Med-Surg II HESI Exam - set one
Questions and Answers Graded A+
The nurse is completing a health assessment of a 42-year-old female with
suspected Graves' Disease. The nurse should assess this client for:
1. anorexia
2. tachycardia
3. weight gain
4. cold skin - Correct answer-2. tachycardia
Graves' disease, the most common type of thyrotoxicosis, is a state of
hypermetabolism. The increased metabolic rate generates heat and produces
tachycardia and fine muscle tremors. Anorexia is associated with hypothyroidism.
Loss of weight, despite a good appetite and adequate caloric intake, is a common
feature of hyperthyroidism. Cold skin is associated with hypothyroidism.
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,CN: Physiological adaptation; CL: Analyze
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 - Correct 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.
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,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. - Correct 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.
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, 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 - Correct 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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
Questions and Answers Graded A+
The nurse is completing a health assessment of a 42-year-old female with
suspected Graves' Disease. The nurse should assess this client for:
1. anorexia
2. tachycardia
3. weight gain
4. cold skin - Correct answer-2. tachycardia
Graves' disease, the most common type of thyrotoxicosis, is a state of
hypermetabolism. The increased metabolic rate generates heat and produces
tachycardia and fine muscle tremors. Anorexia is associated with hypothyroidism.
Loss of weight, despite a good appetite and adequate caloric intake, is a common
feature of hyperthyroidism. Cold skin is associated with hypothyroidism.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,CN: Physiological adaptation; CL: Analyze
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 - Correct 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.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,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. - Correct 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.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, 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 - Correct 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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
