HESI Med Surg II Exam (7 Sets of Exam’s) Qs & As (2023 / 2024) (Verified Answers)

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

1. The nurse is completing a health assessment of a 42-year-old female with
   suspected Graves’ Disease.The nurse should assess this client for:
2. anorexia
3. tachycardia
4. weight gain
5. cold skin ANS. tachycardia
   Graves’ disease, the most common type of thyrotoxicosis, is a state of hypermetabolism. The increased metabolic rate generates heat and produces tachycardia andfine 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

2. 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?
3. dysmenorrhea
4. metrorrhagia
5. oligomenorrhea
6. menorrhagia ANS. 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
7. A 34-year-old female is diagnosed with hypothyroidism.The nurse should
   assess the client for which of the following? (Select all that apply.)
8. rapid pulse

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2. decreased energy and fatigue
3. weight gain of 10 lbs (4.5 kg)

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4. fine, thin hair with hair loss
5. constipation
6. menorrhagia. ANS. decreased energy and fatigue, 3. weight gain of 10 lbs (4.5
   kg),
7. constipation, 6. menorrhagia
   Clients with hypothyroidism exhibit symptoms indicating a lack of thyroid hormone.Bradycardia, decreased energy and lethargy, memory problems, weight gaincoarse hair, constipation, and menorrhagia are common signs and
   symptoms of hypothyroidism.
   CN: Physiological adaptation; CL: Analyze
8. Propylthiouracil (PTU) is prescribed for a client with Graves’ disease.The
   nurse should teach the client to immediately report which of the following?
9. sore throat
10. painful, excessive menstruation
11. constipation
12. increased urine output ANS. sore throat
    The most serious adverse effects of PTU are leukopenia and agranulocytosis, whichusually 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