HESI CRITICAL CARE EXAM LATEST UPDATE 2026
QUESTIONS AND CORRECT ANSWER
ANSWERS WITH RATIONALES 2026-2027 EXAM
LATEST UPDATE 2026\2027 QUESTIONS WITH
CORRECT ANSWER ANSWER S GRADED A+
1. A client with asthma receives a prescription for high blood
pressure during a clinic visit.
Which prescription should the nurse anticipate the client to
receive that is least likely to exacerbate asthma?
A. Carteolol (Ocupress).
B. Propranolol hydrochloride (Inderal).
C. Pindolol (Visken).
D. Metoprolol tartrate (Lopressor). CORRECT ANSWER
,The best antihypertensive agent for clients with asthma is
metoprolol (Lopressor) (C), a beta2
blocking agent which is also cardioselective and less likely to
cause bronchoconstriction.
Pindolol (A) is a beta2 blocker that can cause
bronchoconstriction and increase asthmatic
symptoms. Although carteolol (B) is a beta blocking agent and
an effective antihypertensive
agent used in managing angina, it can increase a client's risk for
bronchoconstriction due to its
nonselective beta blocker action. Propranolol (D) also blocks the
beta2 receptors in the lungs,
causing bronchoconstriction, and is not indicated in clients with
asthma and other obstructive
,pulmonary disorders.
2. A male client who has been taking propranolol (Inderal) for 18
months tells the nurse that the healthcare provider discontinued
the medication because his blood pressure has been normal for
, the past three months. Which instruction should the nurse
provide?
A. Obtain another antihypertensive prescription to avoid
withdrawal symptoms.
B. Stop the medication and keep an accurate record of blood
pressure.
C. Report any uncomfortable symptoms after stopping the
medication.
D. Ask the healthcare provider about tapering the drug dose
over the next week. CORRECT ANSWER
Although the healthcare provider discontinued the propranolol,
measures to prevent rebound
cardiac excitation, such as progressively reducing the dose over
one to two weeks (C), should be