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Family and Child Nursing focuses on the holistic care of children and their families across various healthcare settings. The course explores principles of growth and development, health promotion, disease prevention, and management of common pediatric illnesses and conditions. Students learn to assess the physical, emotional, and developmental needs of infants, children, and adolescents while considering family dynamics, cultural influences, and psychosocial factors. Emphasis is placed on communication, education, advocacy, and providing family-centered care that supports the health and wellbeing of both children and their families during health, illness, and transitional life events.
Recommended Textbook
Wongs Essentials of Pediatric Nursing 10th Edition by Hockenberry
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30 Chapters
1126 Verified Questions
1126 Flashcards
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26 Verified Questions
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Source URL: https://quizplus.com/quiz/4131
Sample Questions
Q1) A child has a postoperative appendectomy incision covered by a dressing. The nurse has just completed a prescribed dressing change for this child. Which description is an accurate documentation of this procedure?
A) Dressing change to appendectomy incision completed, child tolerated procedure well, parent present
B) No complications noted during dressing change to appendectomy incision
C) Appendectomy incision non-reddened, sutures intact, no drainage noted on old dressing, new dressing applied, procedure tolerated well by child
D) No changes to appendectomy incisional area, dressing changed, child complained of pain during procedure, new dressing clean, dry and intact
Answer: C
Q2) Which action by the nurse demonstrates use of evidence-based practice (EBP)?
A) Gathering equipment for a procedure
B) Documenting changes in a patient's status
C) Questioning the use of daily central line dressing changes
D) Clarifying a physician's prescription for morphine
Answer: C
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Sample Questions
Q1) A mother brings 6-month-old Eric to the clinic for a well-baby checkup. She comments, "I want to go back to work, but I don't want Eric to suffer because I'll have less time with him." The nurse's most appropriate answer would be which statement?
A) "I'm sure he'll be fine if you get a good babysitter."
B) "You will need to stay home until Eric starts school."
C) "You should go back to work so Eric will get used to being with others."
D) "Let's talk about the child care options that will be best for Eric."
Answer: D
Q2) A parent of a school-age child is going through a divorce. The parent tells the school nurse the child has not been doing well in school and sometimes has trouble sleeping. The nurse should recognize this as which implication?
A) Indication of maladjustment
B) Common reaction to divorce
C) Lack of adequate parenting
D) Unusual response that indicates need for referral
Answer: B
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Page 4
Health Promotion
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Sample Questions
Q1) The nurse is observing parents playing with their 10-month-old child. Which should the nurse recognize as evidence that the child is developing object permanence?
A) Looks for the toy that parents hide under the blanket
B) Returns the blocks to the same spot on the table
C) Recognizes that a ball of clay is the same when flattened out
D) Bangs two cubes held in her hands
Answer: A
Q2) Trauma to which site can result in a growth problem for children's long bones?
A) Matrix
B) Connective tissue
C) Calcified cartilage
D) Epiphyseal cartilage plate
Answer: D
Q3) Which following function of play is a major component of play at all ages?
A) Creativity
B) Socialization
C) Intellectual development
D) Sensorimotor activity
Answer: D

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Sample Questions
Q1) What type of breath sound is normally heard over the entire surface of the lungs except for the upper intrascapular area and the area beneath the manubrium?
A) Vesicular
B) Bronchial
C) Adventitious
D) Bronchovesicular
Q2) The nurse is interviewing the mother of an infant. She reports, "I had a difficult delivery, and my baby was born preterm." This information should be recorded under which of the following headings?
A) Past history
B) Present illness
C) Chief complaint
D) Review of systems
Q3) Which is most important to document about immunizations in the child's health history?
A) Dosage of immunizations received
B) Occurrence of any reaction after an immunization
C) The exact date the immunizations were received
D) Practitioner who administered the immunizations
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Sample Questions
Q1) The nurse is caring for a child receiving intravenous (IV) morphine for severe postoperative pain. The nurse observes a slower respiratory rate, and the child cannot be aroused. What is the priority nursing action?
