HESI Med Surg II Exam m m m m m
(7 Sets of Exam’s)
m m m mm
HESI Med Surg II Exam
m m m m m
Set 1 m m
1. The nurse is completing a health assessment of a 42-year-
m m m m m m m m m m
old female with s uspected Graves' Disease. The nurse should assess this client for:
m m m m m m m m m m m m
1. anorexia
2. tachycardia
3. weight gain m
4. cold skin ANS. tachycardia
m m m
Graves' disease, the most common type of thyrotoxicosis, is a state of hypermetab-
m m m m m m m m m m m m
o lism. The increased metabolic rate generates heat and produces tachycardia andfine mus
m m m m m m m m m m m m m
cle tremors. Anorexia is associated with hypothyroidism. Loss of weight, despite a good ap
m m m m m m m m m m m m m
1m/m28
,petite and adequate caloric intake, is a common feature of hyperthyroidism. Cold skin is as
m m m m m m m m m m m m m m
sociated with hypothyroidism. m m
CN: Physiological adaptation; CL: Analyze
m m m m
2. When conducting a health history with a female client with thyrotoxicosis,the nurse sho
m m m m m m m m m m m m m m
uld ask about which of the following changes in the menstrual c ycle?
m m m m m m m m m m m
1. dysmenorrhea
2. metrorrhagia
3. oligomenorrhea
4. menorrhagia ANS. oligomenorrhea m m
A change in the menstrual interval, diminished menstrual flow (oligomenorrhea), or even t
m m m m m m m m m m m m
he absence of menstruation (amenorrhea) may result from the hormonal imbalances of th
m m m m m m m m m m m m
yrotoxicosis. Oligomenorrhea in women and decreased libido andimpotence in men are co
m m m m m m m m m m m m
mmon features of thyrotoxicosis. Dysmenorrhea is painfulmenstruation. Metrorrhagia, blo
m m m m m m m m m
od loss between menstrual periods, is a symptom of hypothyroidism. Menorrhagia, excessi
m m m m m m m m m m m
ve bleeding during menstrual periods, is a s ymptom of hypothyroidism.
m m m m m m m m m
CN: Physiological adaptation; CL: Analyze
m m m m
3. A 34-year-
m m
old female is diagnosed with hypothyroidism. The nurse shouldassess the client for which
m m m m m m m m m m m m m m
2m/m28
,of the following? (Select all that apply.)
m m m m m m
1. rapid pulse
m
2. decreased energy and fatigue
m m m
3. weight gain of 10 lbs (4.5 kg)
m m m m m m
3m/m28
, 4. fine, thin hair with hair loss
m m m m m
5. constipation
6. menorrhagia. ANS. decreased energy and fatigue, 3. weight gain of 10 lbs (4.5 kg
m m m m m m m m m m m m m
5. constipation, 6. menorrhagia
m m m
Clients with hypothyroidism exhibit symptoms indicating a lack of thyroid hor-
m m m m m m m m m m
m mone. Bradycardia, decreased energy and lethargy, memory problems, weight gain,c oarse
m m m m m m m m m m m
hair, constipation, and menorrhagia are common signs and
m m m m m m m
symptoms of hypothyroidism. m m
CN: Physiological adaptation; CL: Analyze
m m m m
4. Propylthiouracil (PTU) is prescribed for a client with Graves' disease. Thenurse should tea
m m m m m m m m m m m m m m
ch the client to immediately report which of the following?
