511nj Examnj 3nj-nj Review/
NCLEXnj Questions
1.Anjpatientnjisnjreceivingnjcholestyraminenj(Questran)njfornjelevatednjlow-
densitynjlipoproteinnj(LnjDnjL)njlevels.njAsnjthenjnursenjcompletesnjthenjnursingnjcarenj
plan,njwhichnjofnjthenjfollowingnjadversenjeffectsnjwillnjbenjincludednjfornjcontinued
njmonitoring?
Abdominalnjpain
Orange-
rednjurinenjandnjsalivanjDecreasednj
capillarynjrefillnjtime
Sorenjthroatnjandnjfever:njAbdominalnjPain
ObstructionnjofnjthenjGInjtractnjisnjonenjofnjthenjmostnjseriousnjcomplicationsnjofnjb
lenjacidnjsequestrants.njAbdominalnjpainnjmaynjsignalnjthenjpresencenjofnjobstru
ction.
2.Thenjpatientnjisnjtonjbeginnjtakingnjatorvastatinnj(Lipitor)njandnjthenjnursenjisnjprov
id-
njingnjeducationnjaboutnjthenjdrug.njWhichnjsymptomnjrelatednjtonjthisnjdrugnjshoul
dnjbenjreportednjtonjthenjhealthnjcarenjprovider?
Constipation
Increasingnjmusclenjornjjointnjpainnj
Hemorrhoids
Flushingnjornj"hotnjflash":njIncreasingnjmusclenjornjjointnjpain
"Statins"nj(HnjMnjG-
CoAnjreductasenjinhibitors)njsuchnjasnjatorvastatinnj(Lipitor)njmaynjcausenjrhabd
omyolysis,njanjrarenjbutnjseriousnjadversenjeffect.
3.Thenjnursenjisnjinstructingnjanjpatientnjonnjhomenjusenjofnjniacinnjandnjwillnjinclud
enjimportantnjinstructionsnjonnjhownjtonjtakenjthenjdrugnjandnjaboutnjitsnjpossiblenjad
versenjeffects.njWhichnjofnjthenjfollowingnjmaynjbenjexpectednjadversenjeffectsnjofnjt
hisnjdrug?nj(Selectnjallnjthatnjapply.)
Fevernjandnjchills
Intensenjflushingnjandnjhotnjflashesn
jTinglingnjofnjthenjfingersnjandnjtoesn
jHypoglycemia
Drynjmucousnjmembranes:njIntensenjflushingnjandnjhotnjflash
esnjTinglingnjofnjthenjfingersnjandnjtoes
*maynjcausenjannjincreasenjinnjbloodnjglucose
1nj/
nj49
, 511nj Examnj 3nj-nj Review/
NCLEXnj Questions
4.Thenjcommunitynjhealthnjnursenjisnjworkingnjwithnjanjpatientnjtakingnjsimvasta
tinnj(Zocor).njWhichnjpatientnjstatementnjmaynjindicatenjthenjneednjfornjfurthernjtea
chingnjaboutnjthisnjdrug?
2nj/
nj49
, 511nj Examnj 3nj-nj Review/
NCLEXnj Questions
"I'mnjtryingnjtonjreachnjmynjidealnjbodynjweightnjbynjincreasingnjmynjexercise."
"Injdidn'tnjhavenjanynjsymptomsnjevennjthoughnjInjhadnjhighnjlipidnjlevels.njInjhearnjtha
snjcommon."
"I'venjbeennjtakingnjmynjpillnjbeforenjmynjdinner."
"Injtakenjmynjpillnjwithnjgrapefruitnjjuice.njI'venjalwaysnjtakennjmynjmedicationsnjthatn
jway.":nj"Injtakenjmynjpillnjwithnjgrapefruitnjjuice.njI'venjalwaysnjtakennjmynjmedica
tionsnjthatnjway."
Grapefruitnjjuicenjinhibitsnjthenjmetabolismnjofnjstatinsnjsuchnjasnjsimvastatinnj(
Zocor)njallowingnjthemnjtonjreachnjhighernjserumnjlevelsnjandnjincreasingnjthenjris
jofnjadversenjeffects.