A) Administer naloxone (Narcan)
B) Discontinue IV infusion
C) Discontinue morphine until child is fully awake
D) Stimulate child by calling name, shaking gently, and asking to breathe deeply
Q2) Fentanyl and midazolam (Versed) are given before débridement of a child's burn wounds. Which is the rationale for administration of these medications?
A) Promote healing
B) Prevent infection
C) Provide pain relief
D) Limit amount of débridement that will be necessary
Q3) A dose of oxycodone (OxyContin) 2 mg/kg has been ordered for a child weighing 33 lb. How many milligrams of OxyContin should the nurse administer? (Record your answer as a whole number.)
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Sample Questions
Q1) Which nursing consideration is important when caring for a child with impetigo contagiosa?
A) Apply topical corticosteroids to decrease inflammation.
B) Carefully remove dressings so as not to dislodge undermined skin, crusts, and debris.
C) Carefully wash hands and maintain cleanliness when caring for an infected child.
D) Examine child under a Wood lamp for possible spread of lesions.
Q2) Acyclovir (Zovirax) is given to children with chickenpox to:
A) minimize scarring.
B) decrease the number of lesions.
C) prevent aplastic anemia.
D) prevent spread of the disease.
Q3) A nurse is admitting a child to the hospital with a diagnosis of giardiasis. Which medication should the nurse expect to be prescribed?
A) Metronidazole (Flagyl)
B) Amoxicillin clavulanate (Augmentin)
C) Clarithromycin (Biaxin)
D) Prednisone (Orapred)
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Sample Questions
Q1) A new mother wants to be discharged with her newborn as soon as possible. What should be done prior to discharge?
A) Newborn has voided at least once
B) Newborn does not spit up after feeding
C) Jaundice, if present, appeared before 24 hours
D) Appointment is made for home care or a primary care practitioner office visit within next 2 or 3 days
Q2) At the time of birth, what is the grayish white, cheeselike substance that normally covers the newborn's skin called?
A) Miliaria
B) Meconium
C) Amniotic fluid
D) Vernix caseosa
Q3) The nurse observes flaring of nares in a newborn. This should be interpreted as:
A) nasal occlusion.
B) sign of respiratory distress.
C) common response to sneezing.
D) snuffles of congenital syphilis.
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Sample Questions
Q1) Which is defined as a vaguely outlined area of edematous tissue situated over the portion of the scalp that presents in a vertex delivery?
A) Caput succedaneum
B) Hydrocephalus
C) Cephalhematoma
D) Subdural hematoma
Q2) A preterm newborn has been receiving orogastric feedings of breast milk. The nurse initiates nipple feedings, but the newborn tires easily and has weak sucking and swallowing reflexes. What is the most appropriate nursing intervention?
A) Encourage mother to breastfeed.
B) Try nipple-feeding preterm newborn formula.
C) Resume orogastric feedings of breast milk.
D) Resume orogastric feedings of formula.
Q3) Which is characteristic of newborns whose mothers smoked during pregnancy?
A) Large for gestational age
B) Preterm, but size appropriate for gestational age
C) Growth retardation in weight only
D) Growth retardation in weight, length, and head circumference
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Q1) A parent asks the nurse "at what age do most infants begin to fear strangers?" The nurse should give which response?
A) 2 months
B) 4 months
C) 6 months
D) 12 months
Q2) In terms of fine motor development, what should the infant of 7 months be able to do?
A) Transfer objects from one hand to the other and bang cubes on a table.
B) Use thumb and index finger in crude pincer grasp and release an object at will.
C) Hold a crayon between the fingers and make a mark on paper.
D) Release cubes into a cup and build a tower of two blocks.
Q3) A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant. What should the nurse recommend the infant be given?
A) Skim milk
B) Whole cow's milk
C) Commercial iron-fortified formula
D) Commercial formula without iron
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Sample Questions
Q1) Which interventions should the nurse implement when caring for a family of a sudden infant death syndrome (SIDS) infant? (Select all that apply.)
A) Allow parents to say goodbye to their infant.
B) Once parents leave the hospital, no further follow-up is required.
C) Arrange for someone to take the parents home from the hospital.
D) Avoid requesting an autopsy of the deceased infant.
