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Med-Surg II HESI Exam 1 | 2026 Actual Exam
Review Qns & Ans Plus Rationales | 100%
Guaranteed Pass!!!
The nurse is completing a health assessment of a 42-year-old female with suspected Graves'
Disease. The nurse should assess this client for:
1. anorexia
2. tachycardia
3. weight gain
4. cold skin - CORRECT ✔✔ -2. tachycardia
Graves' disease, the most common type of thyrotoxicosis, is a state of hypermetabolism. The
increased metabolic rate generates heat and produces tachycardia and fine muscle tremors.
Anorexia is associated with hypothyroidism. Loss of weight, despite a good appetite and
adequate caloric intake, is a common feature of hyperthyroidism. Cold skin is associated with
hypothyroidism.
CN: Physiological adaptation; CL: Analyze
When conducting a health history with a female client with thyrotoxicosis, the nurse should ask
about which of the following changes in the menstrual cycle?
1. dysmenorrhea
2. metrorrhagia
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3. oligomenorrhea
4. menorrhagia - CORRECT ✔✔ -3. oligomenorrhea
A change in the menstrual interval, diminished menstrual flow (oligomenorrhea), or even the
absence of menstruation (amenorrhea) may result from the hormonal imbalances of
thyrotoxicosis. Oligomenorrhea in women and decreased libido and impotence in men are
common features of thyrotoxicosis. Dysmenorrhea is painful menstruation. Metrorrhagia, blood
loss between menstrual periods, is a symptom of hypothyroidism. Menorrhagia, excessive
bleeding during menstrual periods, is a symptom of hypothyroidism.
CN: Physiological adaptation; CL: Analyze
A 34-year-old female is diagnosed with hypothyroidism. The nurse should assess the client for
which of the following? (Select all that apply.)
1. rapid pulse
2. decreased energy and fatigue
3. weight gain of 10 lbs (4.5 kg)
4. fine, thin hair with hair loss
5. constipation
6. menorrhagia. - CORRECT ✔✔ -2. decreased energy and fatigue, 3. weight gain of 10 lbs
(4.5 kg), 5. constipation, 6. menorrhagia
Clients with hypothyroidism exhibit symptoms indicating a lack of thyroid hormone.
Bradycardia, decreased energy and lethargy, memory problems, weight gain, coarse hair,
constipation, and menorrhagia are common signs and symptoms of hypothyroidism.
SUCCESS!!!
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CN: Physiological adaptation; CL: Analyze
Propylthiouracil (PTU) is prescribed for a client with Graves' disease. The nurse should teach the
client to immediately report which of the following?
1. sore throat
2. painful, excessive menstruation
3. constipation
4. increased urine output - CORRECT ✔✔ -1. sore throat
The most serious adverse effects of PTU are leukopenia and agranulocytosis, which usually
occur within the first 3 months of treatment. The client should be taught to promptly report to the
health care provider signs and symptoms of infection, such as a sore throat and fever. Clients
having a sore throat and fever should have an immediate white blood cell count and differential
performed, and the drug must be withheld until the results are obtained. Painful menstruation,
constipation, and increased urine output are not associated with PTU therapy.
CN: Pharmacological and parenteral therapies; CL: Synthesize
A client with thyrotoxicosis says to the nurse, "I am so irritable. I am having
problems at work because I lose my temper very easily." Which of the following responses by
the nurse would give the client the most accurate explanation of her behavior?
1. "Your behavior is caused by temporary confusion brought on by your illness."
2. "Your behavior is caused by the excess thyroid hormone in your system."
SUCCESS!!!
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3. "Your behavior is caused by your worrying about the seriousness of your illness."
4. "Your behavior is caused by the stress of trying to manage a career and cope with illness." -
CORRECT ✔✔ -2. "Your behavior is caused by the excess thyroid hormone in your system."
A typical sign of thyrotoxicosis is irritability caused by the high levels of circulating thyroid
hormones in the body. This symptom decreases as the client responds to therapy. Thyrotoxicosis
does not cause confusion. The client may be worried about her illness, and stress may influence
her mood; however, irritability is a common symptom of thyrotoxicosis and the client should be
informed of that fact rather than blamed.
CN: Psychosocial integrity; CL: Synthesize
The nurse is evaluating a client with hyperthyroidism who is taking
Propylthiouracil (PTU) 100 mg/day in three divided doses for maintenance therapy. Which of the
following statements from the client indicates the desired outcome of the
drug?
1. "I have excess energy throughout the day."
2. "I am able to sleep and rest at night."
3. "I have lost weight since taking this medication."
4. "I do perspire throughout the entire day." - CORRECT ✔✔ -2. "I am able to sleep and rest
at night."
PTU is a prototype of thioamide antithyroid drugs. It inhibits production of thyroid hormones
and peripheral conversion of T4 to the more active T3. A client taking this antithyroid drug
should be able to sleep and rest well at night since the level of thyroid hormones is reduced in the
SUCCESS!!!
