MED-SURG II HESI EXAM - SET
ONE(2026/2027) UPDATE|EXAM 110
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Themnursemismcompletingmamhealthmassessmentmofmam42-year-
oldmfemalemwithmsuspectedmGraves'mDisease.mThemnursemshouldmassessmthismclientmfor:
1.manorexia
2.mtachycardia
3.mweightmgain
4.mcoldmskinm-mCORRECTmANSWERm2.mtachycardia
Graves'mdisease,mthemmostmcommonmtypemofmthyrotoxicosis,mismamstatemofmhypermetabolism.mThe
mincreasedmmetabolicmratemgeneratesmheatmandmproducesmtachycardiamandmfinemmusclemtremors.
mAnorexiamismassociatedmwithmhypothyroidism.mLossmofmweight,mdespitemamgoodmappetitemandmad
equatemcaloricmintake,mismamcommonmfeaturemofmhyperthyroidism.mColdmskinmismassociatedmwithmh
ypothyroidism.
CN:mPhysiologicalmadaptation;mCL:mAnalyze
Whenmconductingmamhealthmhistorymwithmamfemalemclientmwithmthyrotoxicosis,mthemnursemshouldm
askmaboutmwhichmofmthemfollowingmchangesminmthemmenstrualmcycle?
1.mdysmenorrhea
2.mmetrorrhagia
3.moligomenorrhea
,4.mmenorrhagiam-mCORRECTmANSWERm3.moligomenorrhea
Amchangeminmthemmenstrualminterval,mdiminishedmmenstrualmflowm(oligomenorrhea),mormevenmthe
mabsencemofmmenstruationm(amenorrhea)mmaymresultmfrommthemhormonalmimbalancesmofmthyrot
oxicosis.mOligomenorrheaminmwomenmandmdecreasedmlibidomandmimpotenceminmmenmaremcommo
nmfeaturesmofmthyrotoxicosis.mDysmenorrheamismpainfulmmenstruation.mMetrorrhagia,mbloodmlossm
betweenmmenstrualmperiods,mismamsymptommofmhypothyroidism.mMenorrhagia,mexcessivembleedin
gmduringmmenstrualmperiods,mismamsymptommofmhypothyroidism.
CN:mPhysiologicalmadaptation;mCL:mAnalyze
Am34-year-
oldmfemalemismdiagnosedmwithmhypothyroidism.mThemnursemshouldmassessmthemclientmformwhichmof
mthemfollowing?m(Selectmallmthatmapply.)
1.mrapidmpulse
2.mdecreasedmenergymandmfatigue
3.mweightmgainmofm10mlbsm(4.5mkg)
4.mfine,mthinmhairmwithmhairmloss
5.mconstipation
6.mmenorrhagia.m-
mCORRECTmANSWERm2.mdecreasedmenergymandmfatigue,m3.mweightmgainmofm10mlbsm(4.5mkg),m5.mcon
stipation,m6.mmenorrhagia
Clientsmwithmhypothyroidismmexhibitmsymptomsmindicatingmamlackmofmthyroidmhormone.mBradycar
dia,mdecreasedmenergymandmlethargy,mmemorymproblems,mweightmgain,mcoarsemhair,mconstipation,
mandmmenorrhagiamaremcommonmsignsmand
symptomsmofmhypothyroidism.
,CN:mPhysiologicalmadaptation;mCL:mAnalyze
Propylthiouracilm(PTU)mismprescribedmformamclientmwithmGraves'mdisease.mThemnursemshouldmteachm
themclientmtomimmediatelymreportmwhichmofmthemfollowing?
1.msoremthroat
2.mpainful,mexcessivemmenstruation
3.mconstipation
4.mincreasedmurinemoutputm-mCORRECTmANSWERm1.msoremthroat
ThemmostmseriousmadversemeffectsmofmPTUmaremleukopeniamandmagranulocytosis,mwhichmusuallymo
ccurmwithinmthemfirstm3mmonthsmofmtreatment.mThemclientmshouldmbemtaughtmtompromptlymreportmt
omthemhealthmcaremprovidermsignsmandmsymptomsmofminfection,msuchmasmamsoremthroatmandmfever.m
Clientsmhavingmamsoremthroatmandmfevermshouldmhavemanmimmediatemwhitembloodmcellmcountmandm
differentialmperformed,mandmthemdrugmmustmbemwithheldmuntil
themresultsmaremobtained.mPainfulmmenstruation,mconstipation,mandmincreasedmurinemoutputmarem
notmassociatedmwithmPTUmtherapy.
CN:mPharmacologicalmandmparenteralmtherapies;mCL:mSynthesize
Amclientmwithmthyrotoxicosismsaysmtomthemnurse,m"Imammsomirritable.mImammhaving
problemsmatmworkmbecausemImlosemmymtempermverymeasily."mWhichmofmthemfollowingmresponsesmb
ymthemnursemwouldmgivemthemclientmthemmostmaccuratemexplanationmofmhermbehavior?
1.m"Yourmbehaviormismcausedmbymtemporarymconfusionmbroughtmonmbymyourmillness."
