NCLEX Caring for Families Practice Exam
A nurse is educating a family about caring for a child with asthma. Which of the following statements by the family indicates the need for further teaching?
A) “We should keep the child away from smoke and strong odors.”
B) “We should always ensure the child uses their inhaler before physical activity.”
C) “It is okay to skip medications when the child is feeling well.”
D) “We will keep a record of the child’s peak flow readings.”
A family is coping with a diagnosis of cancer for their child. Which of the following is the most important action for the nurse to take?
A) Encourage the family to ask questions about the diagnosis.
B) Discourage emotional expression to avoid distress.
C) Allow the family to focus solely on medical treatment.
D) Suggest support groups after treatment is completed.
A nurse is discussing family dynamics with a new mother. Which of the following should the nurse include in the teaching?
A) Expecting to feel only joy and excitement after childbirth is normal.
B) It’s common for new mothers to experience mood swings and emotional shifts.
C) A mother should not rely on family members for help.
D) The father’s role in caring for the infant is less important than the mother’s.
A nurse is teaching a family how to care for a newborn with jaundice. Which of the following statements by the parents indicates the need for further teaching?
A) “We will make sure the baby is fed frequently.”
B) “We will keep the baby in indirect sunlight for a few hours each day.”
C) “We will give the baby extra fluids to help flush out the bilirubin.”
D) “We will monitor the baby’s skin color and report any changes.”
A nurse is caring for a family whose child has just been diagnosed with type 1 diabetes. Which of the following is the most important part of family teaching?
A) Teach the family about proper insulin administration.
B) Encourage the family to avoid any changes to the child’s diet.
C) Instruct the family to avoid all carbohydrates in the child’s meals.
D) Stress the importance of preventing physical activity.
A nurse is providing support to a family whose child has been diagnosed with a chronic illness. Which of the following actions by the nurse is most appropriate?
A) Encourage the family to maintain a “normal” routine as much as possible.
B) Discourage the family from expressing feelings of frustration and anger.
C) Advise the family to focus only on the child’s health needs.
D) Suggest the family avoid seeking emotional support from others.
A nurse is teaching a family about the care of a child with sickle cell anemia. Which of the following should the nurse include in the teaching?
A) The child should avoid contact with other children to prevent infections.
B) The child should drink plenty of fluids to prevent dehydration.
C) The child should engage in vigorous physical activity daily.
D) The child should avoid any type of immunization.
A nurse is discussing the stages of grief with a family who has just lost a loved one. Which of the following should the nurse explain as a common response in the grief process?
A) The family will go through all stages in a specific order.
B) Denial is often the final stage in the grieving process.
C) Grief is a unique process and may vary for each individual.
D) Grief only affects the individual and not the family as a whole.
A nurse is working with a family to develop a plan for discharge for a child with a chronic illness. Which of the following should the nurse emphasize?
A) The family should continue to rely solely on the healthcare team for support.
B) The family should keep the child isolated from others to prevent exposure.
C) The family should establish a routine for managing the child’s care at home.
D) The family should avoid seeking support from other families with similar conditions.
A nurse is providing education to a family caring for an elderly relative with Alzheimer’s disease. Which of the following should the nurse include in the teaching?
A) The elderly person should be encouraged to stay as independent as possible.
B) The family should provide a calm and structured environment for the relative.
C) The family should minimize communication to avoid frustration.
D) The elderly person should be left alone to avoid overstimulation.
A nurse is caring for a child with cystic fibrosis and is educating the family about managing the condition. Which of the following should the nurse include in the teaching?
A) The child should be encouraged to increase salt intake.
B) The child should avoid daily physical activity.
C) The child should eat a high-protein, low-fat diet.
D) The child should undergo routine chest physiotherapy.
A nurse is educating a family about car seat safety for their newborn. Which of the following statements by the parents indicates that they need further teaching?
A) “We will use a rear-facing car seat in the back seat of the car.”
B) “We will secure the car seat using the car’s seat belt system.”
C) “We will place the baby in a forward-facing car seat after six months.”
D) “We will make sure the car seat is tightly secured to prevent movement.”
A nurse is discussing the impact of hospitalization on a family with a child who is experiencing a chronic illness. Which of the following is most important for the nurse to assess?
A) The family’s ability to pay for medical expenses.
B) The emotional and psychological support needs of the family.
C) The child’s progress in physical therapy.
D) The family’s knowledge about the child’s medical condition.
A nurse is providing discharge instructions to a family caring for a child after a tonsillectomy. Which of the following instructions is most important?
A) “Offer the child only solid foods for the first few days after discharge.”
B) “Encourage the child to drink plenty of fluids to prevent dehydration.”
C) “Avoid giving the child any pain medications until the next appointment.”
D) “Restrict the child’s activities for one week following the procedure.”
A nurse is teaching a family about the care of a newborn with a cleft lip. Which of the following statements by the family indicates the need for further teaching?
A) “We will feed the baby slowly to prevent aspiration.”
B) “We will use a special bottle designed for babies with cleft lips.”
C) “We will wait until the baby is at least 6 months old for surgery.”
D) “We will make sure to clean the baby’s lip and mouth after feedings.”
A nurse is assessing the family of a child who has recently been diagnosed with autism spectrum disorder (ASD). Which of the following should the nurse include in the assessment?
A) Family history of psychiatric disorders.
B) The child’s developmental milestones.
C) The family’s level of education.
D) The family’s socioeconomic status.
A nurse is working with a family to manage a child with asthma. Which of the following should the nurse include in the family teaching?
A) The child should take bronchodilators only when symptoms worsen.
B) The child should avoid allergens that trigger asthma symptoms.
C) The child should only use a nebulizer during a severe asthma attack.
D) The child should be limited to minimal physical activity to avoid exacerbations.
A nurse is caring for a family after the birth of a preterm infant. Which of the following is the nurse’s priority in family-centered care?
A) Encouraging the family to participate in infant care as much as possible.
B) Limiting family visits to reduce the risk of infection.
C) Restricting family members from providing infant care until discharge.
D) Providing detailed instructions on infant care before discharge.
A nurse is educating a family about the use of a feeding tube for their child with cerebral palsy. Which of the following should the nurse include in the teaching?
A) The child should be placed in a supine position during tube feedings.
B) The family should rotate the feeding tube every few hours.
C) The family should monitor for signs of tube displacement.
D) The family should avoid flushing the tube with water.
A nurse is discussing genetic testing with a family of a child diagnosed with a genetic disorder. Which of the following is the nurse’s role in the decision-making process?
A) To provide the family with a definitive diagnosis.
B) To offer emotional support and assist in understanding the test results.
C) To suggest the family refuse testing to avoid potential complications.
D) To make decisions about whether the family should proceed with testing.
A nurse is caring for a child who has been diagnosed with type 1 diabetes. Which of the following family members should the nurse prioritize for teaching about insulin administration?
A) The child’s sibling.
B) The child’s father.
C) The child’s mother.
D) The child’s grandparent.
A nurse is caring for a family who has a child with a terminal illness. Which of the following should the nurse include in the family’s care plan?
A) Focus on physical comfort and emotional support.
B) Encourage the family to deny feelings of grief to avoid distress.
C) Encourage the family to avoid discussing the child’s illness.
D) Restrict family interactions with the child to prevent sadness.
A nurse is assessing a family’s coping mechanisms after a child is diagnosed with a chronic illness. Which of the following behaviors should the nurse identify as a maladaptive coping strategy?
A) Seeking social support from friends and family.
B) Engaging in relaxation techniques and stress reduction.
C) Ignoring medical advice and not following the prescribed treatment plan.
D) Participating in support groups for families of children with similar conditions.
A nurse is providing guidance to a family whose child has undergone surgery. Which of the following interventions should the nurse include in the family’s care plan?
A) Encourage family members to avoid visiting the child in the hospital to prevent emotional stress.
B) Provide information on the child’s recovery and pain management techniques.
C) Restrict the family’s involvement in the child’s care to allow for medical recovery.
D) Instruct the family to limit communication with the child to avoid overstimulation.
A nurse is educating a family about the prevention of sudden infant death syndrome (SIDS). Which of the following statements by the parents indicates the need for further teaching?
A) “We will always lay our baby down on their back to sleep.”
B) “We will keep the baby’s crib free from blankets, pillows, and stuffed animals.”
C) “We will offer the baby a pacifier during naps and bedtime.”
D) “We will place the baby on their stomach to sleep to prevent choking.”
A nurse is caring for a family whose child has been diagnosed with autism spectrum disorder. Which of the following should the nurse include in the teaching?
