HESI RN Medical-Surgical Nursing
Exam Comprehensive Review
2026/2027 – Questions and
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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 - answer2. 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
3. oligomenorrhea
4. menorrhagia - answer3. 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. - answer2. 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.
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 - answer1. 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?
Exam Comprehensive Review
2026/2027 – Questions and
Answers | 100% Verified |– Pass
Guaranteed – A+ Graded| Instant
Download
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 - answer2. 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
3. oligomenorrhea
4. menorrhagia - answer3. 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. - answer2. 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.
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 - answer1. 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?