2.m"Yourmbehaviormismcausedmbymthemexcessmthyroidmhormoneminmyourmsystem."
3.m"Yourmbehaviormismcausedmbymyourmworryingmaboutmthemseriousnessmofmyourmillness."
, 4.m"Yourmbehaviormismcausedmbymthemstressmofmtryingmtommanagemamcareermandmcopemwithmillness.
"m-
mCORRECTmANSWERm2.m"Yourmbehaviormismcausedmbymthemexcessmthyroidmhormoneminmyourmsyste
m."
Amtypicalmsignmofmthyrotoxicosismismirritabilitymcausedmbymthemhighmlevelsmofmcirculatingmthyroidmh
ormonesminmthembody.mThismsymptommdecreasesmasmthemclientmrespondsmtomtherapy.mThyrotoxico
sismdoesmnotmcausemconfusion.mThemclientmmaymbemworriedmaboutmhermillness,mandmstressmmayminf
luencemhermmood;mhowever,mirritabilitymismamcommonmsymptommofmthyrotoxicosismandmthemclient
mshouldmbeminformedmofmthatmfactmrathermthanmblamed.
CN:mPsychosocialmintegrity;mCL:mSynthesize
Themnursemismevaluatingmamclientmwithmhyperthyroidismmwhomismtaking
Propylthiouracilm(PTU)m100mmg/dayminmthreemdividedmdosesmformmaintenancemtherapy.mWhichmof
mthemfollowingmstatementsmfrommthemclientmindicatesmthemdesiredmoutcomemofmthe
drug?
1.m"Imhavemexcessmenergymthroughoutmthemday."
2.m"Imammablemtomsleepmandmrestmatmnight."
3.m"Imhavemlostmweightmsincemtakingmthismmedication."
4.m"Imdomperspiremthroughoutmthementiremday."m-
mCORRECTmANSWERm2.m"Imammablemtomsleepmandmrestmatmnight."
PTUmismamprototypemofmthioamidemantithyroidmdrugs.mItminhibitsmproductionmofmthyroidmhormone
smandmperipheralmconversionmofmT4mtomthemmoremactivemT3.mAmclientmtakingmthismantithyroidmdrug
mshouldmbemablemtomsleepmandmrestmwellmatmnightmsincemthemlevelmofmthyroidmhormonesmismreduce
dminmthemblood.mExcessmenergymthroughoutmthemday,mlossmofmweightmandmperspiringmthroughmthem
daymaremsymptomsmofmhyperthyroidismmindicatingmthemdrugmhasmnotmproducedmitsmoutcome.
ONE(2026/2027) UPDATE|EXAM 110
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Themnursemismcompletingmamhealthmassessmentmofmam42-year-
oldmfemalemwithmsuspectedmGraves'mDisease.mThemnursemshouldmassessmthismclientmfor:
1.manorexia
2.mtachycardia
3.mweightmgain
4.mcoldmskinm-mCORRECTmANSWERm2.mtachycardia
Graves'mdisease,mthemmostmcommonmtypemofmthyrotoxicosis,mismamstatemofmhypermetabolism.mThe
mincreasedmmetabolicmratemgeneratesmheatmandmproducesmtachycardiamandmfinemmusclemtremors.
mAnorexiamismassociatedmwithmhypothyroidism.mLossmofmweight,mdespitemamgoodmappetitemandmad
equatemcaloricmintake,mismamcommonmfeaturemofmhyperthyroidism.mColdmskinmismassociatedmwithmh
ypothyroidism.
CN:mPhysiologicalmadaptation;mCL:mAnalyze
Whenmconductingmamhealthmhistorymwithmamfemalemclientmwithmthyrotoxicosis,mthemnursemshouldm
askmaboutmwhichmofmthemfollowingmchangesminmthemmenstrualmcycle?
1.mdysmenorrhea
2.mmetrorrhagia
3.moligomenorrhea
,4.mmenorrhagiam-mCORRECTmANSWERm3.moligomenorrhea
Amchangeminmthemmenstrualminterval,mdiminishedmmenstrualmflowm(oligomenorrhea),mormevenmthe
mabsencemofmmenstruationm(amenorrhea)mmaymresultmfrommthemhormonalmimbalancesmofmthyrot
oxicosis.mOligomenorrheaminmwomenmandmdecreasedmlibidomandmimpotenceminmmenmaremcommo
nmfeaturesmofmthyrotoxicosis.mDysmenorrheamismpainfulmmenstruation.mMetrorrhagia,mbloodmlossm
betweenmmenstrualmperiods,mismamsymptommofmhypothyroidism.mMenorrhagia,mexcessivembleedin
gmduringmmenstrualmperiods,mismamsymptommofmhypothyroidism.
CN:mPhysiologicalmadaptation;mCL:mAnalyze
Am34-year-
oldmfemalemismdiagnosedmwithmhypothyroidism.mThemnursemshouldmassessmthemclientmformwhichmof
mthemfollowing?m(Selectmallmthatmapply.)
