HESI Med Surg II Exam QUESTIONS AND VERIFIED ANSWES
UPDATED LATEST (7 SetS of exam’S)
HESI Med Surg II Exam
Set 1
1. When conducting a health history with a female client with thyrotoxicosis, the nurse
should ask about which of the following changes in the menstrualcycle?
1. dysmenorrhea
2. metrorrhagia
3. oligomenorrhea
4. menorrhagia ANS. 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 andimpotence in men are
common features of thyrotoxicosis. Dysmenorrhea is painfulmenstruation. Metrorrhagia,
blood loss between menstrual periods, is a symptom of hypothyroidism. Menorrhagia,
excessive bleeding during menstrual periods, is asymptom of hypothyroidism.
CN: Physiological adaptation; CL: Analyze
2. 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 ANS. tachycardia
Graves' disease, the most common type of thyrotoxicosis, is a state of hypermetab-olism. The
increased metabolic rate generates heat and produces tachycardia andfine 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
,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. ANS. 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 hor- mone.
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
4. Propylthiouracil (PTU) is prescribed for a client with Graves' disease. Thenurse should
teach the client to immediately report which of the following?
1. sore throat
2. painful, excessive menstruation
3. constipation
4. increased urine output ANS. sore throat
The most serious adverse effects of PTU are leukopenia and agranulocytosis, whichusually
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
UPDATED LATEST (7 SetS of exam’S)
HESI Med Surg II Exam
Set 1
1. When conducting a health history with a female client with thyrotoxicosis, the nurse
should ask about which of the following changes in the menstrualcycle?
1. dysmenorrhea
2. metrorrhagia
3. oligomenorrhea
4. menorrhagia ANS. 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 andimpotence in men are
common features of thyrotoxicosis. Dysmenorrhea is painfulmenstruation. Metrorrhagia,
blood loss between menstrual periods, is a symptom of hypothyroidism. Menorrhagia,
excessive bleeding during menstrual periods, is asymptom of hypothyroidism.
CN: Physiological adaptation; CL: Analyze
2. 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 ANS. tachycardia
Graves' disease, the most common type of thyrotoxicosis, is a state of hypermetab-olism. The
increased metabolic rate generates heat and produces tachycardia andfine 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
,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. ANS. 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 hor- mone.
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
4. Propylthiouracil (PTU) is prescribed for a client with Graves' disease. Thenurse should
teach the client to immediately report which of the following?
1. sore throat
2. painful, excessive menstruation
3. constipation
4. increased urine output ANS. sore throat
The most serious adverse effects of PTU are leukopenia and agranulocytosis, whichusually
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