A) The child should avoid any form of therapy or interventions.
B) The family should focus on promoting social interaction and communication.
C) The family should limit the child’s exposure to all technology.
D) The child should be enrolled in a special school for the hearing impaired.
A nurse is caring for a family whose child has a congenital heart defect. Which of the following is most important for the nurse to include in the family teaching?
A) The child should avoid physical activity altogether.
B) The family should monitor the child’s vital signs daily.
C) The child should maintain a high-calorie, low-sodium diet.
D) The family should schedule regular follow-up appointments for cardiac assessments.
A nurse is educating a family about the care of a newborn with a birth defect. Which of the following should the nurse emphasize?
A) The family should avoid any discussions about the child’s condition.
B) The family should engage in early intervention services.
C) The family should limit the baby’s interaction with family members.
D) The family should delay seeking medical care until the child is older.
A nurse is educating a family about caring for a child with a respiratory condition. Which of the following should the nurse recommend?
A) Encourage the child to engage in strenuous physical activities.
B) Advise the family to keep the home free of allergens and pollutants.
C) Recommend that the child avoid outdoor activities entirely.
D) Limit the child’s exposure to prescribed medications.
A nurse is caring for a family whose child has a developmental delay. Which of the following should the nurse include in the teaching?
A) The child should avoid all social interactions to prevent frustration.
B) The family should focus on promoting the child’s independence through appropriate activities.
C) The child should be isolated from other children to prevent embarrassment.
D) The family should discourage the child from engaging in school activities.
A nurse is teaching a family about the care of a child with epilepsy. Which of the following instructions is most important for the nurse to include?
A) “You should encourage the child to avoid any physical activity.”
B) “Ensure that the child wears a helmet during activities that may lead to head injury.”
C) “The child should avoid all social interactions to prevent stress.”
D) “It’s important to keep the child’s medication schedule consistent.”
A nurse is teaching a family of a child who has recently been diagnosed with asthma. Which of the following actions should the nurse include in the teaching?
A) “Make sure the child avoids all outdoor activities.”
B) “Encourage the child to use a peak flow meter daily.”
C) “The child should avoid taking prescribed inhalers during an attack.”
D) “The child should be limited to eating foods with high salt content.”
A nurse is caring for a family with a child who has cystic fibrosis. Which of the following should the nurse prioritize in teaching the family?
A) “Ensure the child is avoiding all physical exercise.”
B) “Teach the family to perform chest physiotherapy to aid in lung drainage.”
C) “It is important to limit the child’s fluid intake to prevent swelling.”
D) “Restrict the child’s diet to low-fat foods only.”
A nurse is teaching a family about home safety for a child who has recently started walking. Which of the following is most important for the nurse to include?
A) “Ensure that the child’s play area is free from sharp objects.”
B) “Keep the child in a crib while awake to prevent falls.”
C) “Avoid using safety gates on stairs until the child is 5 years old.”
D) “Install soft mats on the floor to cushion any falls.”
A nurse is caring for a child with a newly diagnosed congenital heart defect. Which of the following should the nurse teach the family about the child’s care at home?
A) “The child should avoid all physical activity until adulthood.”
B) “You should limit the child’s fluid intake to avoid strain on the heart.”
C) “The child will need regular follow-up care with a cardiologist.”
D) “The child should be isolated to prevent infection.”
A nurse is caring for a family with a child who has been diagnosed with attention-deficit hyperactivity disorder (ADHD). Which of the following is the nurse’s priority in family teaching?
A) “Encourage the child to stay home from school to prevent stress.”
B) “Establish a consistent daily routine to help the child manage symptoms.”
C) “Provide the child with as much freedom as possible to minimize frustration.”
D) “Ignore the child’s impulsive behaviors to prevent reinforcing them.”
A nurse is teaching a family about preventing falls in an elderly relative. Which of the following should the nurse emphasize?
A) “Ensure that rugs and mats are removed from the floors.”
B) “The elderly relative should wear loose-fitting shoes to avoid tripping.”
C) “Avoid using handrails when going up and down stairs.”
D) “It is best to restrict the elderly relative’s movements to prevent falls.”
A nurse is educating a family on how to care for a child with a cast on the arm. Which of the following statements by the family indicates understanding of the teaching?
A) “We will use a hairdryer on the low setting to dry the cast if it gets wet.”
B) “We will place the child’s arm on a pillow to keep it elevated.”
C) “We will apply powder or lotion to the inside of the cast to prevent itching.”
D) “We will avoid allowing the child to move the arm to prevent discomfort.”
A nurse is discussing the impact of a chronic illness on a family. Which of the following actions is most appropriate for the nurse to take?
A) Minimize family members’ involvement to avoid overwhelming them.
B) Encourage the family to make health decisions solely based on medical advice.
C) Offer emotional support and acknowledge the family’s feelings.
D) Discourage the family from seeking social support from others.
A nurse is caring for a child who has been diagnosed with a life-threatening illness. Which of the following should the nurse include in the family’s care plan?
A) Allow the family to discuss the child’s prognosis and treatment options.
B) Restrict the family’s involvement in decision-making to prevent stress.
C) Minimize communication about the child’s condition to avoid overwhelming the family.
D) Encourage the family to maintain a “normal” routine and avoid expressing concerns.
A nurse is educating a family about the use of a nebulizer for a child with asthma. Which of the following instructions should the nurse include?
A) “The nebulizer treatment should be used only when the child is in respiratory distress.”
B) “The child should avoid using the nebulizer before physical activity.”
C) “Clean the nebulizer mouthpiece and mask after each use with warm water and soap.”
D) “The nebulizer should be used less frequently to avoid potential medication side effects.”
A nurse is educating a family about the care of a newborn with a tracheostomy. Which of the following statements indicates that the family needs further teaching?
A) “We should always have an extra tracheostomy tube on hand in case of an emergency.”
B) “We will suction the tracheostomy tube every 4 hours to clear any secretions.”
C) “We should clean the tracheostomy tube site with sterile saline and gauze.”
D) “We should avoid touching the tracheostomy tube to reduce the risk of infection.”
A nurse is discussing the impact of illness on family members. Which of the following is most important for the nurse to assess in the family of a child with a chronic illness?
A) Family members’ level of physical activity.
B) The family’s coping strategies and support systems.
C) Family members’ educational background.
D) The family’s financial resources for medical expenses.
A nurse is teaching a family about the care of a child with a feeding tube. Which of the following instructions should the nurse include in the teaching?
A) “The feeding tube should be flushed with water before and after each feeding.”
B) “You can remove the feeding tube for 30 minutes to allow the child to rest.”
C) “The child should not be allowed to drink water or other fluids with the feeding.”
D) “You can use the feeding tube for medication administration only once a day.”
A nurse is teaching a family about the care of a newborn who was recently diagnosed with jaundice. Which of the following should the nurse emphasize?
A) “Make sure to limit the baby’s exposure to light.”
B) “Increase the baby’s fluid intake by providing extra formula.”
C) “Ensure that the baby gets frequent feedings to help with bilirubin elimination.”
D) “Use a special lotion to reduce skin irritation caused by the jaundice.”
A nurse is providing discharge instructions to the family of a child who has had surgery for an inguinal hernia. Which of the following should the nurse include in the teaching?
A) “The child can return to normal activities as soon as they feel better.”
B) “Monitor the child for signs of infection at the surgical site.”
C) “The child should avoid eating solid foods for 24 hours post-surgery.”
D) “The child should wear a tight-fitting abdominal binder at all times.”
A nurse is discussing the care of a child with sickle cell anemia with the family. Which of the following instructions should the nurse include?
A) “Encourage the child to engage in rigorous physical activities.”
B) “Ensure the child stays hydrated to help prevent sickle cell crises.”
C) “Limit the child’s exposure to sunlight to avoid triggers.”
D) “Avoid immunizations to prevent infection.”
A nurse is caring for a family with a child diagnosed with type 1 diabetes. Which of the following actions should the nurse emphasize for the family in terms of blood glucose monitoring?
A) “You should monitor the child’s blood glucose only when symptoms of hypoglycemia occur.”
B) “The child should check their blood glucose levels at least four times a day.”
C) “It’s important to check the blood glucose level once a week.”
D) “Blood glucose levels should be checked before meals and at bedtime only.”
A nurse is teaching a family about safety measures for a toddler who is learning to walk. Which of the following should the nurse include?
A) “It is important to place the child in a crib when not supervised to prevent falls.”
B) “You should make sure the child wears shoes at all times to prevent injury.”
