HESI
Med-Surg II– Set 1 | Questions & Answers with Detailed
Rationales | Nursing Study Guide 2026
RESOURCE FEATURES
• Med-Surg II HESI Set 1 practice questions
• Answers for self-assessment
• Detailed rationales and explanations
• Clinical scenario-based questions
• Priority and delegation practice
• Adult health review
• NCLEX-style clinical judgment
• Comprehensive 2026 exam preparation
, Med-Surg II HESI – Set 1 | Questions &
Answers with Detailed Rationales | Nursing
Study Guide 2026
Question 1
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
Answer: 2. Tachycardia
Rationale: 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.
Cognitive Level: Analyze | Category: Physiological Adaptation
Question 2
,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
3. Oligomenorrhea
4. Menorrhagia
Answer: 3. Oligomenorrhea
Rationale: 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.
Cognitive Level: Analyze | Category: Physiological Adaptation
Question 3
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
Answer: 2, 3, 5, 6
Rationale: 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.
Cognitive Level: Analyze | Category: Physiological Adaptation
Question 4
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
Answer: 1. Sore throat
Med-Surg II– Set 1 | Questions & Answers with Detailed
Rationales | Nursing Study Guide 2026
RESOURCE FEATURES
• Med-Surg II HESI Set 1 practice questions
• Answers for self-assessment
• Detailed rationales and explanations
• Clinical scenario-based questions
• Priority and delegation practice
• Adult health review
• NCLEX-style clinical judgment
• Comprehensive 2026 exam preparation
, Med-Surg II HESI – Set 1 | Questions &
Answers with Detailed Rationales | Nursing
Study Guide 2026
Question 1
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
Answer: 2. Tachycardia
Rationale: 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.
Cognitive Level: Analyze | Category: Physiological Adaptation
Question 2
,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
3. Oligomenorrhea
4. Menorrhagia
Answer: 3. Oligomenorrhea
Rationale: 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.
Cognitive Level: Analyze | Category: Physiological Adaptation
Question 3
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
Answer: 2, 3, 5, 6
Rationale: 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.
Cognitive Level: Analyze | Category: Physiological Adaptation
Question 4
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
Answer: 1. Sore throat