E) Conduct a debriefing session with the parents before they leave the hospital.
Q2) Cow's milk allergy (CMA) is diagnosed in a 6-month-old infant. Which should the nurse recommend as a substitute formula?
A) Nutramigen
B) Goat's milk
C) Similac
D) Enfamil
Q3) A nurse is teaching parents about prevention and treatment of colic. Which should the nurse include in the teaching plan?
A) Avoid use of pacifiers.
B) Eliminate all second-hand smoke contact.
C) Lay infant flat after feeding.
D) Avoid swaddling the infant.
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Sample Questions
Q1) Which is descriptive of a toddler's cognitive development at age 20 months?
A) Searches for an object only if he or she sees it being hidden
B) Realizes that "out of sight" is not out of reach
C) Puts objects into a container but cannot take them out
D) Understands the passage of time, such as "just a minute" and "in an hour"
Q2) What is the most fatal type of burn in the toddler age group?
A) Flame burn from playing with matches
B) Scald burn from high-temperature tap water
C) Hot object burn from cigarettes or irons
D) Electric burn from electric outlets
Q3) A father tells the nurse that his daughter wants the same plate and cup used at every meal, even if they go to a restaurant. What should the nurse explain to the father?
A) A sign the child is spoiled
B) A way to exert unhealthy control
C) Regression, common at this age
D) Ritualism, common at this age
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Sample Questions
Q1) Which play is most typical of the preschool period?
A) Solitary
B) Parallel
C) Associative
D) Team
Q2) The recommendation for calcium for children 1 to 3 years of age is _____ milligrams. (Record your answer in a whole number.)
Q3) A nurse is assessing a preschool-age child and notes the child exhibits magical thinking. According to Piaget, which describes magical thinking?
A) Events have cause and effect.
B) God is like an imaginary friend.
C) Thoughts are all-powerful.
D) If the skin is broken, the child's insides will come out.
Q4) In terms of fine motor development, which should the 3-year-old child be expected to do?
A) Lace shoes and tie shoelaces with a bow.
B) Use scissors to cut pictures, and print a few numbers.
C) Draw a person with seven parts and correctly identify the parts.
D) Draw a circle and name what has been drawn.
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Sample Questions
Q1) A child has been admitted to the emergency department with an acetaminophen (Tylenol) poisoning. An antidote is being prescribed by the health care provider. Which antidote should the nurse prepare to administer?
A) Naloxone (Narcan)
B) N-acetylcysteine (Mucomyst)
C) Flumazenil (Romazicon)
D) Digoxin immune Fab (Digibind)
Q2) At what blood level is chelation therapy for lead poisoning initiated in a child?
A) 10 to 14 g/dl
B) 15 to 19 g/dl
C) 20 to 44 g/dl
D) ³45 g/dl
Q3) Which describes a child who is abused by the parent(s)?
A) Unintentionally contributes to the abusing situation
B) Belongs to a low socioeconomic population
C) Is healthier than the nonabused siblings
D) Abuses siblings in the same way as child is abused by the parent(s)
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Sample Questions
Q1) The school nurse is conducting a class on bicycle safety. Which statement made by a participant indicates a need for further teaching?
A) "Most bicycle injuries occur from a fall off the bicycle."
B) "Head injuries are the major causes of bicycle-related fatalities."
C) "I should replace my helmet every 5 years."
D) "I can ride double with a friend if the bicycle has an extra-large seat."
Q2) A group of boys ages 9 and 10 years have formed a "boys-only" club that is open to neighborhood and school friends who have skateboards. How should this be interpreted?
A) Behavior that encourages bullying and sexism
B) Behavior that reinforces poor peer relationships
C) Characteristic of social development at this age
D) Characteristic of children who later are at risk for membership in gangs
Q3) A child has an evulsed (knocked-out) tooth. Which medium should the nurse instruct the parents to place the tooth in for transport to the dentist?
A) In cold milk
B) In cold water
C) In warm salt water
D) In a dry, clean jar

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Sample Questions
Q1) A nurse is reviewing hormone changes that occur during adolescence. What is the hormone responsible for the growth of beard, mustache, and body hair in the male?
