RNSG 1301 PRACTICE EXAM PAPER QUESTIONS AND
ANSWERS SURE A+
✔✔A 79-year-old woman has been brought to the emergency department by
ambulance with signs and symptoms of ischemic stroke. The care team would consider
the immediate (STAT) administration of what drug?
A) low molecular weight heparin
B) vitamin K
C) clopidogrel
D) alteplase - ✔✔D) alteplase
✔✔A client with a diagnosis of cardiovascular disease is taking atorvastatin to reduce
serum cholesterol. What is the goal of therapy for LDL cholesterol for a client taking
atorvastatin calcium?
A) 100 to 115 mg/dL
B) 75 to 85 mg/dL
C) less than 60 mg/dL
D) less than 130 mg/dL - ✔✔D) less than 130 mg/dL
✔✔A client is taking atorvastatin to reduce serum cholesterol. Which aspect of client
teaching is most important?
,A) Call the health care provider if muscle pain develops.
B) It is unacceptable to eat dietary fats.
C) Decrease the dose if lethargy occurs.
D) Eat two eggs per day to increase protein stores. - ✔✔A) Call the health care provider
if muscle pain develops.
✔✔A client has begun taking cholestyramine. Which are noted as the most common
adverse effects?
A) nausea, flatulence, and constipation
B) increased appetite and blood pressure
C) fatigue and mental disorientation
D) hiccups, nasal congestion, and dizziness - ✔✔A) nausea, flatulence, and
constipation
✔✔A client is prescribed fenofibrate. When providing client teaching, which accurately
describes the action of fenofibrate?
A) It binds to bile acids in the intestinal lumen.
B) It increases oxidation of fatty acids in the liver.
C) It inhibits an enzyme required for hepatic synthesis.
D) It inhibits mobilization of free fatty acids from peripheral tissues. - ✔✔B) It increases
oxidation of fatty acids in the liver.
✔✔Which single drug class is known to be most effective in reducing the major types of
dyslipidemia?
A) statins
B) bile acid sequestrants
C) fibrates
D) niacin - ✔✔A) statins
✔✔A male client has been diagnosed with moderately increased LDL, and his primary
care provider wishes to begin him on a statin. What is a potential disadvantage of
statins that the care provider should consider? Select all that apply.
A) Statins are nephrotoxic.
B) Statins are expensive.
C) Statins are contraindicated in clients with a history of myocardial infarction.
D) Statins require regularly scheduled blood work.
E) Statins have an immunosuppressive effect - ✔✔B) Statins are expensive.
D) Statins require regularly scheduled blood work.
, ✔✔A 62-year-old man has been prescribed extended-release lovastatin. The nurse will
instruct the patient to take the medication:
A) at bedtime
B) in the early morning.
C) in the evening.
D) in the afternoon. - ✔✔A) at bedtime
✔✔A client has been largely unsuccessful in achieving adequate control of dyslipidemia
through lifestyle changes and the use of a statin. As a result, the client has been
prescribed cholestyramine. What change in this client's lipid profile will the nurse identify
as the most likely goal of therapy?
A) reduction in triglycerides
B) reduction in total serum cholesterol levels
C) increase in HDL levels
D) reduction in LDL cholesterol levels - ✔✔D) reduction in LDL cholesterol levels
✔✔An elderly client with dyslipidemia has had fenofibrate added to the existing
medication regimen. In addition to having the lipid profile drawn on a regular basis, the
nurse should educate the client about the need for what ongoing laboratory testing
during therapy?
A) complete blood count (CBC)
B) liver panel
C) INR and aPTT
D) reticulocyte count - ✔✔B) liver panel
✔✔A client has been diagnosed with chronic renal failure. Which agent will assist in
raising the client's hemoglobin levels?
A) epoetin alfa
B) pentoxifylline
C) estazolam
D) dextromethorphan hydrobromide - ✔✔A) epoetin alfa
✔✔A client with a diagnosis of renal failure is being treated with epoetin alfa. Frequent
assessment of which laboratory values should be prioritized before and during
treatment?
