MED-SURG II HESI EXAM - SET ONE WITH QU
CORRECT ANSWERS
The cnurse cis ccompleting ca chealth cassessment cof ca c42-year-old cfemale cwith csuspected cGrave
cassess cthis cclient cfor:
1. canorexia
2. ctachycardia
3. cweight cgain
4. ccold cskin c- cCORRECT cANS✔✔2. ctachycardia
Graves' cdisease, cthe cmost ccommon ctype cof cthyrotoxicosis, cis ca cstate cof chypermetabolism. cTh
cgenerates cheat cand cproduces ctachycardia cand cfine cmuscle ctremors. cAnorexia cis cassociated cw
cweight, cdespite ca cgood cappetite cand cadequate ccaloric cintake, cis ca ccommon cfeature cof chyper
cassociated cwith chypothyroidism.
CN: cPhysiological cadaptation; cCL: cAnalyze
When cconducting ca chealth chistory cwith ca cfemale cclient cwith cthyrotoxicosis, cthe cnurse cshould c
cfollowing cchanges cin cthe cmenstrual ccycle?
1. cdysmenorrhea
2. cmetrorrhagia
3. coligomenorrhea
4. cmenorrhagia c- cCORRECT cANS✔✔3. coligomenorrhea
, Clients cwith chypothyroidism cexhibit csymptoms cindicating ca clack cof cthyroid chormone. cBradycard
clethargy, cmemory cproblems, cweight cgain, ccoarse chair, cconstipation, cand cmenorrhagia care ccom
symptoms cof chypothyroidism.
CN: cPhysiological cadaptation; cCL: cAnalyze
Propylthiouracil c(PTU) cis cprescribed cfor ca cclient cwith cGraves' cdisease. cThe cnurse cshould cteac
creport cwhich cof cthe cfollowing?
1. csore cthroat
2. cpainful, cexcessive cmenstruation
3. cconstipation
4. cincreased curine coutput c- cCORRECT cANS✔✔1. csore cthroat
The cmost cserious cadverse ceffects cof cPTU care cleukopenia cand cagranulocytosis, cwhich cusually
cmonths cof ctreatment. cThe cclient cshould cbe ctaught cto cpromptly creport cto cthe chealth ccare cprov
cinfection, csuch cas ca csore cthroat cand cfever. cClients chaving ca csore cthroat cand cfever cshould cha
ccell ccount cand cdifferential cperformed, cand cthe cdrug cmust cbe cwithheld cuntil
the cresults care cobtained. cPainful cmenstruation, cconstipation, cand cincreased curine coutput care cn
ctherapy.
CN: cPharmacological cand cparenteral ctherapies; cCL: cSynthesize
A cclient cwith cthyrotoxicosis csays cto cthe cnurse, c"I cam cso cirritable. cI cam chaving
problems cat cwork cbecause cI close cmy ctemper cvery ceasily." cWhich cof cthe cfollowing cresponses c
cclient cthe cmost caccurate cexplanation cof cher cbehavior?
1. c"Your cbehavior cis ccaused cby ctemporary cconfusion cbrought con cby cyour cillness."
2. c"Your cbehavior cis ccaused cby cthe cexcess cthyroid chormone cin cyour csystem."
3. c"Your cbehavior cis ccaused cby cyour cworrying cabout cthe cseriousness cof cyour cillness."
4. c"Your cbehavior cis ccaused cby cthe cstress cof ctrying cto cmanage ca ccareer cand ccope cwith cillnes
c"Your cbehavior cis ccaused cby cthe cexcess cthyroid chormone cin cyour csystem."
A ctypical csign cof cthyrotoxicosis cis cirritability ccaused cby cthe chigh clevels cof ccirculating cthyroid ch
csymptom cdecreases cas cthe cclient cresponds cto ctherapy. cThyrotoxicosis cdoes cnot ccause cconfu
cworried cabout cher cillness, cand cstress cmay cinfluence cher cmood; chowever, cirritability cis ca ccomm
cand cthe cclient cshould cbe cinformed cof cthat cfact crather cthan cblamed.
CN: cPsychosocial cintegrity; cCL: cSynthesize
The cnurse cis cevaluating ca cclient cwith chyperthyroidism cwho cis ctaking
Propylthiouracil c(PTU) c100 cmg/day cin cthree cdivided cdoses cfor cmaintenance ctherapy. cWhich cof
cthe cclient cindicates cthe cdesired coutcome cof cthe
drug?
1. c"I chave cexcess cenergy cthroughout cthe cday."
2. c"I cam cable cto csleep cand crest cat cnight."
3. c"I chave clost cweight csince ctaking cthis cmedication."