5.Anjpatientnjhasnjbeennjonnjlong-
termnjtherapynjwithnjcolestipolnj(Colestid).njTonjpre-
njventnjadversenjeffectsnjrelatednjtonjthenjlengthnjofnjtherapynjandnjlacknjofnjnutrient
s,njwhichnjofnjthenjfollowingnjsupplementsnjmaynjbenjrequired?
nj(Selectnjallnjthatnjapply.)
Folicnjacid
VitaminsnjA,njD,njE,njandnjKnjPotassi
um,njiodine,njandnjchloridenjProtein
Bnjvitamins:njFolicnjacidnjVit
aminsnjA,njD,njandnjK
Long-
termnjusenjofnjbilenjacidnjsequestrantsnjsuchnjasnjcolestipolnj(Colestid)njmaynjcau
senjdepletionnjornjdecreasednjabsorptionnjofnjfolicnjacidnjandnjthenjfat-
solublenjvitamins.
6.Anjpatientnjhasnjbeennjorderednjgemfibrozilnj(Lopid)njfornjhyperlipidemia.njThenjnu
rsenjwillnjfirstnjvalidatenjthenjordernjwithnjthenjhealthnjcarenjprovidernjifnjthenjpatientnj
reportsnjanjhistorynjofnjwhichnjdisorder?
HypertensionnjAngin
a
GallbladdernjdiseasenjTuberculosi
s:njGallbladdernjdisease
Fibricnjacidnjagentsnj(fibrates)njmaynjcausenjornjworsennjgallbladdernjdiseasenjan
njthenjordernjshouldnjbenjchecked njwithnjthenjprovidernjbeforenjgiving.
7.Nifedipinenj(Procardia)njhasnjbeennjorderednjfornjanjpatientnjwithnjhypertensio
3nj/
nj49
, 511nj Examnj 3nj-nj Review/
NCLEXnj Questions
n.njInnjthenjcarenjplan,njthenjnursenjincludesnjthenjneednjtonjmonitornjfornjwhichnjad
versenjeffect?
Rashnjandnjchills
4nj/
nj49
NCLEXnj Questions
1.Anjpatientnjisnjreceivingnjcholestyraminenj(Questran)njfornjelevatednjlow-
densitynjlipoproteinnj(LnjDnjL)njlevels.njAsnjthenjnursenjcompletesnjthenjnursingnjcarenj
plan,njwhichnjofnjthenjfollowingnjadversenjeffectsnjwillnjbenjincludednjfornjcontinued
njmonitoring?
Abdominalnjpain
Orange-
rednjurinenjandnjsalivanjDecreasednj
capillarynjrefillnjtime
Sorenjthroatnjandnjfever:njAbdominalnjPain
ObstructionnjofnjthenjGInjtractnjisnjonenjofnjthenjmostnjseriousnjcomplicationsnjofnjb
lenjacidnjsequestrants.njAbdominalnjpainnjmaynjsignalnjthenjpresencenjofnjobstru
ction.
2.Thenjpatientnjisnjtonjbeginnjtakingnjatorvastatinnj(Lipitor)njandnjthenjnursenjisnjprov
id-
njingnjeducationnjaboutnjthenjdrug.njWhichnjsymptomnjrelatednjtonjthisnjdrugnjshoul
dnjbenjreportednjtonjthenjhealthnjcarenjprovider?
Constipation
Increasingnjmusclenjornjjointnjpainnj
Hemorrhoids
Flushingnjornj"hotnjflash":njIncreasingnjmusclenjornjjointnjpain
"Statins"nj(HnjMnjG-
CoAnjreductasenjinhibitors)njsuchnjasnjatorvastatinnj(Lipitor)njmaynjcausenjrhabd
omyolysis,njanjrarenjbutnjseriousnjadversenjeffect.
3.Thenjnursenjisnjinstructingnjanjpatientnjonnjhomenjusenjofnjniacinnjandnjwillnjinclud
enjimportantnjinstructionsnjonnjhownjtonjtakenjthenjdrugnjandnjaboutnjitsnjpossiblenjad
versenjeffects.njWhichnjofnjthenjfollowingnjmaynjbenjexpectednjadversenjeffectsnjofnjt
hisnjdrug?nj(Selectnjallnjthatnjapply.)
