NAPLEX Practice Test 15
10 free NAPLEX practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
NAPLEX Practice Test 15Tutor mode
Question 1 of 10
Person-Centered Assessment and Treatment PlanningPatient Profile
| Item | Detail |
|---|---|
| Age / sex | 52-year-old man |
| Height / weight | 178 cm; 86 kg |
| Allergies | No known drug allergies |
| Diagnoses | Deceased-donor kidney transplant 6 months ago (ESKD from IgA nephropathy); hypertension |
| Social | Works rotating night shifts; reports missing the 8 PM tacrolimus dose about twice a week |
| Medication | Directions | Notes |
|---|---|---|
| Tacrolimus (immediate-release) 4 mg | PO every 12 hours (8 AM and 8 PM) | Refills 5–9 days late on 3 of the last 4 fills |
| Mycophenolate mofetil 1,000 mg | PO twice daily | |
| Prednisone 5 mg | PO daily | |
| Sulfamethoxazole/trimethoprim 400/80 mg | PO daily | Pneumocystis prophylaxis |
| Amlodipine 10 mg | PO daily |
| Test | Result | Reference / target |
|---|---|---|
| Tacrolimus (drawn 10 AM; morning dose taken 8 AM) | 14.2 ng/mL | Trough target 5–8 ng/mL |
| Previous tacrolimus troughs (months 3, 4, 5) | 4.1, 9.8, 5.2 ng/mL | Trough target 5–8 ng/mL |
| Serum creatinine | 1.3 mg/dL (baseline 1.2) | 0.7–1.3 mg/dL |
| Potassium | 4.9 mEq/L | 3.5–5.0 mEq/L |
| Magnesium | 1.8 mg/dL | 1.7–2.2 mg/dL |
Which is the most appropriate response to today's tacrolimus result?