4
Med-Surg II HESI Exam 1 | 2026 Actual Exam
Review Qns & Ans Plus Rationales | 100%
Guaranteed Pass!!!
The nurse is completing a health assessment of a 42-year-old female with suspected Graves'
Disease. The nurse should assess this client for:
1. anorexia
2. tachycardia
3. weight gain
4. cold skin - CORRECT ✔✔ -2. tachycardia
Graves' disease, the most common type of thyrotoxicosis, is a state of hypermetabolism. The
increased metabolic rate generates heat and produces tachycardia and fine muscle tremors.
Anorexia is associated with hypothyroidism. Loss of weight, despite a good appetite and
adequate caloric intake, is a common feature of hyperthyroidism. Cold skin is associated with
hypothyroidism.
CN: Physiological adaptation; CL: Analyze
When conducting a health history with a female client with thyrotoxicosis, the nurse should ask
about which of the following changes in the menstrual cycle?
1. dysmenorrhea
2. metrorrhagia
SUCCESS!!!
1
, Page |2
3. oligomenorrhea
4. menorrhagia - CORRECT ✔✔ -3. oligomenorrhea
A change in the menstrual interval, diminished menstrual flow (oligomenorrhea), or even the
absence of menstruation (amenorrhea) may result from the hormonal imbalances of
thyrotoxicosis. Oligomenorrhea in women and decreased libido and impotence in men are
common features of thyrotoxicosis. Dysmenorrhea is painful menstruation. Metrorrhagia, blood
loss between menstrual periods, is a symptom of hypothyroidism. Menorrhagia, excessive
bleeding during menstrual periods, is a symptom of hypothyroidism.
CN: Physiological adaptation; CL: Analyze
A 34-year-old female is diagnosed with hypothyroidism. The nurse should assess the client for
which of the following? (Select all that apply.)
1. rapid pulse
2. decreased energy and fatigue
3. weight gain of 10 lbs (4.5 kg)
4. fine, thin hair with hair loss
5. constipation
6. menorrhagia. - CORRECT ✔✔ -2. decreased energy and fatigue, 3. weight gain of 10 lbs
(4.5 kg), 5. constipation, 6. menorrhagia
Clients with hypothyroidism exhibit symptoms indicating a lack of thyroid hormone.
Bradycardia, decreased energy and lethargy, memory problems, weight gain, coarse hair,
constipation, and menorrhagia are common signs and symptoms of hypothyroidism.
SUCCESS!!!
2
, Page |3
CN: Physiological adaptation; CL: Analyze
Propylthiouracil (PTU) is prescribed for a client with Graves' disease. The nurse should teach the
client to immediately report which of the following?
1. sore throat
2. painful, excessive menstruation
3. constipation
4. increased urine output - CORRECT ✔✔ -1. sore throat
The most serious adverse effects of PTU are leukopenia and agranulocytosis, which usually
occur within the first 3 months of treatment. The client should be taught to promptly report to the
health care provider signs and symptoms of infection, such as a sore throat and fever. Clients
having a sore throat and fever should have an immediate white blood cell count and differential
performed, and the drug must be withheld until the results are obtained. Painful menstruation,
constipation, and increased urine output are not associated with PTU therapy.
CN: Pharmacological and parenteral therapies; CL: Synthesize
A client with thyrotoxicosis says to the nurse, "I am so irritable. I am having
problems at work because I lose my temper very easily." Which of the following responses by
the nurse would give the client the most accurate explanation of her behavior?
1. "Your behavior is caused by temporary confusion brought on by your illness."
2. "Your behavior is caused by the excess thyroid hormone in your system."
SUCCESS!!!
3
, Page |4
3. "Your behavior is caused by your worrying about the seriousness of your illness."
4. "Your behavior is caused by the stress of trying to manage a career and cope with illness." -
CORRECT ✔✔ -2. "Your behavior is caused by the excess thyroid hormone in your system."
A typical sign of thyrotoxicosis is irritability caused by the high levels of circulating thyroid
hormones in the body. This symptom decreases as the client responds to therapy. Thyrotoxicosis
does not cause confusion. The client may be worried about her illness, and stress may influence
her mood; however, irritability is a common symptom of thyrotoxicosis and the client should be
informed of that fact rather than blamed.
CN: Psychosocial integrity; CL: Synthesize
The nurse is evaluating a client with hyperthyroidism who is taking
Propylthiouracil (PTU) 100 mg/day in three divided doses for maintenance therapy. Which of the
following statements from the client indicates the desired outcome of the
drug?
1. "I have excess energy throughout the day."
2. "I am able to sleep and rest at night."
3. "I have lost weight since taking this medication."
4. "I do perspire throughout the entire day." - CORRECT ✔✔ -2. "I am able to sleep and rest
at night."
PTU is a prototype of thioamide antithyroid drugs. It inhibits production of thyroid hormones
and peripheral conversion of T4 to the more active T3. A client taking this antithyroid drug
should be able to sleep and rest well at night since the level of thyroid hormones is reduced in the
SUCCESS!!!
4
