HESI NCLEX Quiz 2 Questions and
Answers 100% Pass
The nurse is caring for a woman who is starting medroxyprogesterone injections
for birth control. What statements by the client would indicate a need for further
teaching? Select all that apply.
"I may experience some weight gain."
"I may not have regular periods while taking this medication."
"I should return in approximately 6 months for my next injection."
"Because it is highly effective, I can use this medication for many years."
"Depression is a side effect, and I should let my doctor know if I experience any
mood changes." - ANSWER-"I should return in approximately 6 months for my
next injection."
"Because it is highly effective, I can use this medication for many years."
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,Rationale: Medroxyprogesterone is an injectable progestin given every 3 months to
prevent ovulation and pregnancy. It suppresses ovulation for 15 weeks, and
therefore, timing of the next injection is very important and should be no longer
than exactly 3 months. Although medroxyprogesterone is highly effective, it should
not be taken for more than 2 years due to the risk of osteoporosis. Weight gain,
irregular periods, and depression are all known side effects.
Following thyroid surgery, the nurse notes this response (refer to figure) when
taking the client's blood pressure. On further assessment, which laboratory finding
would the nurse expect to find?
Serum calcium of 8.4 mg/dL (2.1 mmol/L)
Sodium level of 138 mEq/L (138 mmol/L)
Serum potassium of 5.1 mEq/L (5.1 mmol/L)
Thyroid Stimulating Hormone (TSH) of 1.5 mU/L - ANSWER-Serum calcium of
8.4 mg/dL (2.1 mmol/L)
Rationale: Hypocalcemia is characterized by tetany, or sustained muscle
contractions. Chvostek's sign is facial contractions seen after a light tap of the
facial nerve in front of the ear. Trousseau's sign is carpal contraction when a blood
pressure cuff is inflated. These two signs are observed in hypocalcemia.
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,The charge nurse on a women's health unit is making a client room assignment.
Which clients would be least appropriate to assign to share a room with a woman
who is pregnant? Select all that apply.
A client with hepatitis B
A client with herpes zoster
A client with pyelonephritis
A client with hashimotos thyroiditis
A client with a urinary tract infection - ANSWER-A client with hepatitis B
A client with herpes zoster
Rationale: Viral infections such as hepatitis B and herpes zoster can be very serious
for the mother and fetus if exposed and clients with these conditions should not
share a room with a pregnant client. Pyelonephritis, hashimotos thyroiditis, and
urinary tract infections can all have adverse effects on a pregnant woman; however,
these are not contagious conditions, and therefore clients with these conditions can
safely room share with a pregnant woman.
The home health nurse is caring for an older client recovering from pneumonia. A
concerned family member believes that the client is no longer capable of caring for
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
, self effectively. The nurse conducts an assessment of the client's basic activities of
daily living (BADLs). What activities would the nurse assess? Select all that apply.
Eating
Bathing
Cooking
Dressing
Taking medications
Balancing a checkbook - ANSWER-Eating
Bathing
Dressing
Rationale: ADL's are basic activities that assess functional ability. Daily activities
such as eating, bathing, and dressing are considered basic every day needs.
Activities such as cooking, taking medication, and balancing a checkbook are
considered more complex, instrumental activities.
The nurse is caring for a client who has recently undergone a radical right-sided
mastectomy for stage 3 breast cancer. When giving report to the next shift, what
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 4
Answers 100% Pass
The nurse is caring for a woman who is starting medroxyprogesterone injections
for birth control. What statements by the client would indicate a need for further
teaching? Select all that apply.
"I may experience some weight gain."
"I may not have regular periods while taking this medication."
"I should return in approximately 6 months for my next injection."
"Because it is highly effective, I can use this medication for many years."
"Depression is a side effect, and I should let my doctor know if I experience any
mood changes." - ANSWER-"I should return in approximately 6 months for my
next injection."
"Because it is highly effective, I can use this medication for many years."
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
,Rationale: Medroxyprogesterone is an injectable progestin given every 3 months to
prevent ovulation and pregnancy. It suppresses ovulation for 15 weeks, and
therefore, timing of the next injection is very important and should be no longer
than exactly 3 months. Although medroxyprogesterone is highly effective, it should
not be taken for more than 2 years due to the risk of osteoporosis. Weight gain,
irregular periods, and depression are all known side effects.
Following thyroid surgery, the nurse notes this response (refer to figure) when
taking the client's blood pressure. On further assessment, which laboratory finding
would the nurse expect to find?
Serum calcium of 8.4 mg/dL (2.1 mmol/L)
Sodium level of 138 mEq/L (138 mmol/L)
Serum potassium of 5.1 mEq/L (5.1 mmol/L)
Thyroid Stimulating Hormone (TSH) of 1.5 mU/L - ANSWER-Serum calcium of
8.4 mg/dL (2.1 mmol/L)
Rationale: Hypocalcemia is characterized by tetany, or sustained muscle
contractions. Chvostek's sign is facial contractions seen after a light tap of the
facial nerve in front of the ear. Trousseau's sign is carpal contraction when a blood
pressure cuff is inflated. These two signs are observed in hypocalcemia.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
,The charge nurse on a women's health unit is making a client room assignment.
Which clients would be least appropriate to assign to share a room with a woman
who is pregnant? Select all that apply.
A client with hepatitis B
A client with herpes zoster
A client with pyelonephritis
A client with hashimotos thyroiditis
A client with a urinary tract infection - ANSWER-A client with hepatitis B
A client with herpes zoster
Rationale: Viral infections such as hepatitis B and herpes zoster can be very serious
for the mother and fetus if exposed and clients with these conditions should not
share a room with a pregnant client. Pyelonephritis, hashimotos thyroiditis, and
urinary tract infections can all have adverse effects on a pregnant woman; however,
these are not contagious conditions, and therefore clients with these conditions can
safely room share with a pregnant woman.
The home health nurse is caring for an older client recovering from pneumonia. A
concerned family member believes that the client is no longer capable of caring for
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
, self effectively. The nurse conducts an assessment of the client's basic activities of
daily living (BADLs). What activities would the nurse assess? Select all that apply.
Eating
Bathing
Cooking
Dressing
Taking medications
Balancing a checkbook - ANSWER-Eating
Bathing
Dressing
Rationale: ADL's are basic activities that assess functional ability. Daily activities
such as eating, bathing, and dressing are considered basic every day needs.
Activities such as cooking, taking medication, and balancing a checkbook are
considered more complex, instrumental activities.
The nurse is caring for a client who has recently undergone a radical right-sided
mastectomy for stage 3 breast cancer. When giving report to the next shift, what
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 4
