HESI Pharmacology Exit Exam Actual Exam with Already Passed Questions and Answers 2025/2026 Contents Actual Exam with Already Passed Questions and Answers1
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Actual Exam with Already Passed Questions and An- swers
- A client with hypertension is prescribed lisinopril. Which statement by the client in-
dicates understanding of this medication’s mechanism of action?A.“It blocks calcium channels to relax blood vessels.” B.“It inhibits angiotensin-converting enzyme to lower blood pressure.” C.“It stimulates beta receptors to increase heart rate.” D.“It promotes sodium retention to increase blood volume.”
Answer:B
Rationale:Lisinopril, an ACE inhibitor, inhibits angiotensin-converting enzyme, re- ducing angiotensin II formation, which lowers blood pressure by vasodilation and de- creased aldosterone. A describes calcium channel blockers, C refers to beta agonists, and D is the opposite effect.
- A nurse is administering metoprolol to a client with angina. What is the primary
therapeutic effect of this medication?A.Dilates coronary arteries B.Reduces myocardial oxygen demand C.Increases cardiac contractility D.Prevents thrombus formation
Answer:B
Rationale:Metoprolol, a beta blocker, reduces heart rate and contractility, decreasing myocardial oxygen demand. A is incorrect as it does not directly dilate arteries, C increases oxygen demand, and D is an antiplatelet effect.
- A client receiving morphine sulfate reports nausea. Which nursing intervention is most
appropriate?A.Administer the dose with a high-fat meal.B.Offer an antiemetic as prescribed.C.Increase the infusion rate.D.Discontinue the medication immediately.
Answer:B
Rationale:Nausea is a common side effect of morphine, an opioid. Offering a pre- scribed antiemetic addresses the symptom. A is ineffective, C worsens nausea, and D is unnecessary without severe symptoms.
- A client is prescribed warfarin. Which laboratory value should the nurse monitor
closely?A.Platelet count B.International Normalized Ratio (INR) C.Activated partial thromboplastin time (aPTT) D.Hemoglobin level
Answer:B
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