1|Page
MED SURG II HESI EXAM LATEST 2026 ACTUAL
VERIFIED EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
EXAM!!!!!||
A typical sign of thyrotoxicosis is irritability caused by the
high levels of circulating thyroid hormones in the body.
This symptom decreases as the client responds to
therapy. Thyrotoxicosis does not cause confusion. The
client may be worried about her illness, and stress may
influence her mood; however, irritability is a common
symptom of thyrotoxicosis and the client should be
informed of that fact rather than blamed.
CN: Psychosocial integrity; CL: Synthesize
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?
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1. "I have excess energy throughout the day."
2. "I am able to sleep and rest at night."
3. "I have lost weight since taking this medication."
4. "I do perspire throughout the entire day." - Answer-2. "I
am able to sleep and rest at night."
PTU is a prototype of thioamide antithyroid drugs. It
inhibits production of thyroid hormones and peripheral
conversion of T4 to the more active T3. A client taking this
antithyroid drug should be able to sleep and rest well at
night since the level of thyroid hormones is reduced in the
blood. Excess energy throughout the day, loss of weight
and perspiring through the day are symptoms of
hyperthyroidism indicating the drug has not produced its
outcome.
CN: Pharmacological and parenteral therapies; CL:
Evaluate.
The nurse should teach the client with Graves' disease to
prevent corneal
irritation from mild exophthalmos by:
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1. Massaging the eyes at regular intervals.
2. Instilling an ophthalmic anesthetic as prescribed.
3. Wearing dark-colored glasses.
4. Covering both eyes with moistened gauze pads. -
Answer-3. Wearing dark-colored glasses.
Treatment of mild ophthalmopathy that may accompany
thyrotoxicosis includes measures such as wearing
sunglasses to protect the eyes from corneal irritation.
Treatment of ophthalmopathy should be performed in
consultation with an ophthalmologist. Massaging the eyes
will not help to protect the cornea. An ophthalmic
anesthetic is used to examine and possibly treat a painful
eye, not protect the cornea. Covering the eyes with moist
gauze pads is not a satisfactory nursing measure to
protect
the eyes of a client with exophthalmos because treatment
is not focused on moisture to the eye but rather on
protecting the cornea and optic nerve. In exophthalmos,
the retrobulbar connective tissues and extraocular muscle
volume are expanded because of fluid retention. The
pressure is also increased.
, 4|Page
CN: Reduction of risk potential; CL: Synthesize
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?
1. "The RAI stabilizes the thyroid hormone levels before a
thyroidectomy."
2. "The RAI reduces uptake of thyroxine and thereby
improves your condition."
3. "The RAI lowers the levels of thyroid hormones by
slowing your body's
production of them."
4. "The RAI destroys thyroid tissue so that thyroid
hormones are no longer produced." - Answer-4. "The RAI
destroys thyroid tissue so that thyroid hormones are no
longer produced."
MED SURG II HESI EXAM LATEST 2026 ACTUAL
VERIFIED EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
EXAM!!!!!||
A typical sign of thyrotoxicosis is irritability caused by the
high levels of circulating thyroid hormones in the body.
This symptom decreases as the client responds to
therapy. Thyrotoxicosis does not cause confusion. The
client may be worried about her illness, and stress may
influence her mood; however, irritability is a common
symptom of thyrotoxicosis and the client should be
informed of that fact rather than blamed.
CN: Psychosocial integrity; CL: Synthesize
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?
,2|Page
1. "I have excess energy throughout the day."
2. "I am able to sleep and rest at night."
3. "I have lost weight since taking this medication."
4. "I do perspire throughout the entire day." - Answer-2. "I
am able to sleep and rest at night."
PTU is a prototype of thioamide antithyroid drugs. It
inhibits production of thyroid hormones and peripheral
conversion of T4 to the more active T3. A client taking this
antithyroid drug should be able to sleep and rest well at
night since the level of thyroid hormones is reduced in the
blood. Excess energy throughout the day, loss of weight
and perspiring through the day are symptoms of
hyperthyroidism indicating the drug has not produced its
outcome.
CN: Pharmacological and parenteral therapies; CL:
Evaluate.
The nurse should teach the client with Graves' disease to
prevent corneal
irritation from mild exophthalmos by:
,3|Page
1. Massaging the eyes at regular intervals.
2. Instilling an ophthalmic anesthetic as prescribed.
3. Wearing dark-colored glasses.
4. Covering both eyes with moistened gauze pads. -
Answer-3. Wearing dark-colored glasses.
Treatment of mild ophthalmopathy that may accompany
thyrotoxicosis includes measures such as wearing
sunglasses to protect the eyes from corneal irritation.
Treatment of ophthalmopathy should be performed in
consultation with an ophthalmologist. Massaging the eyes
will not help to protect the cornea. An ophthalmic
anesthetic is used to examine and possibly treat a painful
eye, not protect the cornea. Covering the eyes with moist
gauze pads is not a satisfactory nursing measure to
protect
the eyes of a client with exophthalmos because treatment
is not focused on moisture to the eye but rather on
protecting the cornea and optic nerve. In exophthalmos,
the retrobulbar connective tissues and extraocular muscle
volume are expanded because of fluid retention. The
pressure is also increased.
, 4|Page
CN: Reduction of risk potential; CL: Synthesize
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?
1. "The RAI stabilizes the thyroid hormone levels before a
thyroidectomy."
2. "The RAI reduces uptake of thyroxine and thereby
improves your condition."
3. "The RAI lowers the levels of thyroid hormones by
slowing your body's
production of them."
4. "The RAI destroys thyroid tissue so that thyroid
hormones are no longer produced." - Answer-4. "The RAI
destroys thyroid tissue so that thyroid hormones are no
longer produced."
