BSN HESI 266 Med Surg Exam (New 2026/ 2027)
Questions and Verified Answers|100% Correct|
Graded A- Nightingale
The nurse is completing a health assessment of a 42-year-old female with
suspected Graves' disease. The nurse should assess this client for:
A. Anorexia
B. Tachycardia
C. Weight Gain
D. Cold Skin SELECTED ANSWER 👀 B. Tachycardia
A 34-year-old female is diagnosed with hypothyroidism. The nurse should
assess the client for which of the following? Select all that apply.
A. Rapid pulse.
B. Decreased energy and fatigue.
C. Weight gain of 10 lb (4.5 kg).
D. Fine, thin hair with hair loss
E. Constipation.
F. Menorrhagia. SELECTED ANSWER 👀 B. Decreased energy and
fatigue
C. Weight gain of 10lb.
E. Constipation
F. Menorrhagia
Propylthiouracil (PTU) is prescribed for a client with Graves' disease. The
nurse should teach the client to immediately report which of the following?
,A. Sore throat.
B. Painful, excessive menstruation.
C. Constipation.
D. Increased urine output. SELECTED ANSWER 👀 A. Sore throat
A client with thyrotoxicosis (hyperthyroidism) 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?
A. "Your behavior is caused by temporary confusion brought on by your
illness."
B. "Your behavior is caused by the excess thyroid hormone in your
system."
C. "Your behavior is caused by your worrying about the seriousness of your
illness."
D. "Your behavior is caused by the stress of trying to manage a career and
cope with illness." SELECTED ANSWER 👀 B. Your behavior is caused
by the excess thyroid hormone in your system.
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?
A. "I have excess energy throughout the day."
B. "I am able to sleep and rest at night."
C. "I have lost weight since taking this medication."
D. "I do perspire throughout the entire day." SELECTED ANSWER 👀 B.
I am able to sleep and rest at night
,The nurse should teach the client with Graves' disease to prevent corneal
irritation from mild exophthalmos by:
A. Massaging the eyes at regular intervals.
B. Instilling an ophthalmic anesthetic as prescribed.
C. Wearing dark-colored glasses.
D. Covering both eyes with moistened gauze pads. SELECTED ANSWER
👀 C. Wearing dark- colored glasses.
A client with Graves' disease is treated with radioactive iodine (RAI) in the
form of sodium iodide 131I. Which of the following statements by the nurse
will explain to the client how the drug works?
A. "The RAI stabilizes the thyroid hormone levels before a thyroidectomy."
B. "The RAI reduces uptake of thyroxine and thereby improves your
condition."
C. "The RAI lowers the levels of thyroid hormones by slowing your body's
production of them."
D. "The RAI destroys thyroid tissue so that thyroid hormones are no longer
produced." SELECTED ANSWER 👀 D. The RAI lowers the levels of
thyroid tissue so that thyroid hormones are no longer produced.
After treatment with radioactive iodine (RAI) in the form of sodium iodide
131I, the nurse teaches the client to:
A. Monitor for signs and symptoms of hyperthyroidism.
B. Rest for 1 week to prevent complications of the medication.
C. Take thyroxine replacement for the remainder of the client's life.
D. Assess for hypertension and tachycardia resulting from altered thyroid
activity. SELECTED ANSWER 👀 C. Take thyroxine replacement for the
remainder of the client's life.
, A client with a large goiter is scheduled for a subtotal thyroidectomy to treat
thyrotoxicosis (hyperthyroidism). Saturated solution of potassium iodide
(SSKI) is prescribed preoperatively for the client. The expected outcome of
using this drug is that it helps:
A. Slow progression of exophthalmos.
B. Reduce the vascularity of the thyroid gland.
C. Decrease the body's ability to store thyroxine.
D. Increase the body's ability to excrete thyroxine. SELECTED ANSWER
👀 B. Reduce the vascularity of the thyroid gland
The nurse is administering a saturated solution of potassium iodide (SSKI).
The nurse should:
A. Pour the solution over ice chips.
B. Mix the solution with an antacid.
C. Dilute the solution with water, milk, or fruit juice and have the client drink
it with a straw.
D. Disguise the solution in a pureed fruit or vegetable. SELECTED
ANSWER 👀 C. Dilute the solution with water, milk, or fruit juice and have
the client drink it with a straw.
Following a subtotal thyroidectomy, the nurse asks the client to speak
immediately upon regaining consciousness. The nurse does this to monitor
for signs of which of the following?