Fevernjandnjchills
Intensenjflushingnjandnjhotnjflashesn
jTinglingnjofnjthenjfingersnjandnjtoesn
jHypoglycemia
Drynjmucousnjmembranes:njIntensenjflushingnjandnjhotnjflash
esnjTinglingnjofnjthenjfingersnjandnjtoes
*maynjcausenjannjincreasenjinnjbloodnjglucose
1nj/
nj49
, 511nj Examnj 3nj-nj Review/
NCLEXnj Questions
4.Thenjcommunitynjhealthnjnursenjisnjworkingnjwithnjanjpatientnjtakingnjsimvasta
tinnj(Zocor).njWhichnjpatientnjstatementnjmaynjindicatenjthenjneednjfornjfurthernjtea
chingnjaboutnjthisnjdrug?
2nj/
nj49
, 511nj Examnj 3nj-nj Review/
NCLEXnj Questions
"I'mnjtryingnjtonjreachnjmynjidealnjbodynjweightnjbynjincreasingnjmynjexercise."
"Injdidn'tnjhavenjanynjsymptomsnjevennjthoughnjInjhadnjhighnjlipidnjlevels.njInjhearnjtha
snjcommon."
"I'venjbeennjtakingnjmynjpillnjbeforenjmynjdinner."
"Injtakenjmynjpillnjwithnjgrapefruitnjjuice.njI'venjalwaysnjtakennjmynjmedicationsnjthatn
jway.":nj"Injtakenjmynjpillnjwithnjgrapefruitnjjuice.njI'venjalwaysnjtakennjmynjmedica
tionsnjthatnjway."
Grapefruitnjjuicenjinhibitsnjthenjmetabolismnjofnjstatinsnjsuchnjasnjsimvastatinnj(
Zocor)njallowingnjthemnjtonjreachnjhighernjserumnjlevelsnjandnjincreasingnjthenjris
jofnjadversenjeffects.
5.Anjpatientnjhasnjbeennjonnjlong-
termnjtherapynjwithnjcolestipolnj(Colestid).njTonjpre-
njventnjadversenjeffectsnjrelatednjtonjthenjlengthnjofnjtherapynjandnjlacknjofnjnutrient
s,njwhichnjofnjthenjfollowingnjsupplementsnjmaynjbenjrequired?
nj(Selectnjallnjthatnjapply.)
Folicnjacid
VitaminsnjA,njD,njE,njandnjKnjPotassi
um,njiodine,njandnjchloridenjProtein
Bnjvitamins:njFolicnjacidnjVit
aminsnjA,njD,njandnjK
Long-
termnjusenjofnjbilenjacidnjsequestrantsnjsuchnjasnjcolestipolnj(Colestid)njmaynjcau
senjdepletionnjornjdecreasednjabsorptionnjofnjfolicnjacidnjandnjthenjfat-
solublenjvitamins.
6.Anjpatientnjhasnjbeennjorderednjgemfibrozilnj(Lopid)njfornjhyperlipidemia.njThenjnu
rsenjwillnjfirstnjvalidatenjthenjordernjwithnjthenjhealthnjcarenjprovidernjifnjthenjpatientnj
reportsnjanjhistorynjofnjwhichnjdisorder?
HypertensionnjAngin
a
GallbladdernjdiseasenjTuberculosi
s:njGallbladdernjdisease
Fibricnjacidnjagentsnj(fibrates)njmaynjcausenjornjworsennjgallbladdernjdiseasenjan
njthenjordernjshouldnjbenjchecked njwithnjthenjprovidernjbeforenjgiving.
7.Nifedipinenj(Procardia)njhasnjbeennjorderednjfornjanjpatientnjwithnjhypertensio
3nj/
nj49
, 511nj Examnj 3nj-nj Review/
NCLEXnj Questions
n.njInnjthenjcarenjplan,njthenjnursenjincludesnjthenjneednjtonjmonitornjfornjwhichnjad
versenjeffect?
Rashnjandnjchills
4nj/
nj49