C) “You should avoid using gates on stairs, as they may restrict the child’s movement.”
D) “Ensure that furniture with sharp edges is padded or moved out of the child’s way.”
A nurse is caring for a family whose child is undergoing chemotherapy for leukemia. Which of the following interventions should the nurse include to promote the family’s coping?
A) “Encourage the family to avoid talking about the child’s diagnosis to prevent anxiety.”
B) “Promote communication within the family and offer resources for support groups.”
C) “Limit the family’s involvement in decision-making to reduce their stress.”
D) “Encourage the family to keep the child isolated to protect them from infections.”
A nurse is teaching a family about home care for a child with an ostomy. Which of the following should the nurse include in the teaching?
A) “The child should avoid all foods that could cause gas.”
B) “You should regularly change the ostomy pouch to prevent leakage.”
C) “Limit the child’s activities to avoid damage to the ostomy site.”
D) “You should apply powder or lotion around the ostomy site to prevent irritation.”
A nurse is educating a family on how to manage asthma at home for a school-aged child. Which of the following instructions should the nurse provide?
A) “Encourage the child to engage in vigorous outdoor activities, even in cold weather.”
B) “Ensure the child’s medication regimen is strictly followed, even when symptoms are not present.”
C) “Avoid using the peak flow meter daily unless the child experiences wheezing.”
D) “The child should take their inhaler only when they feel short of breath.”
A nurse is providing care for a family of a newborn diagnosed with a cleft lip and palate. Which of the following is most important for the nurse to include in the teaching?
A) “The baby should be breastfed to help with lip closure.”
B) “The baby will need frequent suctioning to prevent aspiration.”
C) “Feeding should be done with a specialized bottle and nipple designed for cleft lip and palate.”
D) “Surgical correction can typically be done at 1 year of age.”
A nurse is teaching a family how to care for a child who has a chronic illness. Which of the following actions is most important for the nurse to emphasize in terms of maintaining family well-being?
A) “Encourage the family to provide care alone without outside help to strengthen family bonds.”
B) “Encourage open communication between family members about feelings, concerns, and needs.”
C) “Limit the family’s social interactions to avoid added stress.”
D) “Promote complete independence in caregiving roles to prevent burnout.”
A nurse is caring for a family of a child diagnosed with autism spectrum disorder (ASD). Which of the following is most important for the nurse to include in the family’s care plan?
A) “The child should participate in all social activities to improve social skills.”
B) “Provide a consistent daily routine and environment for the child.”
C) “Limit the child’s exposure to any form of technology to avoid overstimulation.”
D) “Encourage the child to speak in full sentences to enhance communication.”
A nurse is providing discharge instructions to a family whose child is undergoing treatment for a mental health disorder. Which of the following is the nurse’s priority in teaching?
A) “Make sure the child attends all appointments with their therapist.”
B) “The child should be restricted from participating in social activities for 6 months.”
C) “Limit family involvement in the treatment plan to avoid overwhelming the child.”
D) “Make sure the child avoids taking prescribed medications to prevent side effects.”
A nurse is discussing safety measures with the family of a toddler. Which of the following is the most important safety measure to include?
A) “Place a gate at the top and bottom of stairs to prevent falls.”
B) “Allow the child to play outside unsupervised to foster independence.”
C) “Keep all toxic substances within easy reach for the child’s safety.”
D) “Avoid using a car seat while traveling in the car to prevent injury.”
A nurse is teaching a family how to care for a child with a chronic illness. Which of the following is the nurse’s priority when educating the family about the child’s condition?
A) “Encourage the family to ignore the child’s symptoms to avoid giving in to their demands.”
B) “Provide the family with resources on how to manage the illness and available support services.”
C) “Discourage the family from seeking social support to maintain family privacy.”
D) “Limit the family’s contact with healthcare providers to avoid unnecessary stress.”
A nurse is teaching the family of a child with a new diagnosis of asthma. Which of the following should the nurse emphasize?
A) “You should avoid all vaccinations to prevent any respiratory complications.”
B) “You should monitor the child’s respiratory rate and use a peak flow meter to track asthma control.”
C) “Limit the child’s physical activity to prevent asthma attacks.”
D) “It’s best to avoid using medications to manage asthma to prevent side effects.”
A nurse is caring for the family of a child who has been diagnosed with cystic fibrosis. Which of the following actions is the most important for the nurse to include in the child’s care plan?
A) “The child should eat a low-calorie diet to prevent weight gain.”
B) “Provide frequent chest physiotherapy to help clear the lungs of secretions.”
C) “Limit the child’s fluid intake to prevent fluid overload.”
D) “Discourage exercise, as it may lead to respiratory complications.”
A nurse is educating the family of a child who has undergone a tonsillectomy. Which of the following instructions should the nurse include in the teaching?
A) “Encourage the child to eat solid foods immediately after the procedure.”
B) “The child may have a low-grade fever for up to 1 week postoperatively.”
C) “Expect significant bleeding from the throat immediately after the surgery.”
D) “The child should avoid drinking liquids to reduce throat irritation.”
A nurse is teaching the family of a child with juvenile idiopathic arthritis about managing the condition. Which of the following instructions should the nurse include?
A) “Encourage the child to rest and avoid any physical activity.”
B) “Administer pain medications as prescribed and encourage regular movement to maintain joint function.”
C) “The child should avoid all physical therapy to prevent exacerbating the condition.”
D) “Limit the child’s range of motion exercises to only when symptoms are severe.”
A nurse is providing care for a child with a history of seizures. Which of the following interventions should the nurse include in the family’s discharge plan?
A) “Allow the child to be alone in the bathtub to promote independence.”
B) “Encourage the family to restrict the child’s participation in all physical activities.”
C) “Teach the family to observe and record the child’s seizure activity to inform healthcare providers.”
D) “Ensure that the child avoids all school activities to reduce stress.”
A nurse is teaching a family how to care for a child with diabetes mellitus. Which of the following statements by the parent indicates understanding of the teaching?
A) “I should provide the child with a high-sugar diet to increase their energy.”
B) “I will make sure the child checks their blood glucose levels at least four times a day.”
C) “The child should avoid exercise to prevent drops in blood glucose levels.”
D) “I will give the child insulin only when their blood glucose is high.”
A nurse is teaching the family of a child with a congenital heart defect about their child’s care. Which of the following instructions should the nurse emphasize?
A) “Limit the child’s activity to prevent stress on the heart.”
B) “It is important to avoid all vaccinations to prevent infection.”
C) “Make sure the child follows a high-salt diet to support heart function.”
D) “Encourage the child to participate in strenuous physical activities.”
A nurse is caring for the family of a child recently diagnosed with a behavioral disorder. Which of the following interventions should the nurse include in the plan of care?
A) “Encourage the family to avoid any behavior management techniques to reduce stress.”
B) “Help the family establish a consistent routine to improve the child’s behavior.”
C) “Suggest limiting social interactions to help the child avoid overstimulation.”
D) “Encourage the family to apply negative reinforcement consistently.”
A nurse is discussing the use of medications for a child with attention-deficit/hyperactivity disorder (ADHD) with the family. Which of the following statements should the nurse include in the teaching?
A) “The child should avoid taking medications if symptoms of ADHD are mild.”
B) “Medications will help the child to focus better and improve behavior.”
C) “The child should never miss a dose of medication to prevent side effects.”
D) “Medications for ADHD should be stopped immediately if the child shows improvement.”
A nurse is caring for a family whose child is undergoing surgery for a cleft lip. Which of the following actions is the most important for the nurse to include in the care plan postoperatively?
A) “Encourage the family to feed the child with a regular bottle and nipple.”
B) “Instruct the family to limit the child’s intake of fluids after surgery.”
C) “Provide the family with instructions on preventing the child from sucking on the lip repair.”
D) “Apply a cool compress to the surgical site to reduce swelling.”
A nurse is discussing immunizations with a family. Which of the following statements by the parent indicates understanding of the nurse’s teaching?
A) “The child can receive the flu vaccine at any age.”
B) “It’s important to space out vaccines to prevent overwhelming the child’s immune system.”
C) “The child can receive immunizations even if they are mildly ill.”
D) “Vaccines can be skipped if the child is showing signs of a mild cold.”
A nurse is teaching a family how to manage a child’s asthma during an acute exacerbation. Which of the following instructions should the nurse include?
A) “Administer the child’s rescue inhaler as soon as they show signs of difficulty breathing.”
B) “Encourage the child to rest and avoid all physical activity until symptoms resolve.”