A. Internal hemorrhage.
B. Decreasing level of consciousness.
C. Laryngeal nerve damage.
D. Upper airway obstruction. SELECTED ANSWER 👀 C. Laryngeal
nerve damage
Questions and Verified Answers|100% Correct|
Graded A- Nightingale
The nurse is completing a health assessment of a 42-year-old female with
suspected Graves' disease. The nurse should assess this client for:
A. Anorexia
B. Tachycardia
C. Weight Gain
D. Cold Skin SELECTED ANSWER 👀 B. Tachycardia
A 34-year-old female is diagnosed with hypothyroidism. The nurse should
assess the client for which of the following? Select all that apply.
A. Rapid pulse.
B. Decreased energy and fatigue.
C. Weight gain of 10 lb (4.5 kg).
D. Fine, thin hair with hair loss
E. Constipation.
F. Menorrhagia. SELECTED ANSWER 👀 B. Decreased energy and
fatigue
C. Weight gain of 10lb.
E. Constipation
F. Menorrhagia
Propylthiouracil (PTU) is prescribed for a client with Graves' disease. The
nurse should teach the client to immediately report which of the following?
,A. Sore throat.
B. Painful, excessive menstruation.
C. Constipation.
D. Increased urine output. SELECTED ANSWER 👀 A. Sore throat
A client with thyrotoxicosis (hyperthyroidism) 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?
A. "Your behavior is caused by temporary confusion brought on by your
illness."
B. "Your behavior is caused by the excess thyroid hormone in your
system."
C. "Your behavior is caused by your worrying about the seriousness of your
illness."
D. "Your behavior is caused by the stress of trying to manage a career and
cope with illness." SELECTED ANSWER 👀 B. Your behavior is caused
by the excess thyroid hormone in your system.
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?
A. "I have excess energy throughout the day."
B. "I am able to sleep and rest at night."
C. "I have lost weight since taking this medication."
D. "I do perspire throughout the entire day." SELECTED ANSWER 👀 B.
I am able to sleep and rest at night
,The nurse should teach the client with Graves' disease to prevent corneal
irritation from mild exophthalmos by:
A. Massaging the eyes at regular intervals.
B. Instilling an ophthalmic anesthetic as prescribed.
C. Wearing dark-colored glasses.
D. Covering both eyes with moistened gauze pads. SELECTED ANSWER
👀 C. Wearing dark- colored glasses.
A client with Graves' disease is treated with radioactive iodine (RAI) in the
form of sodium iodide 131I. Which of the following statements by the nurse
will explain to the client how the drug works?
A. "The RAI stabilizes the thyroid hormone levels before a thyroidectomy."
B. "The RAI reduces uptake of thyroxine and thereby improves your
condition."
C. "The RAI lowers the levels of thyroid hormones by slowing your body's
production of them."
D. "The RAI destroys thyroid tissue so that thyroid hormones are no longer
produced." SELECTED ANSWER 👀 D. The RAI lowers the levels of
thyroid tissue so that thyroid hormones are no longer produced.
After treatment with radioactive iodine (RAI) in the form of sodium iodide
131I, the nurse teaches the client to:
A. Monitor for signs and symptoms of hyperthyroidism.
B. Rest for 1 week to prevent complications of the medication.
C. Take thyroxine replacement for the remainder of the client's life.
D. Assess for hypertension and tachycardia resulting from altered thyroid
activity. SELECTED ANSWER 👀 C. Take thyroxine replacement for the
remainder of the client's life.
, A client with a large goiter is scheduled for a subtotal thyroidectomy to treat
thyrotoxicosis (hyperthyroidism). Saturated solution of potassium iodide
(SSKI) is prescribed preoperatively for the client. The expected outcome of
using this drug is that it helps:
A. Slow progression of exophthalmos.
B. Reduce the vascularity of the thyroid gland.
C. Decrease the body's ability to store thyroxine.
D. Increase the body's ability to excrete thyroxine. SELECTED ANSWER
👀 B. Reduce the vascularity of the thyroid gland
The nurse is administering a saturated solution of potassium iodide (SSKI).
The nurse should:
A. Pour the solution over ice chips.
B. Mix the solution with an antacid.
C. Dilute the solution with water, milk, or fruit juice and have the client drink
it with a straw.
D. Disguise the solution in a pureed fruit or vegetable. SELECTED
ANSWER 👀 C. Dilute the solution with water, milk, or fruit juice and have
the client drink it with a straw.
Following a subtotal thyroidectomy, the nurse asks the client to speak
immediately upon regaining consciousness. The nurse does this to monitor
for signs of which of the following?
A. Internal hemorrhage.
B. Decreasing level of consciousness.
C. Laryngeal nerve damage.
D. Upper airway obstruction. SELECTED ANSWER 👀 C. Laryngeal
nerve damage
