Nursing 552: Exam 3 Practice Questions
well answered to pass 2025/2026
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." - correct answer
✔✔Answer: B. Rhabdomyolysis 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
C) Azithromycin
D) Tylenol - correct 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 - correct 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?
A) Statins
B) Fibric Acids
C) Niacin (Nicotinic Acid)
D) Bile acid-binding Resins
E) Ezetimibe - correct 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?
A. Niacin
B. Bile acid-binding resins
C. Ezetimibe
D. Statins
E. Fibric Acid - correct answer ✔✔Answer: A.
If a bile acid-binding resin is added, 40-60% reduction in LDL. In triple therapy with
bile acid-binding resin plus a statin, it decreases LDL by 70% or more.
Question from: https://www.proprofs.com/quiz-school/quizshow.php?
title=pharm-exam-3-antihyperlipidemics&q=19
How can you avoid some of the adverse effects seen with Niacin (dyspepsia, skin
flushing, itching)?
A) By taking an NSAID like Aspirin concurrently.
B) By taking the medication at night.
C) By taking the medication with food.
D) By taking the medication on an empty stomach.
E) The Adverse affects cannot be avoided. - correct answer ✔✔Answer: A.
well answered to pass 2025/2026
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." - correct answer
✔✔Answer: B. Rhabdomyolysis 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
C) Azithromycin
D) Tylenol - correct 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 - correct 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?
A) Statins
B) Fibric Acids
C) Niacin (Nicotinic Acid)
D) Bile acid-binding Resins
E) Ezetimibe - correct 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?
A. Niacin
B. Bile acid-binding resins
C. Ezetimibe
D. Statins
E. Fibric Acid - correct answer ✔✔Answer: A.
If a bile acid-binding resin is added, 40-60% reduction in LDL. In triple therapy with
bile acid-binding resin plus a statin, it decreases LDL by 70% or more.
Question from: https://www.proprofs.com/quiz-school/quizshow.php?
title=pharm-exam-3-antihyperlipidemics&q=19
How can you avoid some of the adverse effects seen with Niacin (dyspepsia, skin
flushing, itching)?
A) By taking an NSAID like Aspirin concurrently.
B) By taking the medication at night.
C) By taking the medication with food.
D) By taking the medication on an empty stomach.
E) The Adverse affects cannot be avoided. - correct answer ✔✔Answer: A.
