HESI RN MED SURG EXIT 400 EXAM SCRIPT
2026 TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ When conducting a health history with a female client with
thyrotoxicosis, the nurse should ask about which of the following
changes in the menstrual cycle?
1. dysmenorrhea
2. metrorrhagia
3. oligomenorrhea
4. menorrhagia.
Answer: 3. 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 and
impotence in men are common features of thyrotoxicosis.
Dysmenorrhea is painful menstruation. Metrorrhagia, blood loss
between menstrual periods, is a symptom of hypothyroidism.
Menorrhagia, excessive bleeding during menstrual periods, is a
symptom of hypothyroidism.
,CN: Physiological adaptation; CL: Analyze
◉ 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..
Answer: 2. 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 hormone. 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
,◉ Propylthiouracil (PTU) is prescribed for a client with Graves'
disease. The nurse should teach the client to immediately report
which of the following?
1. sore throat
2. painful, excessive menstruation
3. constipation
4. increased urine output.
Answer: 1. sore throat
The most serious adverse effects of PTU are leukopenia and
agranulocytosis, which usually 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 differential performed, and
the drug must be withheld until
the results are obtained. Painful menstruation, constipation, and
increased urine output are not associated with PTU therapy.
CN: Pharmacological and parenteral therapies; CL: Synthesize
◉ A client with thyrotoxicosis says to the nurse, "I am so irritable. I
am having
, problems at work because I lose my temper very easily." Which of
the following responses by the nurse would give the client the most
accurate explanation of her behavior?
1. "Your behavior is caused by temporary confusion brought on by
your illness."
2. "Your behavior is caused by the excess thyroid hormone in your
system."
3. "Your behavior is caused by your worrying about the seriousness
of your illness."
4. "Your behavior is caused by the stress of trying to manage a career
and cope with illness.".
Answer: 2. "Your behavior is caused by the excess thyroid hormone
in your system."
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
2026 TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ When conducting a health history with a female client with
thyrotoxicosis, the nurse should ask about which of the following
changes in the menstrual cycle?
1. dysmenorrhea
2. metrorrhagia
3. oligomenorrhea
4. menorrhagia.
Answer: 3. 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 and
impotence in men are common features of thyrotoxicosis.
Dysmenorrhea is painful menstruation. Metrorrhagia, blood loss
between menstrual periods, is a symptom of hypothyroidism.
Menorrhagia, excessive bleeding during menstrual periods, is a
symptom of hypothyroidism.
,CN: Physiological adaptation; CL: Analyze
◉ 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..
Answer: 2. 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 hormone. 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
,◉ Propylthiouracil (PTU) is prescribed for a client with Graves'
disease. The nurse should teach the client to immediately report
which of the following?
1. sore throat
2. painful, excessive menstruation
3. constipation
4. increased urine output.
Answer: 1. sore throat
The most serious adverse effects of PTU are leukopenia and
agranulocytosis, which usually 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 differential performed, and
the drug must be withheld until
the results are obtained. Painful menstruation, constipation, and
increased urine output are not associated with PTU therapy.
CN: Pharmacological and parenteral therapies; CL: Synthesize
◉ A client with thyrotoxicosis says to the nurse, "I am so irritable. I
am having
, problems at work because I lose my temper very easily." Which of
the following responses by the nurse would give the client the most
accurate explanation of her behavior?
1. "Your behavior is caused by temporary confusion brought on by
your illness."
2. "Your behavior is caused by the excess thyroid hormone in your
system."
3. "Your behavior is caused by your worrying about the seriousness
of your illness."
4. "Your behavior is caused by the stress of trying to manage a career
and cope with illness.".
Answer: 2. "Your behavior is caused by the excess thyroid hormone
in your system."
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
