PRACTICE EXAM 3 TEST BANK
QUESTIONS AND ANSWERS
The nurse is assessing a patient who reports taking cholestyramine (Questran)
mixed with diet cola twice per day. What is an appropriate nursing diagnosis for this
patient.
a. Acute pain related to central nervous system and GI effects
b. Constipation related to GI effects
c. Noncompliance related to how the drug test is taken.
d. Deficient knowledge regarding drug therapy - Answer-D
A patient tells the nurse he has had an exacerbation of hemorrhoidal irritation. What
drug would the nurse suspect is most likely to contribute to this adverse effect?
a. Bile acid sequestrants
b. Beta-hydroxy-beta-methylglutary coenzyme A (HMG-CoA) reductase inhibitors
c. Cholesterol absorption inhibitors
d. Fibrates - Answer-A
The nurse is engaged in patient teaching about a newly prescribed bile acid
sequestrant that may be mixed with a carbonated beverage. What bile acid
sequestrant is the nurse describing?
a. Cholestyramine (Questran)
b. Colesevelam (Welchol)
c. Colestipol (Colestid)
d. Ezetimibe (Zetia) - Answer-C
The patient asks the nurse what atorvastatin (Lipitor) newly prescribed will do what
expected outcome will the nurse describe.
a. Decrease in serum cholesterol only
b. Decrease in serum cholesterol and low density lipoprotein (LDL) levels.
c. Decrease in sitosterol and serum cholesterol
d. Decrease in campesterol and LDL levels - Answer-B
,The nurse is taking a health history on a 38-year-old man who is taking atorvastatin
(Lipitor) for high cholesterol. What will the nurse question specifically related to the
safe use of this drug?
a. alcohol
b. nicotine
c. caffeine
d. herbal tea - Answer-A
A 9-year-old child has received an order for oral pravastatin (Pravachol) 40mg/d for
genetically linked hyperlipidemia. In preparation for patient teaching concerning this
drug what initial action will the nurse take?
a. ask the parents to be present for the teaching session
b. determine the appropriate time to discuss the drug with the patient
c. question the doctor concerning the ordered dosage
d. review the childs normal daily dietary intake of fatty foods. - Answer-C
The nurse is caring for a patient taking ezetimibe (Zetia) and monitors the patient for
what common adverse effects?
a. bloating and flank pain
b. neuropathy and flatulence
c. mild abdominal pain and diarrhea
d. constipation and flank pain - Answer-C
The nurse is preparing a patient for discharge who will receive a prescription for an
beta-hydroxy-bea-methlglutaryl coenzyme A (HMG-CoA) inhibitor. What statement
by the patient demonstrates that they have a clear understanding of the teaching
provided by the nurse.
a. I will not need to follow that low-fat diet anymore because this drug will take care
of my lipids
b. I should plan to take this drug before bedtime, because my body makes lipids
mostly at night.
c. after I start taking this drug I will not have to worry about the exercise routine the
doctor prescribed
,d. I should take this drug first thing in the morning and make sure I drink a full glass
of water - Answer-B
A patient taking atorvastatin (Lipitor) comes to the clinic with complaints of acute
muscle pain not associated with exercise or injury. the nurse will ask questions to
determine if this patient has been taking what contraindicated substance?
a. Over-the-counter (OTC) medications
b. Ginseng
c. Grapefruit juice
d. saw palmetto - Answer-C
What are the most common adverse effects of lovastatin (Mevacor)
a. Nausea, flatulence, and constipation
b. Increased appetite and blood pressure
c.confusion and mental disorientation
d. hiccups, sinus congestion, and dizziness - Answer-A
the nurse should instruct the patient to take what action if three nitroglycerin tablets
taken sublingually are not effective in eliminating chest pain?
a. to call 911
b. to call her health care provider
c. to lie down after taking an aspirin
d. to take more tablets until pain subsides - Answer-a
the nurse is caring for a patient who takes metoprolol for angina. the patient asks
how long it takes for the medicine to work. what is the nurses best response?
a. 15 minutes
b. 30 minutes
c. 1 hour
d. 90 minutes - Answer-a
the nurse teaches the patient wearing a nitroglycerin patch to avoid what?
