Nursing 552: Practice Exam 3 with Answers (45 Solved Questions)

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Nursing 552: Exam 3 Practice Questions1.Which statement by a patient should alert youto a serious issue related to the patient's useof 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 visionlately"D) "My heart feels like it beats really fastsometimes."Answer: B. Rhabdomylosisis a rare but serious sideeffect of statin medications.Reference: Chapter 392.An 66 year old male has been taking Simvas-tatin for three years. The Nurse Practitionershould be concerned about which new med-ication prescribed for this patient in combina-tion with Simvastatin:A) MetoprololB) MultivitaminC) AzithromycinD) TylenolAnswer: C. Antitbiotics,specifically macrolide an-tibiotics put elderly patientsat high risk for muscle toxi-city when mixed with statinmedications.Reference: Chapter 393.Which medication is absolutely contraindicat-ed for a new 23 year old pregnant patient whopresents with hyperlipidemia not responsiveto lifestyle modifications?A) RosuvastatinB) Nicotinic AcidC) FenofibrateD) GemfibrozilAnswer: A. Statins arepregnancy category X.Reference: Chapter 394.Which drug to treat hyperlipidemia acts byinhibiting the mobilization of free fatty acids(FFA) from peripheral adipose tissue to theliver?A) StatinsB) Fibric AcidsC) Niacin (Nicotinic Acid)D) Bile acid-binding ResinsE) EzetimibeAnswer: C.The mobilization of FFAfrom peripheral adipose tis-sue to the liver is inhib-ited by nicotinic acid. Theconversion of VLDL to LDLis decreased as a conse-quence of this decreaseor an additional hepatic ef-1 / 11

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