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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Nursing 552: Exam 3 Practice Questionsfect via nicotinic acid andthe synthesis and secre-tion of VLDLs are reduced.Although the mechanismis unknown, nicotinic acidalso increases serum HDLcholesterol concentrationsby up to 30%.Question from:https://www.pro-profs.com/quiz-school/quizshowtle=pharm-exam-3-antihy-perlipidemics&q=195.Which antihyperlipidemic is most effectivewhen given in combination with other drugs?A. NiacinB. Bile acid-binding resinsC. EzetimibeD. StatinsE. Fibric AcidAnswer: A.If a bile acid-binding resinis added, 40-60% reductionin LDL. In triple therapy withbile acid-binding resin plusa statin, it decreases LDLby 70% or more.Question from:https://www.pro-profs.com/quiz-school/quizshowtle=pharm-exam-3-antihy-perlipidemics&q=196.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 emptyAnswer: A.Question from:https://www.pro-profs.com/quiz-school/quizshowtle=pharm-exam-3-antihy-perlipidemics&q=192 / 11

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Nursing 552: Exam 3 Practice Questionsstomach.E) The Adverse affects cannot be avoided.7.What conditions are worsened with Niacin(nicotinic acid)?A) GoutB) Cardiac atrial arrhythmiasC) DiabetesD) Gallbladder diseaseE) All of the aboveAnswer: E.Gout - see an increase inuric acid because it com-petes for excretion - Dia-betes - glucose levels areaffected - Gallbladder Dis-ease - releases bile acids.Question from:https://www.pro-profs.com/quiz-school/quizshowtle=pharm-exam-3-antihy-perlipidemics&q=198.Giving Niacin in combination with statinscauses an increased risk of what disease?A) Gout.B) MI.C) Renal disease.D) Myopathy (rhabdomyolysis)E) Hepatic FailureAnswer: D.Question from:https://www.pro-profs.com/quiz-school/quizshowtle=pharm-exam-3-antihy-perlipidemics&q=199.What are the two drugs that are classified asfibric acid derivatives?A) Niacin and Gemfibrozil.B) Gemfibrozil and Fenofibrate.C) Fenofibrate and Ezetimibie.D) Simvastatin and Gemfibrozil.Answer: B.Question from:https://www.pro-profs.com/quiz-school/quizshowtle=pharm-exam-3-antihy-perlipidemics&q=1910.What do the fibric acid derivatives do?A) Enhance oxidation of FA in liver and mus-cle.B) Reduce rate of lipogenesis in the liver.Answer: D.Question from:https://www.pro-profs.com/quiz-school/quizshow3 / 11
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