a. exercise
b. alcoholic beverages
c. milk products
d. synthetic fabrics - Answer-b
the nurse is caring for a patient who is taking sustained-released (SR) oral nitrate.
how should the nurse instruct this patient to take the medication?
a. with water
b. sublingually until absorbed
c. with milk or milk products
, d. 1 hour after eating - Answer-a
an adult patient who experiences angina pectoris with exertion is informed by the
nurse that the leading cause of angina is what?
a. smoking
b. inadequate cardiac output
c. infarction of the myocardium
d. coronary atherosclerosis - Answer-d
the nurse is caring for a patient prescribed ranolazine. the patient ask why this drug
is different from the beta-blocker that he was previously taking. what is the nurses
best response?
a. this drug does not slow your heart rate
b. this drug increases myocardial oxygen demand
c. this drugs slows the QT intervals
d. this maintains blood pressure with no hypotensive effects - Answer-a
After the patient anginal pain is relieved he says to the nurse, that nitroglycerin works
great. How does it do that? What is the nurse response?
a. Nitroglycerin decreases the amount of oxygen needed by the heart to function.
b. Nitroglycerin makes the coronary arteries open much wider.
c. Nitroglycerin promotes growth of new, smaller arteries to supply oxygen to the
heart.
d. Nitroglycerin decreases preload and afterload. - Answer-A
An adult patient has had symptoms of unstable angina during admission tot he
hospital. What is the most appropriate nursing diagnosis?
a. Deficient knowledge about underlying disease and methods for avoiding
complications.
b.Anxiety related to fear of death.
c. Ineffective tissue perfusion (total body) related to reduce oxygen supply to the
heart
d. Noncompliance related to failure to accept necessary lifestyle changes. - Answer-
C
The nurse is preparing to administer sublingual nitroglycerin to a patient for the first
time and warns that the patient may experience what right after administration?
a. Nervousness or paresthesia
b. Throbbing headache or dizziness
c. Drowsiness or blurred vision
d. Tinnitus or diplopia - Answer-B
QUESTIONS AND ANSWERS
The nurse is assessing a patient who reports taking cholestyramine (Questran)
mixed with diet cola twice per day. What is an appropriate nursing diagnosis for this
patient.
a. Acute pain related to central nervous system and GI effects
b. Constipation related to GI effects
c. Noncompliance related to how the drug test is taken.
d. Deficient knowledge regarding drug therapy - Answer-D
A patient tells the nurse he has had an exacerbation of hemorrhoidal irritation. What
drug would the nurse suspect is most likely to contribute to this adverse effect?
a. Bile acid sequestrants
b. Beta-hydroxy-beta-methylglutary coenzyme A (HMG-CoA) reductase inhibitors
c. Cholesterol absorption inhibitors
d. Fibrates - Answer-A
The nurse is engaged in patient teaching about a newly prescribed bile acid
sequestrant that may be mixed with a carbonated beverage. What bile acid
sequestrant is the nurse describing?
a. Cholestyramine (Questran)
b. Colesevelam (Welchol)
c. Colestipol (Colestid)
d. Ezetimibe (Zetia) - Answer-C
The patient asks the nurse what atorvastatin (Lipitor) newly prescribed will do what
expected outcome will the nurse describe.
a. Decrease in serum cholesterol only
b. Decrease in serum cholesterol and low density lipoprotein (LDL) levels.
c. Decrease in sitosterol and serum cholesterol
d. Decrease in campesterol and LDL levels - Answer-B
,The nurse is taking a health history on a 38-year-old man who is taking atorvastatin
(Lipitor) for high cholesterol. What will the nurse question specifically related to the
safe use of this drug?
a. alcohol
b. nicotine
c. caffeine
d. herbal tea - Answer-A
A 9-year-old child has received an order for oral pravastatin (Pravachol) 40mg/d for
genetically linked hyperlipidemia. In preparation for patient teaching concerning this
drug what initial action will the nurse take?
