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NABP North American Pharmacist Licensure Examination : NAPLEX

NAPLEX
  • Exam Code: NAPLEX
  • Exam Name: North American Pharmacist Licensure Examination
  • Updated: May 15, 2025
  • Q & A: 155 Questions and Answers
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About NABP NAPLEX Exam

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.

Below is the North American Pharmacist Licensure Examination Format

  • Language: English
  • Format: Multiple choices, multiple answers
  • Number of questions: 250
  • Passing score: Scaled 75
  • Length of Examination: 6 hours

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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?

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

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

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

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NABP NAPLEX Exam Syllabus Topics:

TopicDetails
Topic 1
  • Perform Calculations: This section is aimed at Pharmacy Technicians and focuses on performing essential calculations related to pharmacy practice.
Topic 2
  • Assess Pharmacotherapy to Assure Safe and Effective Therapeutic Outcomes: This section measures the skills of Pharmacy Candidates and covers the evaluation of pharmacotherapy to ensure safe and effective therapeutic outcomes. Candidates will learn to assess patient data, develop treatment plans, and manage medication therapy. This area constitutes a significant portion of the exam, emphasizing the importance of understanding drug interactions, therapeutic goals, and clinical endpoints.
Topic 3
  • Compounding, Dispensing, Administering, and Delivery Systems: This section measures the skills of Clinical Pharmacists and examines the processes involved in compounding, dispensing, administering medications, and utilizing delivery systems.
Topic 4
  • Assess, Recommend, and Provide Health Care Information that Promotes Public Health: Targeted at Pharmacists, this section covers the role of pharmacists in promoting public health through Education and information dissemination.
Topic 5
  • Safety and Quality of Medical-Use Systems: In this final section, this domain focuses on Quality Assurance Specialists and addresses safety measures within medical-use systems. Candidates will learn about risk management strategies, error prevention techniques, and quality control processes essential for maintaining high standards in pharmacy practice.

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

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