A) Estrogen
B) Pituitary
C) Androgen
D) Progesterone
Q2) A school nurse is teaching a group of preadolescent boys about puberty. By which age should concerns about pubertal delay be considered?
A) 12 years
B) 13 years
C) 14 years
D) 15 years
Q3) Which screening tests should the school nurse perform for the adolescent? (Select all that apply.)
A) Glucose
B) Vision
C) Hearing
D) Cholesterol
E) Scoliosis
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Sample Questions
Q1) An adolescent has been diagnosed with Chlamydia infection. Which medication should the nurse expect to be prescribed for this condition?
A) Ceftriaxone (Rocephin) IM
B) Azithromycin (Zithromax) PO
C) Acyclovir (Zovirax) PO
D) Penicillin G benzathine (Bicillin) IV
Q2) A nurse is recommending strategies to a group of school-age children for prevention of obesity. Which should the nurse include? (Select all that apply.)
A) Eat breakfast daily.
B) Limit fruits and vegetables.
C) Have frequent family meals with parents present.
D) Eat frequently at restaurants.
E) Limit television viewing to 2 hours a day.
Q3) When is isotretinoin (Accutane) indicated for the treatment of acne during adolescence?
A) The acne has not responded to other treatments.
B) The adolescent is or may become pregnant.
C) The adolescent is unable to give up foods causing acne.
D) Frequent washing with antibacterial soap has been unsuccessful.
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Q1) At the time of a child's death, the nurse tells his mother, "We will miss him so much."
What is the best interpretation of this statement?
A) Pretending to be experiencing grief
B) Expressing personal feelings of loss
C) Denying the mother's sense of loss
D) Talking when listening would be better
Q2) Which is most descriptive of a school-age child's reaction to death?
A) Is very interested in funerals and burials
B) Has little understanding of words such as forever
C) Imagines the deceased person to be still alive
D) Has an idealistic view of the world and criticizes funerals as barbaric
Q3) Which are adaptive coping patterns used by children with special needs? (Select all that apply.)
A) Feels different and withdraws
B) Is irritable, moody, and acts out
C) Seeks support
D) Develops optimism
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Sample Questions
Q1) Which of the following is the most common clinical manifestation of retinoblastoma?
A) Glaucoma
B) Amblyopia
C) Cat's eye reflex
D) Sunken eye socket
Q2) Which should be the major consideration when selecting toys for a child who is cognitively impaired?
A) Safety
B) Age appropriateness
C) Ability to provide exercise
D) Ability to teach useful skills
Q3) The nurse is talking with a 10-year-old boy who wears bilateral hearing aids. The left hearing aid is making an annoying whistling sound that the child cannot hear. Which is the most appropriate nursing action?
A) Ignore the sound.
B) Ask him to reverse the hearing aids in his ears.
C) Suggest he reinsert the hearing aid.
D) Suggest he raise the volume of the hearing aid.
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Sample Questions
Q1) A nurse is preparing to complete an admission assessment on a 2-year-old child. The child is sitting on the parent's lap. Which technique should the nurse implement to complete the physical exam?
A) Ask the parent to place the child in the hospital crib.
B) Take the child and parent to the exam room.
C) Perform the exam while the child is on the parent's lap.
D) Ask the child to stand by the parent while completing the exam.
Q2) A child is playing in the playroom. The nurse needs to obtain a child's blood pressure. Which is the appropriate procedure for obtaining the blood pressure?
A) Take the blood pressure in the playroom.
B) Ask the child to come to the exam room to obtain the blood pressure.
C) Ask the child to return to his or her room for the blood pressure, then escort the child back to the playroom.
D) Document that the blood pressure was not obtained because the child was in the playroom.
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Sample Questions
Q1) Several types of long-term central venous access devices are used. Which is considered an advantage of a Hickman-Broviac catheter?
A) No need to keep exit site dry
B) Easy to use for self-administered infusions
C) Heparinized only monthly and after each infusion
D) No limitations on regular physical activity, including swimming
Q2) The nurse is teaching a mother how to perform chest physical therapy and postural drainage on her 3-year-old child, who has cystic fibrosis. How should the nurse instruct the mother?