C) “The child should not take the prescribed medications to avoid side effects.”
D) “The child should be taken to the emergency department only if symptoms worsen significantly.”
A nurse is educating a family about the management of a child with eczema. Which of the following should the nurse emphasize in the teaching plan?
A) “Use harsh soaps and hot water to cleanse the skin.”
B) “Moisturize the skin frequently to prevent dryness.”
C) “Limit the child’s exposure to the sun to prevent flare-ups.”
D) “The child should bathe in a chlorine-based pool to help control the condition.”
A nurse is providing care for the family of a child with a mental health disorder. Which of the following interventions should the nurse include in the care plan to support the family’s coping?
A) “Encourage the family to avoid discussing the child’s condition with others.”
B) “Provide the family with information about the child’s condition and available support resources.”
C) “Suggest the family withdraw from social activities to prevent stress.”
D) “Limit the family’s involvement in treatment decisions to reduce anxiety.”
A nurse is teaching the parents of a child with type 1 diabetes about the child’s insulin regimen. Which of the following statements by the parent indicates understanding of the teaching?
A) “I will give the child a snack before administering insulin.”
B) “I will rotate the injection sites to prevent lipohypertrophy.”
C) “The child’s insulin should only be given before meals, never at bedtime.”
D) “The child can skip insulin injections if their blood glucose is low.”
A nurse is caring for the family of a child diagnosed with a respiratory illness. Which of the following interventions should the nurse include in the discharge plan?
A) “Encourage the child to participate in strenuous physical activity to improve lung function.”
B) “Provide a humidifier in the child’s room to help ease breathing.”
C) “Limit the child’s intake of fluids to prevent fluid retention.”
D) “Monitor the child’s temperature and report any fever immediately.”
A nurse is teaching a family about the use of a nebulizer for a child with asthma. Which of the following instructions should the nurse include?
A) “The child should use the nebulizer only during an asthma attack.”
B) “Ensure the child uses the nebulizer as prescribed, even if they are not having symptoms.”
C) “You can clean the nebulizer once a week to avoid contamination.”
D) “It’s okay for the child to share the nebulizer with other children.”
A nurse is caring for a family whose child has been diagnosed with a hearing impairment. Which of the following interventions should the nurse include in the care plan?
A) “Encourage the child to use sign language and lip-reading techniques.”
B) “Limit the child’s exposure to loud sounds to protect their hearing.”
C) “Teach the child to ignore sounds they do not understand.”
D) “Ensure the child wears hearing aids at all times to maximize hearing.”
A nurse is caring for a child with a history of frequent urinary tract infections (UTIs). Which of the following should the nurse include in the teaching for the child’s family?
A) “Encourage the child to hold urine for as long as possible to prevent bladder discomfort.”
B) “Instruct the child to wipe from back to front after toileting.”
C) “Ensure the child drinks plenty of fluids to flush out bacteria.”
D) “Advise the family to limit the child’s fluid intake to prevent frequent urination.”
A nurse is caring for a child with a cast on their leg. Which of the following should the nurse include in the discharge instructions for the family?
A) “Use a hairdryer on a cool setting to dry the cast if it gets wet.”
B) “Encourage the child to avoid any weight-bearing activity on the casted leg.”
C) “Place the child’s leg in a dependent position to reduce swelling.”
D) “The child can remove the cast if it becomes uncomfortable.”
A nurse is caring for the family of a child with a chronic illness. Which of the following should the nurse include in the care plan to promote the family’s coping?
A) “Encourage the family to rely solely on the healthcare team for emotional support.”
B) “Instruct the family to focus only on the child’s condition to avoid stress.”
C) “Provide the family with information about support groups and resources.”
D) “Suggest the family avoid discussing the child’s illness with others.”
A nurse is caring for a child who has undergone surgery for a cleft palate. Which of the following interventions should the nurse include in the postoperative care plan?
A) “Encourage the child to drink from a straw to promote fluid intake.”
B) “Monitor for signs of infection at the surgical site.”
C) “Apply pressure to the surgical site if bleeding occurs.”
D) “Place the child on their stomach to promote healing.”
A nurse is caring for the family of a child who has been prescribed a new medication. Which of the following instructions should the nurse include in the teaching plan?
A) “The child should take the medication only when they feel symptoms.”
B) “Ensure the child takes the medication as prescribed, even if they feel better.”
C) “You can stop the medication if the child experiences side effects.”
D) “The child should take the medication with high-fat foods to improve absorption.”
A nurse is teaching the parents of a child with an allergy to peanuts about how to manage the allergy. Which of the following instructions should the nurse include?
A) “It’s safe for the child to eat food labeled ‘may contain peanuts.'”
B) “You should avoid all foods that may contain peanut oil or peanut protein.”
C) “The child can tolerate small amounts of peanuts as long as they are cooked.”
D) “You can treat peanut allergy symptoms with over-the-counter antihistamines.”
A nurse is caring for the family of a child with asthma. Which of the following statements by the parent indicates understanding of the teaching?
A) “I will give the child a short-acting beta-agonist inhaler only when they are wheezing.”
B) “I should use the peak flow meter once a week to monitor the child’s asthma.”
C) “I will encourage the child to stay away from triggers, such as pets and dust.”
D) “It’s okay for the child to skip medications when they feel well.”
A nurse is teaching a family about managing a child’s seizure disorder. Which of the following instructions should the nurse include?
A) “Keep a firm grip on the child’s body during a seizure to prevent injury.”
B) “Place an object in the child’s mouth during a seizure to prevent biting their tongue.”
C) “Lay the child on their side to help maintain the airway during a seizure.”
D) “Restrict the child’s physical activity to prevent further seizures.”
A nurse is caring for a child with cystic fibrosis. Which of the following interventions should the nurse include in the child’s care plan?
A) “Administer bronchodilators before chest physiotherapy.”
B) “Encourage the child to avoid physical activity to prevent fatigue.”
C) “Administer antibiotics as prescribed, even if symptoms improve.”
D) “Encourage the child to decrease fluid intake to prevent dehydration.”
A nurse is teaching the parents of a newborn about safe sleep practices. Which of the following statements by the parent indicates understanding of the teaching?
A) “I will place the baby on their stomach to sleep to prevent choking.”
B) “I will use a soft blanket to keep the baby warm while sleeping.”
C) “I will place the baby on their back to sleep to reduce the risk of sudden infant death syndrome (SIDS).”
D) “I will allow the baby to sleep in a car seat for naps.”
A nurse is caring for a child with a diagnosis of attention-deficit hyperactivity disorder (ADHD). Which of the following should the nurse include in the care plan to support the family?
A) “Limit the child’s social interactions to reduce distractions.”
B) “Create a structured environment with clear expectations and routines.”
C) “Allow the child to engage in any activities to relieve their excess energy.”
D) “Discourage the child from participating in school activities to prevent overstimulation.”
A nurse is teaching a family about managing a child’s diabetes. Which of the following statements by the parent indicates understanding of the teaching?
A) “I will give the child regular insulin only when their blood sugar is high.”
B) “I will allow the child to eat any sugary food as long as they take extra insulin.”
C) “I will monitor the child’s blood glucose levels before meals and snacks.”
D) “The child can skip meals if they are not hungry, as long as they take insulin.”
A nurse is caring for a child with sickle cell anemia. Which of the following interventions should the nurse include in the care plan to prevent a sickle cell crisis?
A) “Encourage the child to avoid physical activity and remain sedentary.”
B) “Ensure the child stays well-hydrated to prevent dehydration.”
C) “Monitor the child’s temperature closely and restrict visitors if they are sick.”
D) “Discourage the child from participating in warm baths, as this can increase the risk of a crisis.”
A nurse is caring for the parents of a child with a chronic illness. Which of the following should the nurse encourage the parents to do to support the child’s emotional well-being?
A) “Discourage the child from expressing their feelings about their illness.”
B) “Encourage the child to keep their feelings about the illness to themselves.”
C) “Allow the child to participate in normal activities as much as possible.”
D) “Restrict the child’s social interactions to reduce stress.”
A nurse is caring for a child with a severe food allergy. Which of the following interventions should the nurse include in the care plan?
A) “Encourage the child to eat foods that contain the allergen to build tolerance.”
B) “Teach the family how to administer an epinephrine injection in case of an allergic reaction.”
C) “Encourage the child to avoid reading food labels to reduce anxiety.”
D) “Recommend the family to expose the child to small amounts of the allergen to help desensitize them.”
