HESI RN Pharmacology Exit Exam 2026 | Drug
Classifications, Dosage Calc, Nursing
Implications - Complete Study Guide
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[check] Cardiovascular & Renal Pharmacology [check] Endocrine & Metabolic Pharmacology
[check] Respiratory & Anti-Infective Pharmacology [check] Neurological & Psychiatric Pharmacology
[check] Gastrointestinal & Nutritional Pharmacology [check] Pain Management, Emergency & Maternal-Child P
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HESI RN Pharmacology Exit Exam 2026 | Drug Classifications, Dosage Calc, Nursing Implications - 2026/2027 | Passing Score: pass/fail |
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HESI RN Pharmacology Exit Exam 2026 | Drug
Classifications, Dosage Calc, Nursing Implications
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Cardiovascular & Renal Pharmacology Respiratory & Anti-Infective Pharmacology
Gastrointestinal & Nutritional Pharmacology Endocrine & Metabolic Pharmacology
Neurological & Psychiatric Pharmacology Pain Management, Emergency & Maternal-Child Pharmacology
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HESI RN Pharmacology Exit Exam 2026 | Drug Classifications, Dosage Calc, Nursing Implications - 2026/2027 | Passing Score: pass/fail |
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HESI RN Pharmacology Exit Exam 2026 | Drug Classifications, Dosage Calc, Nursing Implications - 2026/2027 | Passing Score: pass/fail |
, SECTION 1 | Cardiovascular & Renal Pharmacology | Q1-Q15 | HESI RN Pharmacology Exit Exam 2026 | Drug Clas
Q1 Question 1 of 85
Q1. A 68-year-old patient with heart failure is prescribed lisinopril 10 mg daily. The
nurse reviews the morning laboratory results and notes the potassium level is 5.8
mEq/L. What is the nurse's priority action before administering the medication?
A. Hold the lisinopril and notify the provider immediately.
B. Administer the lisinopril with a full glass of water.
C. Give the dose and recheck the potassium level in 2 hours.
D. Administer sodium polystyrene sulfonate before the lisinopril.
Correct Answer: A
Rationale:
ACE inhibitors such as lisinopril can cause hyperkalemia by inhibiting aldosterone secretion. A potassium
level of 5.8 mEq/L is above normal and warrants holding the medication and notifying the provider.
Administering the dose could worsen hyperkalemia and precipitate life-threatening cardiac dysrhythmias.
Q2 Question 2 of 85
Q2. A 55-year-old patient with hypertension is started on metoprolol succinate 50 mg
daily. During the first follow-up visit, the patient reports feeling dizzy when standing
up quickly. The nurse checks the blood pressure and finds it is 98/62 mmHg. What is
the nurse's best response?
A. Instruct the patient to rise slowly from sitting or lying positions.
B. Tell the patient to stop the medication and call the provider tomorrow.
C. Advise the patient to double the fluid intake and skip the next dose.
D. Recommend the patient take the medication at bedtime instead of morning.
Correct Answer: B
Rationale:
Beta-blockers such as metoprolol can cause orthostatic hypotension, especially during initial therapy.
Teaching the patient to rise slowly helps prevent falls and allows the cardiovascular system time to adjust.
The blood pressure of 98/62 mmHg is low but not an emergency if the patient is asymptomatic at rest.
HESI RN Pharmacology Exit Exam 2026 | Drug Classifications, Dosage Calc, Nursing Implications - 2026/2027 | Passing Score: pass/fail |