Nursing 552: Practice Exam 3 with Answers (45 Solved Questions)
Nursing 552: Practice Exam 3 with Answers helps you build confidence by practicing with past papers.
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Nursing 552: Exam 3 Practice Questions
1. 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
2. An 66 year old male has been taking Simvas-
tatin for three years. The Nurse Practitioner
should be concerned about which new med-
ication prescribed for this patient in combina-
tion with Simvastatin:
A) Metoprolol
B) Multivitamin
C) Azithromycin
D) Tylenol
Answer: C. Antitbiotics,
specifically macrolide an-
tibiotics put elderly patients
at high risk for muscle toxi-
city when mixed with statin
medications.
Reference: Chapter 39
3. Which medication is absolutely contraindicat-
ed 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
4. 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 tis-
sue to the liver is inhib-
ited by nicotinic acid. The
conversion of VLDL to LDL
is decreased as a conse-
quence of this decrease
or an additional hepatic ef-
1 / 11
1. 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
2. An 66 year old male has been taking Simvas-
tatin for three years. The Nurse Practitioner
should be concerned about which new med-
ication prescribed for this patient in combina-
tion with Simvastatin:
A) Metoprolol
B) Multivitamin
C) Azithromycin
D) Tylenol
Answer: C. Antitbiotics,
specifically macrolide an-
tibiotics put elderly patients
at high risk for muscle toxi-
city when mixed with statin
medications.
Reference: Chapter 39
3. Which medication is absolutely contraindicat-
ed 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
4. 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 tis-
sue to the liver is inhib-
ited by nicotinic acid. The
conversion of VLDL to LDL
is decreased as a conse-
quence of this decrease
or an additional hepatic ef-
1 / 11
Nursing 552: Exam 3 Practice Questions
fect via nicotinic acid and
the synthesis and secre-
tion of VLDLs are reduced.
Although the mechanism
is unknown, nicotinic acid
also increases serum HDL
cholesterol concentrations
by up to 30%.
Question from:
https://www.pro-
profs.com/quiz-school/quizshow
tle=pharm-exam-3-antihy-
perlipidemics&q=19
5. 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.
Question from:
https://www.pro-
profs.com/quiz-school/quizshow
tle=pharm-exam-3-antihy-
perlipidemics&q=19
6. How can you avoid some of the adverse ef-
fects seen with Niacin (dyspepsia, skin flush-
ing, itching)?
A) By taking an NSAID like Aspirin concur-
rently.
B) By taking the medication at night.
C) By taking the medication with food.
D) By taking the medication on an empty
Answer: A.
Question from:
https://www.pro-
profs.com/quiz-school/quizshow
tle=pharm-exam-3-antihy-
perlipidemics&q=19
2 / 11
fect via nicotinic acid and
the synthesis and secre-
tion of VLDLs are reduced.
Although the mechanism
is unknown, nicotinic acid
also increases serum HDL
cholesterol concentrations
by up to 30%.
Question from:
https://www.pro-
profs.com/quiz-school/quizshow
tle=pharm-exam-3-antihy-
perlipidemics&q=19
5. 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.
Question from:
https://www.pro-
profs.com/quiz-school/quizshow
tle=pharm-exam-3-antihy-
perlipidemics&q=19
6. How can you avoid some of the adverse ef-
fects seen with Niacin (dyspepsia, skin flush-
ing, itching)?
A) By taking an NSAID like Aspirin concur-
rently.
B) By taking the medication at night.
C) By taking the medication with food.
D) By taking the medication on an empty
Answer: A.
Question from:
https://www.pro-
profs.com/quiz-school/quizshow
tle=pharm-exam-3-antihy-
perlipidemics&q=19
2 / 11
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