A nurse is teaching the parents of a child with autism spectrum disorder (ASD) about behavioral therapy. Which of the following statements by the parent indicates understanding of the teaching?
A) “Behavioral therapy is only effective if the child is placed in a group therapy setting.”
B) “I should provide rewards and reinforcement to encourage positive behaviors.”
C) “Behavioral therapy focuses solely on teaching social interaction skills.”
D) “The goal of behavioral therapy is to eliminate all challenging behaviors.”
A nurse is teaching a family how to prevent falls in a child with cerebral palsy. Which of the following instructions should the nurse include?
A) “Use a walker to increase the child’s independence and mobility.”
B) “Ensure that the child’s environment is free of obstacles and hazards.”
C) “Encourage the child to walk without assistive devices for exercise.”
D) “Limit the child’s mobility to reduce the risk of falls.”
A nurse is caring for a family whose child has been diagnosed with a chronic condition that requires frequent hospitalization. Which of the following strategies should the nurse implement to help the family cope with the child’s illness?
A) “Encourage the family to rely only on the healthcare team for support.”
B) “Provide the family with information on how to access community resources.”
C) “Discourage the family from discussing the illness to avoid stress.”
D) “Tell the family to focus only on the child’s medical needs and limit other family interactions.”
A nurse is caring for a family whose child has recently been diagnosed with cancer. Which of the following interventions should the nurse implement to help the family cope with the diagnosis?
A) “Encourage the family to remain silent about the diagnosis to avoid upsetting the child.”
B) “Provide the family with resources for counseling and support groups.”
C) “Advise the family to ignore their emotions and focus only on the child’s treatment.”
D) “Tell the family that it is best to delay sharing the diagnosis with the child until they are older.”
A nurse is caring for a family who is preparing to take a child home after a surgery. Which of the following interventions is most important for the nurse to include in the discharge teaching?
A) “Instruct the parents to give pain medication only if the child asks for it.”
B) “Encourage the parents to monitor for signs of infection, such as increased redness, swelling, or discharge.”
C) “Tell the parents to avoid any follow-up appointments to prevent unnecessary stress.”
D) “Recommend the family to limit the child’s physical activity for two weeks following the surgery.”
A nurse is caring for a child with a history of asthma. The child’s parents ask the nurse how they can best manage asthma attacks at home. Which of the following responses by the nurse is most appropriate?
A) “Encourage the child to limit outdoor activities to avoid triggers.”
B) “Instruct the parents to avoid the use of a peak flow meter at home.”
C) “Advise the parents to administer medications only if the child is showing severe symptoms.”
D) “Teach the parents how to recognize early signs of an asthma attack and how to use the prescribed inhaler.”
A nurse is providing anticipatory guidance to a parent of an infant. The parent asks when they should introduce solid foods to the infant. Which of the following responses by the nurse is appropriate?
A) “Introduce solid foods at 2 months of age.”
B) “Start solid foods at 4 months of age.”
C) “Wait until the infant is 12 months old before introducing solids.”
D) “Introduce solid foods when the infant shows interest in adult food.”
A nurse is caring for a child who is newly diagnosed with type 1 diabetes. Which of the following should the nurse include in the family’s teaching plan?
A) “You can treat low blood sugar with sugary foods like fruit juice or soda.”
B) “You should monitor blood glucose levels only before meals.”
C) “Insulin injections should only be given when the child’s blood sugar is elevated.”
D) “You can prevent type 1 diabetes with proper diet and exercise.”
A nurse is teaching a family about the importance of immunizations for their child. Which of the following statements by the parent indicates understanding of the teaching?
A) “Immunizations should be delayed until the child is older.”
B) “We should only give our child immunizations if they have a known allergy to a vaccine.”
C) “Immunizations help protect my child from preventable diseases.”
D) “Immunizations are not necessary if the child is already healthy.”
A nurse is caring for a family of a child who has been diagnosed with a chronic illness. Which of the following should the nurse consider when providing care to the family?
A) “The family will experience all stages of grief in a predictable sequence.”
B) “The family should be encouraged to express their emotions openly and seek support.”
C) “The family should avoid discussing their feelings to maintain a sense of normalcy.”
D) “The family’s response to the diagnosis will not affect the child’s well-being.”
A nurse is teaching the parents of a child with a new diagnosis of epilepsy. Which of the following statements should the nurse include in the teaching?
A) “It is important to prevent the child from engaging in any physical activity.”
B) “You should never administer medication during a seizure episode.”
C) “You should not restrict the child’s diet unless directed by the healthcare provider.”
D) “If the child has a seizure, stay calm and protect them from injury.”
A nurse is caring for a child who is experiencing delayed development. Which of the following interventions should the nurse include in the care plan to support the family?
A) “Encourage the family to limit the child’s interaction with peers to avoid embarrassment.”
B) “Teach the family how to set realistic expectations and provide opportunities for the child to succeed.”
C) “Instruct the family to ignore the child’s delay and focus on other aspects of their life.”
D) “Advise the family to avoid talking about the child’s developmental delay with the child.”
A nurse is caring for a child whose family is planning to adopt. Which of the following should the nurse include in the discussion with the family about preparing for adoption?
A) “The child should be prepared for a smooth transition with little disruption.”
B) “Adoptive parents should be prepared for the possibility of attachment issues.”
C) “There are no major challenges for adoptive families, as the child will adjust quickly.”
D) “Adoptive parents should be prepared for the child to immediately accept them as parents.”
Answer: B) “Adoptive parents should be prepared for the possibility of attachment issues.”
A nurse is caring for a child with a congenital heart defect. Which of the following interventions should the nurse include in the care plan?
A) “Encourage the family to avoid any physical activity to prevent strain on the heart.”
B) “Teach the family to monitor for signs of heart failure, such as difficulty breathing and swelling.”
C) “Instruct the family to limit the child’s fluid intake to prevent overhydration.”
D) “Avoid immunizations as they may cause complications for children with heart defects.”
A nurse is caring for a child with asthma. Which of the following actions should the nurse include in the child’s care plan to prevent an asthma attack?
A) “Encourage the child to eat foods that may trigger asthma symptoms.”
B) “Teach the child how to use a peak flow meter to monitor lung function.”
C) “Ensure the child avoids physical activity to reduce the risk of asthma attacks.”
D) “Administer bronchodilators only if the child has a severe asthma attack.”
A nurse is caring for a family whose child has been recently diagnosed with leukemia. The parents express feelings of guilt and sadness. Which of the following is the best response by the nurse?
A) “Your child will be fine, so there is no need to worry.”
B) “Many parents feel guilty when their child is diagnosed with a serious illness. It’s important to acknowledge those feelings.”
C) “You should focus on the treatment and stop thinking about your feelings.”
D) “Try not to feel guilty. This is not your fault, and everything will get better.”
Answer: B) “Many parents feel guilty when their child is diagnosed with a serious illness. It’s important to acknowledge those feelings.”
A nurse is teaching a family about the use of a new medication for their child. Which of the following should the nurse include in the teaching?
A) “It’s fine to adjust the medication dose based on the child’s symptoms.”
B) “Be sure to administer the medication exactly as prescribed, and do not alter the dosage without consulting the doctor.”
C) “You can stop the medication if the child feels better.”
D) “It’s okay to administer the medication with other over-the-counter medications.”
A nurse is caring for a child with a respiratory illness who is experiencing difficulty breathing. Which of the following should the nurse prioritize in the child’s care?
A) “Administering a pain reliever to reduce discomfort.”
B) “Encouraging the child to drink fluids to stay hydrated.”
C) “Assessing the child’s respiratory rate and oxygen saturation levels.”
D) “Positioning the child in a supine position for comfort.”
A nurse is caring for a family of a child with a chronic illness. The parents are feeling overwhelmed by their child’s medical needs. Which of the following is the best action for the nurse to take?
A) “Encourage the parents to focus solely on the child’s care to avoid feeling overwhelmed.”
B) “Provide the family with community resources and support groups for families of children with similar conditions.”
C) “Tell the parents to ignore their own needs and focus entirely on the child.”
D) “Recommend the parents take a break from caregiving by leaving the child in a healthcare facility.”
A nurse is teaching a family about providing palliative care for their child with a terminal illness. Which of the following should the nurse include in the teaching?
A) “Palliative care focuses on curing the disease and prolonging life.”
B) “Palliative care is aimed at providing relief from pain and symptoms, not curing the disease.”
C) “Palliative care should only be initiated in the final stage of the illness.”
D) “Palliative care requires the family to make all decisions without input from the healthcare team.”
