MED-SURG II HESI EXAM SET ONE EXAM
PREPARATION GUIDE LATEST QUESTIONS
WITH CORRECTLY ANALYSED ANSWERS
GRADED A+ 2026
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
1
,2. tachycardia
3. weight gain
4. cold skin 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.
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 ANSWER >> 3. oligomenorrhea
2
,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. ANSWER >> 2. decreased energy and fatigue, 3. weight gain of 10 lbs
(4.5 kg), 5. constipation, 6. menorrhagia
3
, 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 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
4
PREPARATION GUIDE LATEST QUESTIONS
WITH CORRECTLY ANALYSED ANSWERS
GRADED A+ 2026
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
1
,2. tachycardia
3. weight gain
4. cold skin 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.
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 ANSWER >> 3. oligomenorrhea
2
,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. ANSWER >> 2. decreased energy and fatigue, 3. weight gain of 10 lbs
(4.5 kg), 5. constipation, 6. menorrhagia
3
, 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 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
4