4. c"I cdo cperspire cthroughout cthe centire cday." c- cCORRECT cANS✔✔2. c"I cam cable cto csleep cand
PTU cis ca cprototype cof cthioamide cantithyroid cdrugs. cIt cinhibits cproduction cof cthyroid chormones
cT4 cto cthe cmore cactive cT3. cA cclient ctaking cthis cantithyroid cdrug cshould cbe cable cto csleep cand
clevel cof cthyroid chormones cis creduced cin cthe cblood. cExcess cenergy cthroughout cthe cday, closs c
cthrough cthe cday care csymptoms cof chyperthyroidism cindicating cthe cdrug chas cnot cproduced cits c
CORRECT ANSWERS
The cnurse cis ccompleting ca chealth cassessment cof ca c42-year-old cfemale cwith csuspected cGrave
cassess cthis cclient cfor:
1. canorexia
2. ctachycardia
3. cweight cgain
4. ccold cskin c- cCORRECT cANS✔✔2. ctachycardia
Graves' cdisease, cthe cmost ccommon ctype cof cthyrotoxicosis, cis ca cstate cof chypermetabolism. cTh
cgenerates cheat cand cproduces ctachycardia cand cfine cmuscle ctremors. cAnorexia cis cassociated cw
cweight, cdespite ca cgood cappetite cand cadequate ccaloric cintake, cis ca ccommon cfeature cof chyper
cassociated cwith chypothyroidism.
CN: cPhysiological cadaptation; cCL: cAnalyze
When cconducting ca chealth chistory cwith ca cfemale cclient cwith cthyrotoxicosis, cthe cnurse cshould c
cfollowing cchanges cin cthe cmenstrual ccycle?
1. cdysmenorrhea
2. cmetrorrhagia
3. coligomenorrhea
4. cmenorrhagia c- cCORRECT cANS✔✔3. coligomenorrhea
, Clients cwith chypothyroidism cexhibit csymptoms cindicating ca clack cof cthyroid chormone. cBradycard
clethargy, cmemory cproblems, cweight cgain, ccoarse chair, cconstipation, cand cmenorrhagia care ccom
symptoms cof chypothyroidism.
CN: cPhysiological cadaptation; cCL: cAnalyze
Propylthiouracil c(PTU) cis cprescribed cfor ca cclient cwith cGraves' cdisease. cThe cnurse cshould cteac
creport cwhich cof cthe cfollowing?
1. csore cthroat
2. cpainful, cexcessive cmenstruation
3. cconstipation
4. cincreased curine coutput c- cCORRECT cANS✔✔1. csore cthroat
The cmost cserious cadverse ceffects cof cPTU care cleukopenia cand cagranulocytosis, cwhich cusually
cmonths cof ctreatment. cThe cclient cshould cbe ctaught cto cpromptly creport cto cthe chealth ccare cprov
cinfection, csuch cas ca csore cthroat cand cfever. cClients chaving ca csore cthroat cand cfever cshould cha
ccell ccount cand cdifferential cperformed, cand cthe cdrug cmust cbe cwithheld cuntil
the cresults care cobtained. cPainful cmenstruation, cconstipation, cand cincreased curine coutput care cn
ctherapy.
CN: cPharmacological cand cparenteral ctherapies; cCL: cSynthesize
A cclient cwith cthyrotoxicosis csays cto cthe cnurse, c"I cam cso cirritable. cI cam chaving
problems cat cwork cbecause cI close cmy ctemper cvery ceasily." cWhich cof cthe cfollowing cresponses c
cclient cthe cmost caccurate cexplanation cof cher cbehavior?
1. c"Your cbehavior cis ccaused cby ctemporary cconfusion cbrought con cby cyour cillness."
2. c"Your cbehavior cis ccaused cby cthe cexcess cthyroid chormone cin cyour csystem."
3. c"Your cbehavior cis ccaused cby cyour cworrying cabout cthe cseriousness cof cyour cillness."
4. c"Your cbehavior cis ccaused cby cthe cstress cof ctrying cto cmanage ca ccareer cand ccope cwith cillnes
c"Your cbehavior cis ccaused cby cthe cexcess cthyroid chormone cin cyour csystem."
A ctypical csign cof cthyrotoxicosis cis cirritability ccaused cby cthe chigh clevels cof ccirculating cthyroid ch
csymptom cdecreases cas cthe cclient cresponds cto ctherapy. cThyrotoxicosis cdoes cnot ccause cconfu
cworried cabout cher cillness, cand cstress cmay cinfluence cher cmood; chowever, cirritability cis ca ccomm
cand cthe cclient cshould cbe cinformed cof cthat cfact crather cthan cblamed.
CN: cPsychosocial cintegrity; cCL: cSynthesize
The cnurse cis cevaluating ca cclient cwith chyperthyroidism cwho cis ctaking
Propylthiouracil c(PTU) c100 cmg/day cin cthree cdivided cdoses cfor cmaintenance ctherapy. cWhich cof
cthe cclient cindicates cthe cdesired coutcome cof cthe
drug?
1. c"I chave cexcess cenergy cthroughout cthe cday."
2. c"I cam cable cto csleep cand crest cat cnight."
3. c"I chave clost cweight csince ctaking cthis cmedication."
4. c"I cdo cperspire cthroughout cthe centire cday." c- cCORRECT cANS✔✔2. c"I cam cable cto csleep cand
PTU cis ca cprototype cof cthioamide cantithyroid cdrugs. cIt cinhibits cproduction cof cthyroid chormones
cT4 cto cthe cmore cactive cT3. cA cclient ctaking cthis cantithyroid cdrug cshould cbe cable cto csleep cand
clevel cof cthyroid chormones cis creduced cin cthe cblood. cExcess cenergy cthroughout cthe cday, closs c
cthrough cthe cday care csymptoms cof chyperthyroidism cindicating cthe cdrug chas cnot cproduced cits c
