PN HESI MED SURG EXAM TEST PAPER 2026
FULL QUESTIONS AND ANSWERS VERIFIED
STUDY GUIDE FINAL PREP
◉ 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?
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:
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.
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."
, Sodium iodide 131I destroys the thyroid follicular cells, and thyroid
hormones are no longer produced. RAI is commonly recommended
for clients with Graves'
disease, especially the elderly. The treatment results in a "medical
thyroidectomy." RAI is given in lieu of surgery, not before surgery.
RAI does not reduce uptake of thyroxine.
The outcome of giving RAI is the destruction of the thyroid follicular
cells. It is possible to slow the production of thyroid hormones with
RAI.
CN: Pharmacological and parenteral therapies; CL: Synthesize
◉ After treatment with radioactive iodine (RAI) in the form of
sodium iodide 131I, the nurse teaches the client to:
1. Monitor for signs and symptoms of hyperthyroidism.
2. Rest for 1 week to prevent complications of the medication.
3. Take thyroxine replacement for the remainder of the client's life.
4. Assess for hypertension and tachycardia resulting from altered
thyroid activity..
Answer: 3. Take thyroxine replacement for the remainder of the
client's life.
FULL QUESTIONS AND ANSWERS VERIFIED
STUDY GUIDE FINAL PREP
◉ 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?
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:
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.
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."
, Sodium iodide 131I destroys the thyroid follicular cells, and thyroid
hormones are no longer produced. RAI is commonly recommended
for clients with Graves'
disease, especially the elderly. The treatment results in a "medical
thyroidectomy." RAI is given in lieu of surgery, not before surgery.
RAI does not reduce uptake of thyroxine.
The outcome of giving RAI is the destruction of the thyroid follicular
cells. It is possible to slow the production of thyroid hormones with
RAI.
CN: Pharmacological and parenteral therapies; CL: Synthesize
◉ After treatment with radioactive iodine (RAI) in the form of
sodium iodide 131I, the nurse teaches the client to:
1. Monitor for signs and symptoms of hyperthyroidism.
2. Rest for 1 week to prevent complications of the medication.
3. Take thyroxine replacement for the remainder of the client's life.
4. Assess for hypertension and tachycardia resulting from altered
thyroid activity..
Answer: 3. Take thyroxine replacement for the remainder of the
client's life.
