Exam Coverage
Exam coverage for the Med-Surg II HESI Exam includes advanced
medical-surgical nursing concepts focused on complex adult health
conditions and multisystem disorders. It emphasizes assessment,
pathophysiology, pharmacologic and non-pharmacologic
management, and nursing interventions for conditions affecting
cardiovascular, respiratory, neurological, endocrine, renal,
gastrointestinal, and hematologic systems. The exam also evaluates
understanding of critical care concepts such as shock, sepsis, acute
respiratory failure, cardiac dysrhythmias, and fluid and electrolyte
imbalances.
Emphasis is placed on clinical judgment, prioritization, interpretation
,of patient data, prevention of complications, and application of the
nursing process to provide safe, evidence-based care for acutely ill
adult patients. 🩺📘
,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
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