Nursing 552 Exam 3 Practice Questions and Answers
100% Verified UPDATED!!!
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 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
,2|Page
C) Azithromycin
D) Tylenol - ANSWER 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 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?
, 3|Page
A) Statins
B) Fibric Acids
C) Niacin (Nicotinic Acid)
D) Bile acid-binding Resins
E) Ezetimibe - ANSWER 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%.
Question from: https://www.proprofs.com/quiz-
school/quizshow.php?title=pharm-exam-3-
antihyperlipidemics&q=19
Which antihyperlipidemic is most effective when given in
combination with other drugs?