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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.

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

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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?

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

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
  • A. Avoid live virus vaccinations
  • D. Do not drink alcohol while taking this medication
  • E. Medication levels need to be monitored

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NABP NAPLEX Exam Syllabus Topics:

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

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