NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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Study for the NAPLEX exam with a comprehensive quiz featuring multiple-choice questions and in-depth explanations. Build your pharmacological knowledge and increase your chances of passing the pharmacist licensure examination!

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What is the recommended action if a patient’s fasting plasma glucose (FPG) is not at goal?

  1. Add prandial insulin

  2. Stop basal insulin

  3. Double the daily dose

  4. Switch to oral medications

The correct answer is: Add prandial insulin

If a patient's fasting plasma glucose (FPG) is not at goal, the recommended action would be to add prandial insulin. This is because FPG represents a patient's glucose level after a period of not eating, and adding prandial insulin helps to control glucose levels after eating meals. Stopping basal insulin (option B) would not address the issue of high FPG levels, as basal insulin is meant to control glucose levels throughout the day. Doubling the daily dose (option C) is not advisable as it may lead to hypoglycemia and is not an appropriate way to manage high FPG levels. Switching to oral medications (option D) may not be effective in controlling FPG levels as insulin is the recommended treatment for high FPG levels.