MED SURG II HESI EXAM NEWEST ACTUAL EXAM COMPLETE 225 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+.pdf

HESI Med Surg II Exam m m m m m




(7 Sets of Exam’s)
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HESI Med Surg II Exam
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Set 1 m m




1. The nurse is completing a health assessment of a 42-year-
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old female with s uspected Graves' Disease. The nurse should assess this client for:
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1. anorexia
2. tachycardia
3. weight gain m




4. cold skin ANS. tachycardia
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Graves' disease, the most common type of thyrotoxicosis, is a state of hypermetab-
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o lism. The increased metabolic rate generates heat and produces tachycardia andfine mus
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cle tremors. Anorexia is associated with hypothyroidism. Loss of weight, despite a good ap
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1m/m28

,petite and adequate caloric intake, is a common feature of hyperthyroidism. Cold skin is as
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sociated with hypothyroidism. m m




CN: Physiological adaptation; CL: Analyze
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2. When conducting a health history with a female client with thyrotoxicosis,the nurse sho
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uld ask about which of the following changes in the menstrual c ycle?
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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
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he absence of menstruation (amenorrhea) may result from the hormonal imbalances of th
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yrotoxicosis. Oligomenorrhea in women and decreased libido andimpotence in men are co
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mmon features of thyrotoxicosis. Dysmenorrhea is painfulmenstruation. Metrorrhagia, blo
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od loss between menstrual periods, is a symptom of hypothyroidism. Menorrhagia, excessi
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ve bleeding during menstrual periods, is a s ymptom of hypothyroidism.
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CN: Physiological adaptation; CL: Analyze
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3. A 34-year-
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old female is diagnosed with hypothyroidism. The nurse shouldassess the client for which
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2m/m28

,of the following? (Select all that apply.)
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1. rapid pulse
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2. decreased energy and fatigue
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3. weight gain of 10 lbs (4.5 kg)
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, 4. fine, thin hair with hair loss
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5. constipation
6. menorrhagia. ANS. decreased energy and fatigue, 3. weight gain of 10 lbs (4.5 kg
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5. constipation, 6. menorrhagia
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Clients with hypothyroidism exhibit symptoms indicating a lack of thyroid hor-
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m mone. Bradycardia, decreased energy and lethargy, memory problems, weight gain,c oarse
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hair, constipation, and menorrhagia are common signs and
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symptoms of hypothyroidism. m m




CN: Physiological adaptation; CL: Analyze
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4. Propylthiouracil (PTU) is prescribed for a client with Graves' disease. Thenurse should tea
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ch the client to immediately report which of the following?
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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
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cur within the first 3 months of treatment. The client should be taught to promptly report
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to the health care provider signs and symptoms of infection, such as a sore throat and fev
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er. Clients having a sore throat and fever should have an immediate white blood cell count
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4m/m28