A nurse is caring for a child with a chronic illness. The family asks the nurse about ways to support the child’s emotional well-being. Which of the following responses should the nurse make?
A) “Encourage the child to avoid expressing their feelings to avoid stress.”
B) “Help the child maintain as normal a routine as possible and encourage social activities.”
C) “Limit the child’s interactions with others to prevent exposure to germs.”
D) “Tell the child that they should not be worried about their illness and focus on staying strong.”
A nurse is teaching a parent about managing a child’s newly diagnosed diabetes. Which of the following statements by the parent indicates understanding of the teaching?
A) “I will give my child insulin only when their blood sugar is high.”
B) “I will monitor my child’s blood glucose levels before meals and adjust insulin as needed.”
C) “My child can eat anything as long as I administer insulin after meals.”
D) “I should avoid giving my child insulin if they are not feeling well.”
A nurse is caring for a child with a new diagnosis of HIV. Which of the following actions is the most appropriate for the nurse to take when teaching the family about HIV management?
A) “There is no need for special precautions with HIV-positive children, as they are not contagious.”
B) “Encourage the family to adhere to the prescribed medication regimen to prevent viral replication.”
C) “Tell the family to limit social interaction to prevent the child from spreading the virus.”
D) “Encourage the family to avoid immunizations, as they can cause adverse reactions in children with HIV.”
A nurse is caring for a family whose child has been diagnosed with a serious illness. The parents are experiencing feelings of hopelessness. Which of the following interventions should the nurse prioritize?
A) “Encourage the family to focus only on the child’s physical symptoms.”
B) “Provide the family with emotional support and refer them to counseling services.”
C) “Tell the family to remain hopeful and avoid discussing negative feelings.”
D) “Encourage the family to isolate themselves from others to prevent stress.”
A nurse is caring for a child who has undergone surgery. Which of the following should the nurse include in the discharge teaching for the child’s family?
A) “The child should remain in bed for the first 2 weeks after surgery.”
B) “The child may return to school immediately after discharge.”
C) “It is important to monitor the child for signs of infection, such as increased redness, warmth, or swelling at the incision site.”
D) “The child should avoid all physical activity for the first year after surgery.”
A nurse is caring for a child with a chronic illness and the family expresses concern about the child’s future. Which of the following actions should the nurse take to support the family?
A) “Tell the family that their concerns are unfounded and that everything will be fine.”
B) “Encourage the family to plan for the future and help them set realistic goals.”
C) “Instruct the family to focus only on the present and avoid thinking about the future.”
D) “Recommend the family to make no plans and take one day at a time.”
A nurse is teaching a parent how to manage a child’s diabetes. Which of the following statements by the parent indicates that they need further education?
A) “I will monitor my child’s blood sugar levels before meals and administer insulin as prescribed.”
B) “I should make sure my child eats regular meals and snacks to prevent hypoglycemia.”
C) “If my child’s blood sugar is high, I will administer more insulin immediately.”
D) “I will encourage my child to stay active, as exercise can help manage blood sugar levels.”
A nurse is providing discharge teaching for a family of a child with asthma. Which of the following instructions should the nurse include?
A) “Ensure the child avoids all outdoor activities to reduce the risk of asthma attacks.”
B) “Monitor the child’s peak flow readings and administer medications as prescribed.”
C) “Avoid using a peak flow meter at home, as it is unnecessary.”
D) “Only administer medications when the child is experiencing a severe asthma attack.”
A nurse is caring for a family of a child with cancer who is experiencing anticipatory grief. Which of the following interventions should the nurse include in the care plan?
A) “Encourage the family to avoid discussing their feelings to focus on the child’s treatment.”
B) “Provide the family with information about the child’s illness and support options.”
C) “Tell the family that it’s important to remain positive and avoid expressing grief.”
D) “Recommend that the family seek support from other families who are going through the same experience.”
A nurse is caring for a child whose family has just been informed of a terminal diagnosis. The family expresses feelings of anger. Which of the following is the most appropriate response by the nurse?
A) “I understand that this is a difficult time, and it’s okay to feel angry.”
B) “You should not be angry. It’s important to focus on your child’s comfort.”
C) “Try not to feel angry. It’s better to stay calm and not discuss your emotions.”
D) “Anger is a normal part of the grieving process, and it’s important to express your feelings.”
A nurse is teaching a family about caring for a child with a recent diagnosis of type 1 diabetes. Which of the following statements by the parent indicates understanding of the teaching?
A) “I should give my child insulin only when their blood sugar is high.”
B) “I will need to monitor my child’s blood sugar before meals and at bedtime.”
C) “My child can eat anything as long as I give them insulin after meals.”
D) “I can stop insulin if my child is feeling unwell.”
A nurse is caring for a family of a child with chronic pain. Which of the following interventions is most appropriate to help the family cope?
A) “Encourage the family to focus only on the child’s pain and avoid discussing other aspects of their life.”
B) “Assist the family in developing a pain management plan and provide emotional support.”
C) “Tell the family to avoid acknowledging the child’s pain to help them adjust.”
D) “Instruct the family to limit discussions about the child’s condition to prevent distress.”
A nurse is teaching the family of a child with a newly diagnosed seizure disorder about seizure precautions. Which of the following statements by the parent indicates understanding of the teaching?
A) “I should restrain my child during a seizure to prevent injury.”
B) “I will make sure to keep my child’s airway open and protect them from injury during a seizure.”
C) “It’s safe to place an object in my child’s mouth during a seizure to prevent biting their tongue.”
D) “I will avoid giving my child their medication during a seizure.”
A nurse is caring for a family of a child who has undergone a tonsillectomy. The child is in pain and is refusing to drink fluids. Which of the following actions should the nurse take?
A) “Encourage the child to drink fluids even if they refuse.”
B) “Explain to the child that drinking fluids will make them feel better and decrease pain.”
C) “Offer ice chips and soothing drinks to help with the discomfort.”
D) “Tell the child that they must drink fluids to avoid dehydration.”
A nurse is providing teaching for the family of a child with a new diagnosis of cystic fibrosis. Which of the following statements indicates that the family understands the teaching?
A) “We will need to give our child antibiotics only when they are symptomatic.”
B) “Our child will require pancreatic enzymes with each meal to aid in digestion.”
C) “We should encourage our child to eat high-fat foods to increase their calorie intake.”
D) “Our child will only need to have chest physiotherapy if they are experiencing difficulty breathing.”
A nurse is caring for a child whose family is experiencing financial strain due to medical bills. Which of the following actions should the nurse take to assist the family?
A) “Refer the family to financial counseling services and provide resources for financial assistance.”
B) “Advise the family to apply for government assistance only if their financial situation becomes dire.”
C) “Encourage the family to seek loans from family members to cover medical costs.”
D) “Tell the family to focus on the child’s health and not worry about the financial situation.”
A nurse is providing discharge teaching for a family whose child has been diagnosed with a food allergy. Which of the following statements by the parent indicates that the teaching was effective?
A) “I will avoid giving my child any foods that contain the allergen, even in small amounts.”
B) “I should always give my child an antihistamine if they have a reaction, even if it’s mild.”
C) “It’s okay for my child to eat the food they are allergic to, as long as they are supervised.”
D) “I will only be concerned if my child has a severe allergic reaction, such as difficulty breathing.”
A nurse is caring for a child who has been diagnosed with autism spectrum disorder (ASD). Which of the following is the most appropriate intervention to support the family?
A) “Encourage the family to use visual aids and structured routines to help the child feel more comfortable.”
B) “Recommend that the family use punishment for behavior management.”
C) “Encourage the family to avoid setting any limits on the child’s behavior to reduce stress.”
D) “Tell the family to avoid social situations to help the child manage stress.”
A nurse is providing care for a child with a newly diagnosed chronic illness. Which of the following is the most appropriate action for the nurse to take when working with the family?
A) “Encourage the family to avoid discussing the diagnosis with the child to prevent anxiety.”
B) “Promote open communication between the family members and provide resources for support.”
C) “Tell the family to wait until the child asks about their illness before discussing it.”
D) “Discourage the family from seeking support from other families with similar diagnoses.”
A nurse is caring for a family whose child has been diagnosed with a life-limiting illness. The family expresses a desire to continue aggressive treatments. Which of the following is the most appropriate response by the nurse?
A) “It’s important to stop treatments as soon as possible to prevent suffering.”
B) “I understand your desire for aggressive treatment. Let’s discuss the goals of care and options available.”
C) “You should reconsider aggressive treatments since the prognosis is poor.”
D) “It would be better for your child to stop all treatments and focus on comfort care.”