A) Cover the skin with a shirt or gown before percussing.
B) Strike the chest wall with a flat-hand position.
C) Percuss over the entire trunk anteriorly and posteriorly.
D) Percuss before positioning for postural drainage.
Q3) A 2-year-old child is being admitted to the hospital for possible bacterial meningitis. When preparing for a lumbar puncture, what is the nurse's best action?
A) Prepare child for conscious sedation during the test.
B) Set up a tray with equipment the same size as for adults.
C) Reassure the parents that the test is simple, painless, and risk free.
D) Apply EMLA to the puncture site 15 minutes before the procedure.
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Sample Questions
Q1) b-Adrenergic agonists and methylxanthines are often prescribed for a child with an asthma attack. Which describes their action?
A) Liquefy secretions
B) Dilate the bronchioles
C) Reduce inflammation of the lungs
D) Reduce infection
Q2) An infant has developed staphylococcal pneumonia. Nursing care of the child with pneumonia includes which interventions? (Select all that apply.)
A) Cluster care to conserve energy
B) Round-the-clock administration of antitussive agents
C) Strict intake and output to avoid congestive heart failure
D) Administration of antibiotics
Q3) A nurse is teaching an adolescent how to use the peak expiratory flowmeter. The adolescent has understood the teaching if which statement is made?
A) "I will record the average of the readings."
B) "I should be sitting comfortably when I perform the readings."
C) "I will record the readings at the same time every day."
D) "I will repeat the routine two times."
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Q1) Which vaccine is now recommended for the immunization of all newborns?
A) Hepatitis A vaccine
B) Hepatitis B vaccine
C) Hepatitis C vaccine
D) Hepatitis A, B, and C vaccines
Q2) Why are bismuth subsalicylate, clarithromycin, and metronidazole prescribed for a child with a peptic ulcer?
A) Eradicate Helicobacter pylori
B) Coat gastric mucosa
C) Treat epigastric pain
D) Reduce gastric acid production
Q3) When caring for a child with probable appendicitis, the nurse should be alert to recognize that which condition or symptom is a sign of perforation?
A) Bradycardia
B) Anorexia
C) Sudden relief from pain
D) Decreased abdominal distention
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Q1) As part of the treatment for heart failure, the child takes the diuretic furosemide (Lasix). As part of teaching home care, the nurse encourages the family to give the child foods such as bananas, oranges, and leafy vegetables. These foods are recommended because they are high in which nutrient?
A) Chlorides
B) Potassium
C) Sodium
D) Vitamins
Q2) The nurse is conducting a staff in-service on congenital heart defects. Which structural defect constitutes tetralogy of Fallot?
A) Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
B) Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
C) Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy
D) Pulmonic stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy
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Q1) Which immunization should be given with caution to children infected with human immunodeficiency virus (HIV)?
A) Influenza
B) Varicella
C) Pneumococcal
D) Inactivated poliovirus (IPV)
Q2) The nurse is conducting a staff in-service on sickle cell anemia. Which describes the pathologic changes of sickle cell anemia?
A) Sickle-shaped cells carry excess oxygen.
B) Sickle-shaped cells decrease blood viscosity.
C) Increased red blood cell destruction occurs.
D) Decreased adhesion of sickle-shaped cells occurs.
Q3) The nurse is conducting a staff in-service on inherited childhood blood disorders. Which statement describes severe combined immunodeficiency syndrome (SCIDS)?
A) There is a deficit in both the humoral and cellular immunity with this disease.
B) Production of red blood cells is affected with this disease.
C) Adult hemoglobin is replaced by abnormal hemoglobin in this disease.
D) There is a deficiency of T and B lymphocyte production with this disease.
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Q1) When communicating with other professionals, it is important for home care nurses to:
A) ask others what they want to know.
B) share everything known about the family.
C) restrict communication to clinically relevant information.
D) recognize that confidentiality is not possible.
Q2) A toddler with leukemia is on intravenous chemotherapy treatments. The toddler's lab results are WBC: 1000; neutrophils: 7%; nonsegmented neutrophils (bands): 7%. What is this child's absolute neutrophil count (ANC)? (Record your answer in a whole number.)