1.mrapidmpulse
2.mdecreasedmenergymandmfatigue
3.mweightmgainmofm10mlbsm(4.5mkg)
4.mfine,mthinmhairmwithmhairmloss
5.mconstipation
6.mmenorrhagia.m-
mCORRECTmANSWERm2.mdecreasedmenergymandmfatigue,m3.mweightmgainmofm10mlbsm(4.5mkg),m5.mcon
stipation,m6.mmenorrhagia
Clientsmwithmhypothyroidismmexhibitmsymptomsmindicatingmamlackmofmthyroidmhormone.mBradycar
dia,mdecreasedmenergymandmlethargy,mmemorymproblems,mweightmgain,mcoarsemhair,mconstipation,
mandmmenorrhagiamaremcommonmsignsmand
symptomsmofmhypothyroidism.
,CN:mPhysiologicalmadaptation;mCL:mAnalyze
Propylthiouracilm(PTU)mismprescribedmformamclientmwithmGraves'mdisease.mThemnursemshouldmteachm
themclientmtomimmediatelymreportmwhichmofmthemfollowing?
1.msoremthroat
2.mpainful,mexcessivemmenstruation
3.mconstipation
4.mincreasedmurinemoutputm-mCORRECTmANSWERm1.msoremthroat
ThemmostmseriousmadversemeffectsmofmPTUmaremleukopeniamandmagranulocytosis,mwhichmusuallymo
ccurmwithinmthemfirstm3mmonthsmofmtreatment.mThemclientmshouldmbemtaughtmtompromptlymreportmt
omthemhealthmcaremprovidermsignsmandmsymptomsmofminfection,msuchmasmamsoremthroatmandmfever.m
Clientsmhavingmamsoremthroatmandmfevermshouldmhavemanmimmediatemwhitembloodmcellmcountmandm
differentialmperformed,mandmthemdrugmmustmbemwithheldmuntil
themresultsmaremobtained.mPainfulmmenstruation,mconstipation,mandmincreasedmurinemoutputmarem
notmassociatedmwithmPTUmtherapy.
CN:mPharmacologicalmandmparenteralmtherapies;mCL:mSynthesize
Amclientmwithmthyrotoxicosismsaysmtomthemnurse,m"Imammsomirritable.mImammhaving
problemsmatmworkmbecausemImlosemmymtempermverymeasily."mWhichmofmthemfollowingmresponsesmb
ymthemnursemwouldmgivemthemclientmthemmostmaccuratemexplanationmofmhermbehavior?
1.m"Yourmbehaviormismcausedmbymtemporarymconfusionmbroughtmonmbymyourmillness."
2.m"Yourmbehaviormismcausedmbymthemexcessmthyroidmhormoneminmyourmsystem."
3.m"Yourmbehaviormismcausedmbymyourmworryingmaboutmthemseriousnessmofmyourmillness."
, 4.m"Yourmbehaviormismcausedmbymthemstressmofmtryingmtommanagemamcareermandmcopemwithmillness.
"m-
mCORRECTmANSWERm2.m"Yourmbehaviormismcausedmbymthemexcessmthyroidmhormoneminmyourmsyste
m."
Amtypicalmsignmofmthyrotoxicosismismirritabilitymcausedmbymthemhighmlevelsmofmcirculatingmthyroidmh
ormonesminmthembody.mThismsymptommdecreasesmasmthemclientmrespondsmtomtherapy.mThyrotoxico
sismdoesmnotmcausemconfusion.mThemclientmmaymbemworriedmaboutmhermillness,mandmstressmmayminf
luencemhermmood;mhowever,mirritabilitymismamcommonmsymptommofmthyrotoxicosismandmthemclient
mshouldmbeminformedmofmthatmfactmrathermthanmblamed.
CN:mPsychosocialmintegrity;mCL:mSynthesize
Themnursemismevaluatingmamclientmwithmhyperthyroidismmwhomismtaking
Propylthiouracilm(PTU)m100mmg/dayminmthreemdividedmdosesmformmaintenancemtherapy.mWhichmof
mthemfollowingmstatementsmfrommthemclientmindicatesmthemdesiredmoutcomemofmthe
drug?
1.m"Imhavemexcessmenergymthroughoutmthemday."
2.m"Imammablemtomsleepmandmrestmatmnight."
3.m"Imhavemlostmweightmsincemtakingmthismmedication."
4.m"Imdomperspiremthroughoutmthementiremday."m-
mCORRECTmANSWERm2.m"Imammablemtomsleepmandmrestmatmnight."
PTUmismamprototypemofmthioamidemantithyroidmdrugs.mItminhibitsmproductionmofmthyroidmhormone
smandmperipheralmconversionmofmT4mtomthemmoremactivemT3.mAmclientmtakingmthismantithyroidmdrug
mshouldmbemablemtomsleepmandmrestmwellmatmnightmsincemthemlevelmofmthyroidmhormonesmismreduce
dminmthemblood.mExcessmenergymthroughoutmthemday,mlossmofmweightmandmperspiringmthroughmthem
daymaremsymptomsmofmhyperthyroidismmindicatingmthemdrugmhasmnotmproducedmitsmoutcome.