m m m m m m m m m
1. sore throat m
2. painful, excessive menstruation m m
3. constipation
4. increased urine output ANS. sore throat m m m m m
The most serious adverse effects of PTU are leukopenia and agranulocytosis, whichusually oc
m m m m m m m m m m m m m
cur within the first 3 months of treatment. The client should be taught to promptly report
m m m m m m m m m m m m m m m m
to the health care provider signs and symptoms of infection, such as a sore throat and fev
m m m m m m m m m m m m m m m m
er. Clients having a sore throat and fever should have an immediate white blood cell count
m m m m m m m m m m m m m m m m
4m/m28
(7 Sets of Exam’s)
m m m mm
HESI Med Surg II Exam
m m m m m
Set 1 m m
1. The nurse is completing a health assessment of a 42-year-
m m m m m m m m m m
old female with s uspected Graves' Disease. The nurse should assess this client for:
m m m m m m m m m m m m
1. anorexia
2. tachycardia
3. weight gain m
4. cold skin ANS. tachycardia
m m m
Graves' disease, the most common type of thyrotoxicosis, is a state of hypermetab-
m m m m m m m m m m m m
o lism. The increased metabolic rate generates heat and produces tachycardia andfine mus
m m m m m m m m m m m m m
cle tremors. Anorexia is associated with hypothyroidism. Loss of weight, despite a good ap
m m m m m m m m m m m m m
1m/m28
,petite and adequate caloric intake, is a common feature of hyperthyroidism. Cold skin is as
m m m m m m m m m m m m m m
sociated with hypothyroidism. m m
CN: Physiological adaptation; CL: Analyze
m m m m
2. When conducting a health history with a female client with thyrotoxicosis,the nurse sho
m m m m m m m m m m m m m m
uld ask about which of the following changes in the menstrual c ycle?
m m m m m m m m m m m
1. dysmenorrhea
2. metrorrhagia
3. oligomenorrhea
4. menorrhagia ANS. oligomenorrhea m m
A change in the menstrual interval, diminished menstrual flow (oligomenorrhea), or even t
m m m m m m m m m m m m
he absence of menstruation (amenorrhea) may result from the hormonal imbalances of th
m m m m m m m m m m m m
yrotoxicosis. Oligomenorrhea in women and decreased libido andimpotence in men are co
m m m m m m m m m m m m
mmon features of thyrotoxicosis. Dysmenorrhea is painfulmenstruation. Metrorrhagia, blo
m m m m m m m m m
od loss between menstrual periods, is a symptom of hypothyroidism. Menorrhagia, excessi
m m m m m m m m m m m
ve bleeding during menstrual periods, is a s ymptom of hypothyroidism.
m m m m m m m m m
CN: Physiological adaptation; CL: Analyze
m m m m
3. A 34-year-
m m
old female is diagnosed with hypothyroidism. The nurse shouldassess the client for which
m m m m m m m m m m m m m m
2m/m28
,of the following? (Select all that apply.)
m m m m m m
1. rapid pulse
m
2. decreased energy and fatigue
m m m
3. weight gain of 10 lbs (4.5 kg)
m m m m m m
3m/m28
, 4. fine, thin hair with hair loss
m m m m m
5. constipation
6. menorrhagia. ANS. decreased energy and fatigue, 3. weight gain of 10 lbs (4.5 kg
m m m m m m m m m m m m m
5. constipation, 6. menorrhagia
m m m
Clients with hypothyroidism exhibit symptoms indicating a lack of thyroid hor-
m m m m m m m m m m
m mone. Bradycardia, decreased energy and lethargy, memory problems, weight gain,c oarse
m m m m m m m m m m m
hair, constipation, and menorrhagia are common signs and
m m m m m m m
symptoms of hypothyroidism. m m
CN: Physiological adaptation; CL: Analyze
m m m m
4. Propylthiouracil (PTU) is prescribed for a client with Graves' disease. Thenurse should tea
m m m m m m m m m m m m m m
ch the client to immediately report which of the following?
m m m m m m m m m
1. sore throat m
2. painful, excessive menstruation m m
3. constipation
4. increased urine output ANS. sore throat m m m m m
The most serious adverse effects of PTU are leukopenia and agranulocytosis, whichusually oc
m m m m m m m m m m m m m
cur within the first 3 months of treatment. The client should be taught to promptly report
m m m m m m m m m m m m m m m m
to the health care provider signs and symptoms of infection, such as a sore throat and fev
m m m m m m m m m m m m m m m m
er. Clients having a sore throat and fever should have an immediate white blood cell count
m m m m m m m m m m m m m m m m
4m/m28