Q3) Which is often administered to prevent or control hemorrhage in a child with cancer?
A) Nitrosoureas
B) Platelets
C) Whole blood
D) Corticosteroids
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Q1) The nurse is conducting an assessment on a school-age child with urosepsis. Which assessment finding should the nurse expect?
A) Fever with a positive blood culture
B) Proteinuria and edema
C) Oliguria and hypertension
D) Anemia and thrombocytopenia
Q2) The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis. Which information should the nurse include in the teaching?
A) "You will need to decrease the number of calories in your child's diet."
B) "Your child's diet will need an increased amount of protein."
C) "You will need to avoid adding salt to your child's food."
D) "Your child's diet will consist of low-fat, low-carbohydrate foods."
Q3) The nurse is teaching parents about prevention of urinary tract infections in children. Which factor predisposes the urinary tract to infection?
A) Increased fluid intake
B) Short urethra in young girls
C) Prostatic secretions in males
D) Frequent emptying of the bladder
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Q1) When taking the history of a child hospitalized with Reye syndrome, the nurse should not be surprised that a week ago the child had recovered from:
A) measles.
B) varicella.
C) meningitis.
D) hepatitis.
Q2) The nurse has received report on four children. Which child should the nurse assess first?
A) A school-age child in a coma with stable vital signs
B) A preschool child with a head injury and decreasing level of consciousness
C) An adolescent admitted after a motor vehicle accident is oriented to person and place
D) A toddler in a persistent vegetative state with a low-grade fever
Q3) What are the vector reservoirs for agents causing viral encephalitis in the United States?
A) Tarantula spiders
B) Mosquitoes
C) Carnivorous wild animals
D) Domestic and wild animals
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Source URL: https://quizplus.com/quiz/4158
Sample Questions
Q1) The parent of a child with diabetes mellitus asks the nurse when urine testing will be necessary. The nurse should explain that urine testing is necessary for which?
A) Glucose is needed before administration of insulin.
B) Glucose is needed four times a day.
C) Glycosylated hemoglobin is required.
D) Ketonuria is suspected.
Q2) The parents of a child who has just been diagnosed with type 1 diabetes ask about exercise. Which should the nurse explain about exercise in type 1 diabetes?
A) Exercise will increase blood glucose.
B) Exercise should be restricted.
C) Extra snacks are needed before exercise.
D) Extra insulin is required during exercise.
Q3) A neonate born with ambiguous genitalia is diagnosed with congenital adrenogenital hyperplasia. What does therapeutic management include?
A) Administration of vitamin D
B) Administration of cortisone
C) Administration of stool softeners
D) Administration of calcium carbonate
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/4159
Sample Questions
Q1) The nurse is conducting a staff in-service on casts. Which is an advantage to using a fiberglass cast instead of a plaster of Paris cast?
A) Cheaper
B) Dries rapidly
C) Molds closely to body parts
D) Smooth exterior
Q2) Which should cause a nurse to suspect that an infection has developed under a cast?
A) Complaint of paresthesia
B) Cold toes
C) Increased respirations
D) "Hot spots" felt on cast surface
Q3) The nurse uses the palms of the hands when handling a wet cast for which reason?
A) To assess dryness of the cast
B) To facilitate easy turning
C) To keep the patient's limb balanced
D) To avoid indenting the cast
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Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/4160
Sample Questions
Q1) The nurse is admitting a school-age child with suspected Guillain-Barré syndrome (GBS). Which is a priority in the care for this child?
A) Monitoring intake and output
B) Assessing respiratory efforts
C) Placing on a telemetry monitor
D) Obtaining laboratory studies
Q2) Which assessment findings should the nurse note in a school-age child with Duchenne muscular dystrophy (DMD)? (Select all that apply.)
A) Lordosis
B) Gower sign
C) Kyphosis
D) Scoliosis
E) Waddling gait
Q3) Latex allergy is suspected in a child with spina bifida. Appropriate nursing interventions include which action?
A) Avoid using any latex product.
B) Use only nonallergenic latex products.
C) Administer medication for long-term desensitization.
D) Teach family about long-term management of asthma.
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