Nursing 552 Exam 3 Practice Questions and Correct Answers
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Course
NSG 552
Institution
NSG 552
Which statement by a patient should alert you to a serious issue related to the patient's use of Atorvastatin? A) "I've been feeling really down lately." B) "My urine has been a lot darker than usual." C) "I've been having issues with blurry vision lately" D) "My heart feels like it beats really fa...
Nursing 552 Exam 3 Practice Questions
and Correct Answers
Which statement by a patient should alert you to a serious issue related to the patient's
use of Atorvastatin?
A) "I've been feeling really down lately."
B) "My urine has been a lot darker than usual."
C) "I've been having issues with blurry vision lately"
D) "My heart feels like it beats really fast sometimes." ✅Answer: B. Rhabdomylosis is a
rare but serious side effect of statin medications.
Reference: Chapter 39
An 66 year old male has been taking Simvastatin for three years. The Nurse Practitioner
should be concerned about which new medication prescribed for this patient in
combination with Simvastatin:
A) Metoprolol
B) Multivitamin
C) Azithromycin
D) Tylenol ✅Answer: C. Antitbiotics, specifically macrolide antibiotics put elderly
patients at high risk for muscle toxicity when mixed with statin medications.
Reference: Chapter 39
Which medication is absolutely contraindicated for a new 23 year old pregnant patient
who presents with hyperlipidemia not responsive to lifestyle modifications?
A) Rosuvastatin
B) Nicotinic Acid
C) Fenofibrate
D) Gemfibrozil ✅Answer: A. Statins are pregnancy category X.
Reference: Chapter 39
Which drug to treat hyperlipidemia acts by inhibiting the mobilization of free fatty acids
(FFA) from peripheral adipose tissue to the liver?
A) Statins
B) Fibric Acids
C) Niacin (Nicotinic Acid)
D) Bile acid-binding Resins
E) Ezetimibe ✅Answer: C.
The mobilization of FFA from peripheral adipose tissue to the liver is inhibited by
nicotinic acid. The conversion of VLDL to LDL is decreased as a consequence of this
decrease or an additional hepatic effect via nicotinic acid and the synthesis and
, secretion of VLDLs are reduced. Although the mechanism is unknown, nicotinic acid
also increases serum HDL cholesterol concentrations by up to 30%.
Which antihyperlipidemic is most effective when given in combination with other drugs?
A. Niacin
B. Bile acid-binding resins
C. Ezetimibe
D. Statins
E. Fibric Acid ✅Answer: A.
If a bile acid-binding resin is added, 40-60% reduction in LDL. In triple therapy with bile
acid-binding resin plus a statin, it decreases LDL by 70% or more.
How can you avoid some of the adverse effects seen with Niacin (dyspepsia, skin
flushing, itching)?
A) By taking an NSAID like Aspirin concurrently.
B) By taking the medication at night.
C) By taking the medication with food.
D) By taking the medication on an empty stomach.
E) The Adverse affects cannot be avoided. ✅Answer: A.
What conditions are worsened with Niacin (nicotinic acid)?
A) Gout
B) Cardiac atrial arrhythmias
C) Diabetes
D) Gallbladder disease
E) All of the above ✅Answer: E.
Gout - see an increase in uric acid because it competes for excretion - Diabetes -
glucose levels are affected - Gallbladder Disease - releases bile acids.
Giving Niacin in combination with statins causes an increased risk of what disease?
A) Gout.
B) MI.
C) Renal disease.
D) Myopathy (rhabdomyolysis)
E) Hepatic Failure ✅Answer: D.
What are the two drugs that are classified as fibric acid derivatives?
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