Pharm HESI Practice Exam Latest \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
update(QUESTIONS AND \|/\\// \|/\\//
ANSWERS) 2026 \|/\\//
The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider
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recently changed the medication to enalapril to manage the client's blood pressure. Which
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
instruction should the nurse provide the client regarding the new medication? \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
A. Take the medication at bedtime.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
B. Report presence of increased bruising.
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C. Check pulse before taking medication.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
D. Rise slowly when getting out of bed or chair. - correct answer✔✔D. Rise slowly when
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
getting out of bed or chair. \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
A female client calls the clinic and talks with the nurse to inquire about a possible reaction
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after taking amoxicillin for 5 days. She reports having vaginal discomfort, itching, and a white
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
discharge. The nurse should discuss which action with the client? \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
A. Discontinue the antibiotic because original symptoms have subsided.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
B. Continue taking medication until finished until the symptoms subside.
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C. Consult with healthcare provider about another treatment for this effect.
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D. Use an over-the-counter (OTC) vaginal wash to flush out the secretions. - correct
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answer✔✔C. Consult with healthcare provider about another treatment for this effect. \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
The nurse is making early morning rounds on a group of clients when a client begins
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exhibiting symptoms of an acute asthma attack. The nurse administers a PRN prescription for\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
a Beta 2 receptor agonist agent. Which client response should the nurse expect?
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
,A. Tachycardia. \|/\\//
B. Increased blood pressure.
\|/\\// \|/\\// \|/\\//
C. Rapid resolution of wheezing.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
D. Improved pulse oximetry values.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
E. Reduce fever airway inflammation. - correct answer✔✔C, D
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
A client prescribed atenolol has a blood pressure of 120/68 mmHg, displaying a sinus
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
bradycardia with a rate of 58 beats/minute, and a P-R interval of 0.24. Which action should the \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
nurse take?
\|/\\// \|/\\//
A. Lower the head of the bed and assess the client for orthostatic vital sign changes.
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B. Give the medication as prescribed and continue to monitor the client.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
C. Prepare to administer atropine sulfate IV push.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
D. Hold the prescribed dose and contact the healthcare provider. - correct answer✔✔B. Give
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
the medication as prescribed and continue to monitor the client.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II receptor blocker
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
(ARB), for a client with hypertension and heart failure. The nurse reviews the client's
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
laboratory results and notes that the client's serum potassium level is 5.9 mEq/L. Which \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
action should the nurse take first? \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
A. Withhold the scheduled dose.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
B. Check the client's apical pulse.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
C. Notify the healthcare provider.
\|/\\// \|/\\// \|/\\// \|/\\//
D. Repeat the serum potassium level. - correct answer✔✔A. Withhold the scheduled dose.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
, Upon admission to the emergency center, an adult client with acute status asthmaticus is
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prescribed this series of medications. In which order should the nurse administer the \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
prescribed medications? (Arrange from first to last.) - correct answer✔✔1. Albuterol \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
(Proventil) puffs. \|/\\//
2. Salmeterol (Serevent Diskus).
\|/\\// \|/\\// \|/\\//
3. Prednisone (Deltasone) orally.
\|/\\// \|/\\// \|/\\//
4. Gentamicin (Garamycin) IM.
\|/\\// \|/\\// \|/\\//
An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent
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motion sickness while on a cruise. Which information should the nurse provide to the client?
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
A. Apply the patch at least 4 hours prior to departure.
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B. Change the patch every other day while on the cruise.
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C. Place the patch on a hairless area at the base of the skull.
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D. Drink no more than 2 alcoholic drinks during the cruise. - correct answer✔✔A. Apply the
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patch at least 4 hours prior to departure.\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information should
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
the nurse include in the client's instruction?
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
A. Notify the clinic of any changes in the color of urine.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
B. Avoid overexposure to the sun.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
C. Stop the medication after the diarrhea resolves.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
D. Take the medication with food. - correct answer✔✔D. Take the medication with food.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
A female client with rheumatoid arthritis takes ibuprofen (Motrin) 600 mg PO 4 times a day.