A) AST
B) C-reactive protein
C) CBC
D) ALT - ✔✔C) CBC
ANSWERS SURE A+
✔✔A 79-year-old woman has been brought to the emergency department by
ambulance with signs and symptoms of ischemic stroke. The care team would consider
the immediate (STAT) administration of what drug?
A) low molecular weight heparin
B) vitamin K
C) clopidogrel
D) alteplase - ✔✔D) alteplase
✔✔A client with a diagnosis of cardiovascular disease is taking atorvastatin to reduce
serum cholesterol. What is the goal of therapy for LDL cholesterol for a client taking
atorvastatin calcium?
A) 100 to 115 mg/dL
B) 75 to 85 mg/dL
C) less than 60 mg/dL
D) less than 130 mg/dL - ✔✔D) less than 130 mg/dL
✔✔A client is taking atorvastatin to reduce serum cholesterol. Which aspect of client
teaching is most important?
,A) Call the health care provider if muscle pain develops.
B) It is unacceptable to eat dietary fats.
C) Decrease the dose if lethargy occurs.
D) Eat two eggs per day to increase protein stores. - ✔✔A) Call the health care provider
if muscle pain develops.
✔✔A client has begun taking cholestyramine. Which are noted as the most common
adverse effects?
A) nausea, flatulence, and constipation
B) increased appetite and blood pressure
C) fatigue and mental disorientation
D) hiccups, nasal congestion, and dizziness - ✔✔A) nausea, flatulence, and
constipation
✔✔A client is prescribed fenofibrate. When providing client teaching, which accurately
describes the action of fenofibrate?
A) It binds to bile acids in the intestinal lumen.
B) It increases oxidation of fatty acids in the liver.
C) It inhibits an enzyme required for hepatic synthesis.
D) It inhibits mobilization of free fatty acids from peripheral tissues. - ✔✔B) It increases
oxidation of fatty acids in the liver.
✔✔Which single drug class is known to be most effective in reducing the major types of
dyslipidemia?
A) statins
B) bile acid sequestrants
C) fibrates
D) niacin - ✔✔A) statins
✔✔A male client has been diagnosed with moderately increased LDL, and his primary
care provider wishes to begin him on a statin. What is a potential disadvantage of
statins that the care provider should consider? Select all that apply.
A) Statins are nephrotoxic.
B) Statins are expensive.
C) Statins are contraindicated in clients with a history of myocardial infarction.
D) Statins require regularly scheduled blood work.
E) Statins have an immunosuppressive effect - ✔✔B) Statins are expensive.
D) Statins require regularly scheduled blood work.
, ✔✔A 62-year-old man has been prescribed extended-release lovastatin. The nurse will
instruct the patient to take the medication:
A) at bedtime
B) in the early morning.
C) in the evening.
D) in the afternoon. - ✔✔A) at bedtime
✔✔A client has been largely unsuccessful in achieving adequate control of dyslipidemia
through lifestyle changes and the use of a statin. As a result, the client has been
prescribed cholestyramine. What change in this client's lipid profile will the nurse identify
as the most likely goal of therapy?
A) reduction in triglycerides
B) reduction in total serum cholesterol levels
C) increase in HDL levels
D) reduction in LDL cholesterol levels - ✔✔D) reduction in LDL cholesterol levels
✔✔An elderly client with dyslipidemia has had fenofibrate added to the existing
medication regimen. In addition to having the lipid profile drawn on a regular basis, the
nurse should educate the client about the need for what ongoing laboratory testing
during therapy?
A) complete blood count (CBC)
B) liver panel
C) INR and aPTT
D) reticulocyte count - ✔✔B) liver panel
✔✔A client has been diagnosed with chronic renal failure. Which agent will assist in
raising the client's hemoglobin levels?
A) epoetin alfa
B) pentoxifylline
C) estazolam
D) dextromethorphan hydrobromide - ✔✔A) epoetin alfa
✔✔A client with a diagnosis of renal failure is being treated with epoetin alfa. Frequent
assessment of which laboratory values should be prioritized before and during
treatment?
A) AST
B) C-reactive protein
C) CBC
D) ALT - ✔✔C) CBC
