Med-Surg II HESI – Set 1 | Questions & Answers with Detailed Rationales | Nursing Study Guide 2026

HESI
Med-Surg II– Set 1 | Questions & Answers with Detailed
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Rationales | Nursing Study Guide 2026
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RESOURCE FEATURES x




• Med-Surg II HESI Set 1 practice questions
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• Answers for self-assessment
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• Detailed rationales and explanations
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• Clinical scenario-based questions
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• Priority and delegation practice
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• Adult health review
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• NCLEX-style clinical judgment x x x




• Comprehensive 2026 exam preparation x x x

, Med-Surg II HESI – Set 1 | Questions & Answers x x x x x x x x x




with Detailed Rationales | Nursing Study Guide
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2026
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Question 1 x




The nurse is completing a health assessment of a 42-year-old female
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x with suspected Graves' Disease. The nurse should assess this client for:
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1. Anorexia
2. Tachycardia
3. Weight gain x




4. Cold skin x




Answer: 2. Tachycardia x x




Rationale: Graves' disease, the most common type of thyrotoxicosis, is a
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state of hypermetabolism. The increased metabolic rate generates heat and
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produces tachycardia and fine muscle tremors. Anorexia is associated with
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hypothyroidism. Loss of weight, despite a good appetite and adequate
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caloric intake, is a common feature of hyperthyroidism. Cold skin is
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associated with hypothyroidism.
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Cognitive Level: Analyze | Category: Physiological Adaptation
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Question 2 x

,When conducting a health history with a female client with
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x thyrotoxicosis, the nurse should ask about which of the following x x x x x x x x x




x changes in the menstrual cycle?
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1. Dysmenorrhea
2. Metrorrhagia
3. Oligomenorrhea
4. Menorrhagia

Answer: 3. Oligomenorrhea x x




Rationale: A change in the menstrual interval, diminished menstrual flow
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(oligomenorrhea), or even the absence of menstruation (amenorrhea) may
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result from the hormonal imbalances of thyrotoxicosis. Oligomenorrhea in
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women and decreased libido and impotence in men are common features of
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thyrotoxicosis. Dysmenorrhea is painful menstruation. Metrorrhagia, blood
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loss between menstrual periods, is a symptom of hypothyroidism.
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Menorrhagia, excessive bleeding during menstrual periods, is a symptom of
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hypothyroidism.
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Cognitive Level: Analyze | Category: Physiological Adaptation
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Question 3 x




A 34-year-old female is diagnosed with hypothyroidism. The nurse
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x should assess the client for which of the following? (Select all that
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x apply.)

1. Rapid pulse x

, 2. Decreased energy and fatigue x x x




3. Weight gain of 10 lbs (4.5 kg)
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4. Fine, thin hair with hair loss
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5. Constipation
6. Menorrhagia

Answer: 2, 3, 5, 6
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Rationale: Clients with hypothyroidism exhibit symptoms indicating a lack
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of thyroid hormone. Bradycardia, decreased energy and lethargy, memory
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problems, weight gain, coarse hair, constipation, and menorrhagia are
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common signs and symptoms of hypothyroidism.
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Cognitive Level: Analyze | Category: Physiological Adaptation
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Question 4 x




Propylthiouracil (PTU) is prescribed for a client with Graves' disease.
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x The nurse should teach the client to immediately report which of the
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x following?

1. Sore throat x




2. Painful, excessive menstruation
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3. Constipation
4. Increased urine output x x




Answer: 1. Sore throat
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