription medications,
nonprescription medications, and medical devices
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3.2.3 - Provide information regarding the proper storage, administration, and disposal
of medications
3.2.4 - Identify products and describe techniques for the self-monitoring of patients'
health status
3.2.5 - Provide advice regarding the selection, use, and care of medical/surgical
appliances or devices, durable medical equipment, and medication administration
equipment
3.3.0 - Educate patients and the public regarding wellness, disease states, and medical
conditions
3.3.2 - Provide information regarding nutrition, lifestyle, and other non-drug measures
that are effective in promoting health, or preventing or minimizing the progress of a
disease or medical condition
Stylistic Conventions
Most of the stylistic conventions of the NAPLEX will become evident as you work through
the sample questions provided in this Guide. You may find it helpful, however, to note the
following information:
1. Every effort has been made to exclude questions about drugs that have been
recalled or removed from the market. Questions about drugs generally concern the
drugs most commonly given for a certain condition or in a particular situation.
2. Depending upon the question, a drug may be called by its generic name, its trade
name, or its common name.
3. In calculation questions, weights and measures are considered to be the equivalents
found in standard pharmaceutical references.
4. Molecular and atomic weights are supplied when necessary.
5. In calculation questions, you should assume that each quantity is meant to be
measured with the same degree of precision. For example, if 2g of ointment is
prepared using 0.25g of x and 0.416g of y, each of these values should be assumed
to have three significant figures; i.e., 2.00g, 0.250g, and 0.416g.
6. Negative words, such as NO, NOT, NONE, NEVER, and EXCEPT, are capitalized
and printed in boldface type to draw attention to the kind of response expected.
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Degrees Celsius °C
Degrees Fahrenheit °F
5% Dextrose in water D5W
Dosage units i (ii, iii)
Drop gtt
Electrocardiogram ECG
Every 4 hours q4h
Every morning qAM
Gamma g
Gamma globulin g-globulin
Gastrointestinal GI
Gram g
Half-life t1/2
Hour (as in 50 milliliters per hour) h (as in 50 mL/h)
International normalized ratio INR
Intramuscular IM
Intravenous IV
Kilocalorie kcal
Liter L
Micron µ
Microgram µg
Microliter µL
Milliequivalent mEq
Milligram mg
Milliliter mL
Millimole mmol
Milliosmole mOsm
Nanometer nm
Normal saline NS or 0.9% NaCl
Over-the-counter OTC
Radioactive iodine ¹³¹ I
Second (as in 2 drops per second) s (as in 2 gtt/s)
Subcutaneous SC
Unit unit (not abbreviated)
Weight/volume w/v
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while others are stand-alone items that do not require you to refer to a scenario. Questions
associated with a scenario or profile should be answered within the context of the scenario
in which they appear. For instance, penicillin might be the drug of choice to treat most
patients who are suffering from strep throat, but if the scenario indicates that the particular
patient has a penicillin allergy, another drug should be selected. Remember, it is important
that you answer the questions within the context of the scenario/profile.
In no case on the exam will you find that answering one question correctly depends upon
correctly answering another question. You will be able to answer each question
independently from the questions that surround it. Therefore, answering one scenario
question incorrectly does not mean that you will incorrectly answer other questions in that
scenario set.
You will have four hours and fifteen minutes to complete the examination, with a 10-minute
mandatory break after approximately two hours of testing time. Additional time will be
allowed for you to review a short tutorial at the beginning of the examination and to
complete a computer-administered evaluation questionnaire at the end of the examination.
Examination Results
The minimum acceptable passing score on the NAPLEX scale is 75. The passing score
reported is NOT a percentage value. The score is calculated by first determining the
candidate's ability level on the NAPLEX, and then comparing that to the predetermined
minimum acceptable ability level established for the NAPLEX. The passing standard has
been established by a panel of pharmacy experts, and the ability level that defines the
passing standard is the same for all NAPLEX administrations.
To receive a test score, you must have completed at least 162 questions on the
examination. Candidates completing less than 162 questions will NOT have their score
reported. Candidates completing at least 162 questions but less than 185 questions will
have a penalty applied and their scores adjusted accordingly in order to reflect the number
of questions that remained unanswered.
NABP will report your NAPLEX score to the board of pharmacy that conferred your eligibility
approximately five days after your scheduled test day. The board of pharmacy will report
your score to you. Check with the board of pharmacy for an estimation of when you may
expect to receive your score after you have taken the examination.
NABP does NOT release scores to candidates, and score results are NOT released at the
test center. By applying to take the NAPLEX, you authorize NABP to release your test score
to the board of pharmacy. NABP will not release your scores to any other party. NABP does
not have the authority to report, nor will it report, any individual scores by telephone, fax, or
letter.
Diagnostic reports will also be provided by the board of pharmacy to candidates who fail the
examination along with the examination results. The diagnostic report will indicate the failing
candidate's relative performance in each major competency area, to identify areas that may
require further review. Because of the secure nature of the NAPLEX, no further review of
the test questions is allowed.
The NAPLEX is the means by which boards of pharmacy can assess the entry-level
competence of candidates for licensure. Any other use of individual NAPLEX scores is
inappropriate and is not condoned by NABP.
Pre-NAPLEX™
Preparing for the North American Pharmacist Licensure Examination™ (NAPLEX®) is much
easier when students use the Pre-NAPLEX™. The only NAPLEX practice exam written and
developed by the National Association of Boards of Pharmacy® (NABP®), the Pre-NAPLEX
will familiarize students with the NAPLEX testing experience.
Because the Pre-NAPLEX is similar to the actual NAPLEX in many ways, students who take
the Pre-NAPLEX will have a chance to “preview” the NAPLEX experience before exam day.
In fact, the questions on the Pre-NAPLEX are actual questions that have previously
appeared on the NAPLEX exam.
Students who complete the Pre-NAPLEX will not only be able to practice for the NAPLEX,
but will also be given an estimated, scaled score based on their answers to the Pre-
NAPLEX questions. Pre-NAPLEX scores are interpreted in a similar fashion as the
NAPLEX. Please note that, like other practice exams, students’ scores on the Pre-NAPLEX
will be similar to what they can expect to receive on the NAPLEX, but may not be the actual
score attained, nor is it a guarantee of passing the NAPLEX examination.
For added convenience, Pre-NAPLEX is Internet based so it can be accessed at home, the
library, school, or work. Students can register for and take one or more of the exams online
at www.pharmacist.com or www.nabp.net. The Pre-NAPLEX consists of three different
exam forms, each with 50 questions. The cost for each Pre-NAPLEX attempt is $50.
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Students can sit for the Pre-NAPLEX at any time on any day.
Click here for more information regarding the Pre-NAPLEX at www.PreNaplex.com.
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