Med-Surg II HESI Exam - set one |
Questions with Correct Answers | NCLEX-
PN® Focus 2026-2027 ALREADY GRADED
A+
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. - ANSWERS-2. decreased energy and fatigue, 3. weight
gain of 10 lbs (4.5 kg), 5. constipation, 6. menorrhagia
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 - ANSWERS-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.
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 - ANSWERS-3. oligomenorrhea
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 - ANSWERS-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." - ANSWERS-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
Questions with Correct Answers | NCLEX-
PN® Focus 2026-2027 ALREADY GRADED
A+
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. - ANSWERS-2. decreased energy and fatigue, 3. weight
gain of 10 lbs (4.5 kg), 5. constipation, 6. menorrhagia
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 - ANSWERS-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.
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 - ANSWERS-3. oligomenorrhea
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 - ANSWERS-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." - ANSWERS-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