A nurse is caring for a family of a child who has experienced a traumatic injury. The parents express feelings of guilt and blame. Which of the following is the most appropriate intervention by the nurse?
A) “Tell the parents not to feel guilty, as the injury was not their fault.”
B) “Listen to the parents’ concerns and provide them with emotional support.”
C) “Encourage the parents to focus only on the child’s recovery and avoid discussing their emotions.”
D) “Advise the parents to seek counseling only if they are unable to cope with their feelings of guilt.”
A nurse is caring for a family whose child has a chronic condition. The family expresses concerns about managing the child’s care at home. Which of the following is the nurse’s best action?
A) “Tell the family that they should manage the child’s care without seeking outside help.”
B) “Assist the family in identifying resources, such as home health care services or support groups.”
C) “Instruct the family to only contact the healthcare provider for emergency situations.”
D) “Encourage the family to avoid discussing their concerns with others to maintain privacy.”
A nurse is caring for a family whose child is recovering from surgery. The parents ask about ways to promote the child’s recovery at home. Which of the following is the most appropriate response by the nurse?
A) “Encourage the child to resume normal activities as soon as possible to speed up recovery.”
B) “Help the child set realistic goals for recovery, and ensure they follow the prescribed treatment plan.”
C) “The child should avoid any physical activity during the entire recovery period.”
D) “Focus only on the child’s physical recovery and avoid addressing any emotional concerns.”
A nurse is caring for a family with a child who has a new diagnosis of type 1 diabetes. The parents are anxious about their child’s future. Which of the following is the most appropriate response by the nurse?
A) “You should try to focus only on the child’s current health rather than worrying about the future.”
B) “It is normal to feel anxious, but there are many resources available to help you manage the condition.”
C) “It will take time for you to adjust to this diagnosis, but the child will be fine with proper care.”
D) “You should begin making long-term plans for your child’s future now to avoid any surprises.”
A nurse is working with a family whose child is undergoing chemotherapy for leukemia. The parents express feelings of isolation and frustration. Which of the following interventions is the most appropriate for the nurse to provide?
A) “Encourage the family to isolate themselves from others to prevent infection.”
B) “Recommend that the family attend support groups for families of children with cancer.”
C) “Tell the family that they should not feel frustrated and should focus on their child’s recovery.”
D) “Suggest that the family avoid discussing their feelings with others to avoid burdening them.”
A nurse is caring for a family whose child is experiencing a severe allergic reaction. The parents are unsure of how to administer the child’s epinephrine injection. Which of the following actions should the nurse take first?
A) “Provide written instructions on how to administer the epinephrine injection.”
B) “Demonstrate how to administer the epinephrine injection to the parents.”
C) “Call emergency services to help with the injection.”
D) “Encourage the parents to wait for professional help before administering the injection.”
A nurse is caring for a child with asthma. The family expresses concerns about managing asthma attacks at home. Which of the following instructions should the nurse provide?
A) “Always wait for symptoms to worsen before using the inhaler to prevent overuse.”
B) “Use the inhaler as soon as the child begins to show signs of an asthma attack.”
C) “Avoid using the inhaler too often, as it can cause further complications.”
D) “Only use the inhaler when the child is unable to breathe normally.”
A nurse is caring for a family of a child who is about to undergo surgery. The family is anxious and unsure about the procedure. Which of the following is the nurse’s most appropriate response?
A) “Don’t worry; everything will be fine during the surgery.”
B) “It’s normal to feel anxious. Let me provide you with information about the procedure.”
C) “There’s no need to be anxious. The doctors have done this many times before.”
D) “Just focus on the child’s recovery, and everything will work out.”
A nurse is providing discharge teaching for a family of a child with a chronic condition. Which of the following is the most important topic for the nurse to cover?
A) How to prevent the child from getting sick in the future.
B) The importance of follow-up appointments and ongoing management of the condition.
C) How to avoid any social interactions to reduce the risk of illness.
D) The child’s long-term prognosis and what to expect in the future.
A nurse is caring for a child with a severe burn injury. The parents are overwhelmed and unsure how to care for their child at home. Which of the following is the nurse’s most appropriate response?
A) “I’ll send you home with instructions, and you should be able to manage the care on your own.”
B) “Let’s go over the steps to take care of your child’s wounds and how to manage pain at home.”
C) “You should let the healthcare provider handle everything, and you can visit the hospital if you have questions.”
D) “You can wait until your child is older to worry about their burn care.”
A nurse is caring for a family of a child with a serious mental health condition. The family expresses concerns about stigma and how others will view their child. Which of the following is the nurse’s most appropriate response?
A) “It’s important to avoid discussing the mental health condition with others to avoid judgment.”
B) “Stigma can be difficult, but it’s important to advocate for your child and seek support.”
C) “Tell others that your child is fine and does not have a mental health condition.”
D) “Don’t worry about stigma. Focus on managing the condition and the child’s well-being.”
A nurse is providing care for a family whose child has been diagnosed with a chronic illness. The family expresses difficulty adjusting to the child’s condition. Which of the following is the most appropriate intervention?
A) “Tell the family that they should accept the diagnosis and stop grieving.”
B) “Encourage the family to express their feelings and provide resources for coping and support.”
C) “Suggest that the family avoid discussing the child’s illness with others to avoid burdening them.”
D) “Advise the family to focus only on the child’s physical needs and not worry about emotional concerns.”
A nurse is caring for a child who is receiving palliative care. The family is unsure about the goals of palliative care. Which of the following is the nurse’s most appropriate explanation?
A) “Palliative care focuses solely on providing comfort and pain relief for the child.”
B) “Palliative care is focused on curing the child’s condition, so treatment is more aggressive.”
C) “Palliative care is an option for families who don’t want to pursue any further treatment.”
D) “Palliative care is only provided at the end of life and does not include symptom management.”
NCLEX Caring for Families Questions and Answers for Study Guide
How can nurses support families who are caring for a child with a chronic illness?
Answer:
Supporting families caring for a child with a chronic illness involves providing both practical and emotional assistance. Nurses can start by educating families about the child’s condition and its treatment plan. This ensures that parents or caregivers are equipped with the knowledge to manage the child’s care at home, including administering medications, recognizing signs of complications, and managing everyday activities.
Emotional support is equally essential. Nurses should acknowledge the emotional burden that comes with caring for a child with a chronic illness, which can lead to stress, anxiety, and feelings of isolation. By offering reassurance and listening to the family’s concerns, nurses help validate their feelings. Nurses can also refer families to support groups or counseling services that specialize in helping families cope with chronic illnesses.
Nurses can assist with building a care plan that includes strategies for managing the child’s health needs and offering resources like community programs, financial aid, and respite care services. Family-centered care is critical, and involving all family members in the child’s care plan ensures that the needs of the entire family unit are met.
What are some key nursing interventions when caring for a family experiencing grief and loss related to the death of a child?
Answer:
When caring for a family experiencing grief and loss after the death of a child, nurses must provide compassionate, sensitive, and culturally appropriate interventions. First, nurses should provide a safe environment where family members can express their emotions and concerns. It is essential to listen actively, allowing the family to speak about their feelings without judgment or interruption.
Nurses should acknowledge the grief and loss, understanding that the grieving process is individual and can manifest in different ways. Offering comfort measures such as physical presence, holding the family’s hand, or giving emotional reassurance can be beneficial. Nurses should also be aware of any physical signs of distress such as anxiety, sleep disturbances, or changes in appetite, and provide appropriate support.
It is vital to educate the family about the stages of grief and inform them that it is normal to experience a range of emotions, such as anger, guilt, or numbness. Nurses can refer families to professional grief counselors or support groups to help them cope in the long term. Additionally, nurses should encourage the family to honor their child’s memory through rituals or traditions that provide meaning and closure.
Ensuring that the family has adequate support during and after the loss is essential for their healing process. Follow-up visits, either in person or through phone calls, can also demonstrate ongoing care and concern.
Discuss the role of the nurse in educating families about preventive health care for children.
Answer:
Preventive health care is a critical aspect of ensuring the well-being of children, and nurses play an essential role in educating families about various strategies to promote good health and prevent illness. The nurse’s role involves providing accurate and age-appropriate information on topics such as immunizations, nutrition, physical activity, and injury prevention.
One of the primary preventive health measures is educating parents about the importance of vaccinations. Nurses should provide clear and evidence-based information about the recommended immunization schedule, addressing any concerns or misconceptions parents may have about vaccine safety. They should also stress the importance of regular check-ups to monitor a child’s growth and development.