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To prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg PO is prescribed. Which
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
information is most important for the nurse to include in client teaching? \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
update(QUESTIONS AND \|/\\// \|/\\//
ANSWERS) 2026 \|/\\//
The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
recently changed the medication to enalapril to manage the client's blood pressure. Which
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
instruction should the nurse provide the client regarding the new medication? \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
A. Take the medication at bedtime.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
B. Report presence of increased bruising.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
C. Check pulse before taking medication.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
D. Rise slowly when getting out of bed or chair. - correct answer✔✔D. Rise slowly when
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
getting out of bed or chair. \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
A female client calls the clinic and talks with the nurse to inquire about a possible reaction
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
after taking amoxicillin for 5 days. She reports having vaginal discomfort, itching, and a white
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
discharge. The nurse should discuss which action with the client? \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
A. Discontinue the antibiotic because original symptoms have subsided.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
B. Continue taking medication until finished until the symptoms subside.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
C. Consult with healthcare provider about another treatment for this effect.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
D. Use an over-the-counter (OTC) vaginal wash to flush out the secretions. - correct
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
answer✔✔C. Consult with healthcare provider about another treatment for this effect. \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
The nurse is making early morning rounds on a group of clients when a client begins
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
exhibiting symptoms of an acute asthma attack. The nurse administers a PRN prescription for\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
a Beta 2 receptor agonist agent. Which client response should the nurse expect?
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
,A. Tachycardia. \|/\\//
B. Increased blood pressure.
\|/\\// \|/\\// \|/\\//
C. Rapid resolution of wheezing.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
D. Improved pulse oximetry values.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
E. Reduce fever airway inflammation. - correct answer✔✔C, D
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
A client prescribed atenolol has a blood pressure of 120/68 mmHg, displaying a sinus
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
bradycardia with a rate of 58 beats/minute, and a P-R interval of 0.24. Which action should the \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
nurse take?
\|/\\// \|/\\//
A. Lower the head of the bed and assess the client for orthostatic vital sign changes.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
B. Give the medication as prescribed and continue to monitor the client.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
C. Prepare to administer atropine sulfate IV push.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
D. Hold the prescribed dose and contact the healthcare provider. - correct answer✔✔B. Give
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
the medication as prescribed and continue to monitor the client.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II receptor blocker
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
(ARB), for a client with hypertension and heart failure. The nurse reviews the client's
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
laboratory results and notes that the client's serum potassium level is 5.9 mEq/L. Which \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
action should the nurse take first? \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
A. Withhold the scheduled dose.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
B. Check the client's apical pulse.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
C. Notify the healthcare provider.
\|/\\// \|/\\// \|/\\// \|/\\//
D. Repeat the serum potassium level. - correct answer✔✔A. Withhold the scheduled dose.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
, Upon admission to the emergency center, an adult client with acute status asthmaticus is
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
prescribed this series of medications. In which order should the nurse administer the \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
prescribed medications? (Arrange from first to last.) - correct answer✔✔1. Albuterol \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
(Proventil) puffs. \|/\\//
2. Salmeterol (Serevent Diskus).
\|/\\// \|/\\// \|/\\//
3. Prednisone (Deltasone) orally.
\|/\\// \|/\\// \|/\\//
4. Gentamicin (Garamycin) IM.
\|/\\// \|/\\// \|/\\//
An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
motion sickness while on a cruise. Which information should the nurse provide to the client?
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
A. Apply the patch at least 4 hours prior to departure.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
B. Change the patch every other day while on the cruise.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
C. Place the patch on a hairless area at the base of the skull.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
D. Drink no more than 2 alcoholic drinks during the cruise. - correct answer✔✔A. Apply the
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
patch at least 4 hours prior to departure.\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information should
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
the nurse include in the client's instruction?
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
A. Notify the clinic of any changes in the color of urine.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
B. Avoid overexposure to the sun.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
C. Stop the medication after the diarrhea resolves.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
D. Take the medication with food. - correct answer✔✔D. Take the medication with food.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
A female client with rheumatoid arthritis takes ibuprofen (Motrin) 600 mg PO 4 times a day.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
To prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg PO is prescribed. Which
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
information is most important for the nurse to include in client teaching? \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
