Lehne’s Pharmacotherapeutics for Advanced Practice
Nurses and Physician Assistants (2nd Edition Rosenthal Test
Bank) Questions With Complete Solutions
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
399. While giving discharge instructions to a patient who will be
taking cholestyramine [Questran], the nurse wants to assess the
patient's understanding of the treatment. Which statement made
by the patient best demonstrates a need for additional teaching?
c. "I will weigh myself weekly."
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
400. A postmenopausal woman will begin taking atorvastatin
[Lipitor] to treat hypercholesterolemia. The woman reports a
history of osteopenia with a family risk of osteoporosis. What
will the nurse include when teaching this patient?
a. The need to discuss taking a bisphosphonate medication with
her provider
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
401. A nurse is instructing a patient receiving a cholesterol-
lowering agent. Which information should the nurse include in
the patient education?
d. "You should continue your exercise program to increase your
HDL serum levels."
,Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
402. A patient has begun taking an HMG-COA reductase
inhibitor. Which statement about this class of drugs made by the
nurse during patient education would be inappropriate?
b. "You should come into the clinic for liver enzymes in 1
month."
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
403. Which plasma lipoprotein level is most concerning when
considering the risk of coronary atherosclerosis?
c. Elevated low-density lipoprotein
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
404. A patient taking gemfibrozil [Lopid] and rosuvastatin
[Crestor] concurrently begins to complain of muscle aches,
fatigue, and weakness. What should the nurse monitor?
d. The patient's creatine kinase levels
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
405. A nurse is reviewing the medications of a patient with
diabetes before discharge. The nurse realizes that the patient will
be going home on colesevelam, a bile acid sequestrant, and
insulin. What patient education should the nurse provide in the
discharge teaching for this patient?
,a. The patient needs to monitor the blood sugar carefully,
because colesevelam can cause hypoglycemia
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
406. A patient is being started on nicotinic acid [Niaspan] to
reduce triglyceride levels. The nurse is providing patient
education and should include teaching about which adverse
effects?
a. Facial flushing
d. Gastric upset
e. Itching
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
407. A patient who is taking simvastatin [Zocor] develops an
infection and the provider orders azithromycin [Zithromax] to
treat the infection. The nurse should be concerned if the patient
complains of:
c. muscle pain.
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
408. A patient will begin taking atorvastatin [Lipitor] to treat
elevated LDL levels. The patient asks the nurse what to do to
minimize the risk of myositis associated with taking this drug.
What will the nurse counsel this patient?
b. "Take vitamin D and coenzyme Q supplements."
, Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
409. An Asian patient will begin taking rosuvastatin [Crestor] to
treat hypercholesterolemia. What will the nurse include when
teaching this patient about this medication?
c. Serum drug levels must be monitored more frequently than
with other patients.
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
410. A nurse is providing patient education about colesevelam
[Welchol], a bile acid sequestrant. Which statement made by the
patient demonstrates a need for further teaching?
d. "I will need to take supplements of fat-soluble vitamins."
Ch 45 Drugs for Angina Pectoris 411. A patient who takes
nitroglycerin to treat stable angina reports having erectile
dysfunction and states that he plans to ask his primary provider
for a prescription for tadalafil [Cialis]. What will the nurse tell
this patient?
c. "You should discuss another antianginal medication with your
provider."
Ch 45 Drugs for Angina Pectoris 412. A patient with angina
who uses sublingual nitroglycerin tells the nurse that the
episodes are increasing in frequency and usually occur when the
patient walks the dog. The patient reports needing almost daily
doses of nitroglycerin and states that one tablet usually provides
complete relief. What will the nurse do?
Nurses and Physician Assistants (2nd Edition Rosenthal Test
Bank) Questions With Complete Solutions
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
399. While giving discharge instructions to a patient who will be
taking cholestyramine [Questran], the nurse wants to assess the
patient's understanding of the treatment. Which statement made
by the patient best demonstrates a need for additional teaching?
c. "I will weigh myself weekly."
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
400. A postmenopausal woman will begin taking atorvastatin
[Lipitor] to treat hypercholesterolemia. The woman reports a
history of osteopenia with a family risk of osteoporosis. What
will the nurse include when teaching this patient?
a. The need to discuss taking a bisphosphonate medication with
her provider
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
401. A nurse is instructing a patient receiving a cholesterol-
lowering agent. Which information should the nurse include in
the patient education?
d. "You should continue your exercise program to increase your
HDL serum levels."
,Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
402. A patient has begun taking an HMG-COA reductase
inhibitor. Which statement about this class of drugs made by the
nurse during patient education would be inappropriate?
b. "You should come into the clinic for liver enzymes in 1
month."
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
403. Which plasma lipoprotein level is most concerning when
considering the risk of coronary atherosclerosis?
c. Elevated low-density lipoprotein
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
404. A patient taking gemfibrozil [Lopid] and rosuvastatin
[Crestor] concurrently begins to complain of muscle aches,
fatigue, and weakness. What should the nurse monitor?
d. The patient's creatine kinase levels
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
405. A nurse is reviewing the medications of a patient with
diabetes before discharge. The nurse realizes that the patient will
be going home on colesevelam, a bile acid sequestrant, and
insulin. What patient education should the nurse provide in the
discharge teaching for this patient?
,a. The patient needs to monitor the blood sugar carefully,
because colesevelam can cause hypoglycemia
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
406. A patient is being started on nicotinic acid [Niaspan] to
reduce triglyceride levels. The nurse is providing patient
education and should include teaching about which adverse
effects?
a. Facial flushing
d. Gastric upset
e. Itching
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
407. A patient who is taking simvastatin [Zocor] develops an
infection and the provider orders azithromycin [Zithromax] to
treat the infection. The nurse should be concerned if the patient
complains of:
c. muscle pain.
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
408. A patient will begin taking atorvastatin [Lipitor] to treat
elevated LDL levels. The patient asks the nurse what to do to
minimize the risk of myositis associated with taking this drug.
What will the nurse counsel this patient?
b. "Take vitamin D and coenzyme Q supplements."
, Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
409. An Asian patient will begin taking rosuvastatin [Crestor] to
treat hypercholesterolemia. What will the nurse include when
teaching this patient about this medication?
c. Serum drug levels must be monitored more frequently than
with other patients.
Ch 44 Prophylaxis of Atherosclerotic Cardiovascular Disease:
Drugs That Help Normalize Cholesterol and Triglyceride Levels
410. A nurse is providing patient education about colesevelam
[Welchol], a bile acid sequestrant. Which statement made by the
patient demonstrates a need for further teaching?
d. "I will need to take supplements of fat-soluble vitamins."
Ch 45 Drugs for Angina Pectoris 411. A patient who takes
nitroglycerin to treat stable angina reports having erectile
dysfunction and states that he plans to ask his primary provider
for a prescription for tadalafil [Cialis]. What will the nurse tell
this patient?
c. "You should discuss another antianginal medication with your
provider."
Ch 45 Drugs for Angina Pectoris 412. A patient with angina
who uses sublingual nitroglycerin tells the nurse that the
episodes are increasing in frequency and usually occur when the
patient walks the dog. The patient reports needing almost daily
doses of nitroglycerin and states that one tablet usually provides
complete relief. What will the nurse do?