a. ask the parents to be present for the teaching session
b. determine the appropriate time to discuss the drug with the patient
c. question the doctor concerning the ordered dosage
d. review the childs normal daily dietary intake of fatty foods. - Answer-C
The nurse is caring for a patient taking ezetimibe (Zetia) and monitors the patient for
what common adverse effects?
a. bloating and flank pain
b. neuropathy and flatulence
c. mild abdominal pain and diarrhea
d. constipation and flank pain - Answer-C
The nurse is preparing a patient for discharge who will receive a prescription for an
beta-hydroxy-bea-methlglutaryl coenzyme A (HMG-CoA) inhibitor. What statement
by the patient demonstrates that they have a clear understanding of the teaching
provided by the nurse.
a. I will not need to follow that low-fat diet anymore because this drug will take care
of my lipids
b. I should plan to take this drug before bedtime, because my body makes lipids
mostly at night.
c. after I start taking this drug I will not have to worry about the exercise routine the
doctor prescribed
,d. I should take this drug first thing in the morning and make sure I drink a full glass
of water - Answer-B
A patient taking atorvastatin (Lipitor) comes to the clinic with complaints of acute
muscle pain not associated with exercise or injury. the nurse will ask questions to
determine if this patient has been taking what contraindicated substance?
a. Over-the-counter (OTC) medications
b. Ginseng
c. Grapefruit juice
d. saw palmetto - Answer-C
What are the most common adverse effects of lovastatin (Mevacor)
a. Nausea, flatulence, and constipation
b. Increased appetite and blood pressure
c.confusion and mental disorientation
d. hiccups, sinus congestion, and dizziness - Answer-A
the nurse should instruct the patient to take what action if three nitroglycerin tablets
taken sublingually are not effective in eliminating chest pain?
a. to call 911
b. to call her health care provider
c. to lie down after taking an aspirin
d. to take more tablets until pain subsides - Answer-a
the nurse is caring for a patient who takes metoprolol for angina. the patient asks
how long it takes for the medicine to work. what is the nurses best response?
a. 15 minutes
b. 30 minutes
c. 1 hour
d. 90 minutes - Answer-a
the nurse teaches the patient wearing a nitroglycerin patch to avoid what?
a. exercise
b. alcoholic beverages
c. milk products
d. synthetic fabrics - Answer-b
the nurse is caring for a patient who is taking sustained-released (SR) oral nitrate.
how should the nurse instruct this patient to take the medication?
a. with water
b. sublingually until absorbed
c. with milk or milk products
, d. 1 hour after eating - Answer-a
an adult patient who experiences angina pectoris with exertion is informed by the
nurse that the leading cause of angina is what?
a. smoking
b. inadequate cardiac output
c. infarction of the myocardium
d. coronary atherosclerosis - Answer-d
the nurse is caring for a patient prescribed ranolazine. the patient ask why this drug
is different from the beta-blocker that he was previously taking. what is the nurses
best response?
a. this drug does not slow your heart rate
b. this drug increases myocardial oxygen demand
c. this drugs slows the QT intervals
d. this maintains blood pressure with no hypotensive effects - Answer-a
After the patient anginal pain is relieved he says to the nurse, that nitroglycerin works
great. How does it do that? What is the nurse response?
a. Nitroglycerin decreases the amount of oxygen needed by the heart to function.
b. Nitroglycerin makes the coronary arteries open much wider.
c. Nitroglycerin promotes growth of new, smaller arteries to supply oxygen to the
heart.
d. Nitroglycerin decreases preload and afterload. - Answer-A
An adult patient has had symptoms of unstable angina during admission tot he
hospital. What is the most appropriate nursing diagnosis?
a. Deficient knowledge about underlying disease and methods for avoiding
complications.
b.Anxiety related to fear of death.
c. Ineffective tissue perfusion (total body) related to reduce oxygen supply to the
heart
d. Noncompliance related to failure to accept necessary lifestyle changes. - Answer-
C
The nurse is preparing to administer sublingual nitroglycerin to a patient for the first
time and warns that the patient may experience what right after administration?
a. Nervousness or paresthesia
b. Throbbing headache or dizziness
c. Drowsiness or blurred vision
d. Tinnitus or diplopia - Answer-B
