No, you cannot do it for extensions like $\Bbb Q(\cos(2\pi/9))\Bbb Q$. All finite extensions in characteristic zero are monogenic. This extension is totally real, and of degree three. A monogenic (pure) cubic extension of $\Bbb Q$ has the form $\Bbb Q(\sqrt[3]a)$ and is not totally real. The element $\sqrt[3]a$ has a conjugate $\exp(2\pi i/3)\sqrt[3]a$ which is not real.