Nutrition is another area where nurses can make a significant impact. Nurses can educate families about proper infant feeding practices, the introduction of solid foods, and healthy eating habits for toddlers and older children. This includes the promotion of balanced meals, limiting sugary snacks, and encouraging the consumption of fruits, vegetables, and whole grains.
Nurses should also provide safety information, such as guidelines for preventing childhood accidents. This may include teaching parents about car seat safety, baby-proofing the home, safe sleep practices, and water safety. Additionally, nurses can educate families about the importance of physical activity and regular exercise for children’s overall health, emphasizing the benefits of active play.
Overall, the nurse’s role in educating families about preventive health is to empower them with knowledge and resources to make informed decisions that will promote their child’s long-term health and well-being.
How can nurses advocate for families in situations where a child is diagnosed with a life-limiting illness?
Answer:
Advocacy for families of children diagnosed with life-limiting illnesses requires nurses to be both compassionate and resourceful. Nurses advocate for families by ensuring they receive the best possible care, access to information, and emotional support during such a challenging time.
First, nurses can advocate by helping the family understand the diagnosis, treatment options, and prognosis. This involves providing clear and understandable explanations and ensuring that all questions are answered. In cases where treatment is focused on palliative care, nurses can advocate for the family by discussing comfort measures, pain management, and maintaining the child’s quality of life. It’s essential to ensure that families are fully informed of all options so they can make decisions that align with their values and goals.
Additionally, nurses can serve as a liaison between the family and the medical team, ensuring that the family’s wishes are communicated and respected in the care plan. They can also help families navigate the complex healthcare system, advocating for appropriate services, including home care, hospice care, or counseling services.
Another aspect of advocacy is emotional and psychological support. Nurses can provide comfort by offering a listening ear, encouraging the family to express their emotions, and normalizing their feelings of fear, anger, or sadness. By connecting families with grief counselors or support groups, nurses help ensure that the family has the resources needed to cope with the challenges of a life-limiting illness.
Ultimately, nursing advocacy in this context involves empowering the family with the information, support, and resources needed to make informed decisions and provide the best care for their child.
Explain the role of the nurse in promoting family-centered care for a child with a medical condition.
Answer:
Family-centered care is a holistic approach that recognizes the family as an integral part of the child’s health and well-being. The nurse’s role in promoting family-centered care is multifaceted, focusing on fostering a collaborative environment where the family is actively involved in the care process.
Nurses promote family-centered care by recognizing the unique strengths, needs, and preferences of each family. This approach begins with open communication, where the nurse listens to the concerns, values, and goals of the family. It is important that nurses work with the family as partners, involving them in decision-making regarding the child’s care and treatment plan.
Providing education is a crucial component of family-centered care. Nurses teach families about the child’s medical condition, treatment options, and potential outcomes in ways that are clear and understandable. This empowers families to take an active role in managing their child’s health, including medication administration, recognizing symptoms, and providing emotional support.
Nurses also ensure that the physical environment is conducive to family involvement. This may include allowing family members to be present during procedures or rounds, creating a welcoming space for family members to stay, and encouraging family participation in daily care routines.
Furthermore, nurses can address the emotional and psychological needs of the family. By acknowledging the stress, fear, and uncertainty that often accompany the care of a child with a medical condition, nurses offer support and resources to help families cope. This includes connecting families with support groups, mental health services, and community resources that can provide long-term assistance.
In conclusion, promoting family-centered care involves the nurse recognizing the family as essential partners in the child’s healthcare journey, ensuring that the family’s voice is heard, and providing the necessary support to help them navigate the challenges they face.
What is the role of a nurse in supporting families who have a child with a disability?
Answer:
Supporting families who have a child with a disability involves not only providing medical care but also offering emotional, psychological, and educational support. Nurses can assist families by providing accurate, understandable information about the child’s condition, treatment options, and expected outcomes. This empowers the family to make informed decisions regarding care, interventions, and therapies.
Nurses should be empathetic and acknowledge the emotional strain that can come with raising a child with a disability. They can offer active listening, validate the family’s feelings, and help them process any emotions such as grief, fear, or frustration. Nurses can also encourage the family to maintain a positive outlook by focusing on the child’s abilities, strengths, and potential.
In addition, nurses can connect families with community resources, such as support groups, educational programs, and financial assistance services. By educating the family about available resources, nurses ensure that the family has the necessary tools to support the child’s development and well-being.
Lastly, nurses can advocate for the child by working with schools, healthcare providers, and social services to ensure that the child receives the necessary accommodations and care. This may include facilitating communication between the family and other members of the healthcare or educational team to ensure continuity of care and maximize the child’s potential.
Describe the nurse’s role in providing family education regarding child development and milestones.
Answer:
Family education regarding child development is a crucial aspect of nursing care. The nurse plays a vital role in providing parents and caregivers with knowledge and guidance about the expected developmental milestones and how to support the child’s growth.
Nurses can begin by providing age-appropriate educational materials that outline typical physical, cognitive, and emotional development for each stage of childhood. They should also assess the child’s current development to identify any concerns or delays and address them with the family. Nurses can offer information on milestones such as motor skills, language acquisition, and social behaviors, and provide strategies for promoting the child’s development at home.
Additionally, nurses can educate families about the importance of regular pediatric visits and screenings to monitor the child’s growth and development. This helps parents understand that early identification of any developmental delays or issues is essential for successful interventions.
Nurses can also emphasize the importance of creating a stimulating environment that encourages the child’s development, including providing appropriate toys, engaging in activities that promote learning, and fostering positive social interactions. By empowering parents with knowledge and strategies to support the child’s developmental needs, nurses help build a strong foundation for the child’s overall well-being.
Finally, nurses should encourage open communication, where families feel comfortable discussing concerns about their child’s development. Providing a supportive environment helps alleviate parental anxiety and builds trust between the nurse and the family.
How can a nurse support a family coping with a child’s terminal illness and the decision-making process surrounding end-of-life care?
Answer:
Supporting a family coping with a child’s terminal illness requires sensitivity, empathy, and clear communication. The nurse plays an integral role in assisting the family with understanding the illness, managing symptoms, and making informed decisions about end-of-life care.
First, nurses should provide clear and compassionate explanations of the child’s diagnosis, prognosis, and treatment options. They must ensure that the family understands the child’s medical condition, any available palliative care options, and what to expect as the illness progresses. By offering this information in an empathetic manner, nurses help the family prepare for difficult decisions while respecting their values and beliefs.
Emotional support is key during this time. Nurses should listen actively and provide a space for the family to express their feelings, fears, and anxieties. The nurse can offer reassurance that the child’s comfort and dignity will be a priority in the care plan. It is also important to address any spiritual or cultural needs that may arise, helping the family access spiritual care services if desired.
In decision-making, the nurse can guide the family by discussing the benefits of comfort care, pain management, and ensuring the child’s quality of life. Nurses can also assist with ethical concerns, such as decisions about life-sustaining treatments or when to transition to hospice care.
Additionally, nurses can facilitate communication between the healthcare team and the family, ensuring that the child’s care plan aligns with the family’s wishes. Providing resources, such as information on support groups, counseling, and end-of-life planning, helps the family feel supported through the process.
Ultimately, the nurse’s role is to provide holistic care that addresses the physical, emotional, and spiritual needs of the family while ensuring that the child’s comfort is maintained during this difficult time.
What strategies can nurses use to promote effective communication with families from diverse cultural backgrounds?
Answer:
Promoting effective communication with families from diverse cultural backgrounds requires sensitivity, respect, and an understanding of cultural values and beliefs. Nurses should utilize strategies that promote cultural competence and help build trust with families.
First, nurses should actively listen to the family’s concerns and be open to learning about their cultural practices and preferences. Understanding the family’s communication style, including whether they prefer verbal or non-verbal communication, can guide the nurse in tailoring their approach. Nurses should be aware of any language barriers and use professional interpreters when necessary, ensuring that the family fully understands the information being provided.
Additionally, nurses should educate themselves about common cultural practices and health beliefs that may influence the family’s perception of illness and treatment. This allows the nurse to provide care that aligns with the family’s cultural preferences, while still adhering to evidence-based practices. Nurses can also ask open-ended questions to better understand the family’s needs and ensure that care is individualized.
Nurses should also be mindful of the potential impact of cultural beliefs on healthcare decision-making. For instance, some families may have different views on pain management, end-of-life care, or the role of Western medicine. Nurses can provide culturally sensitive explanations of medical procedures and treatments and involve the family in the decision-making process to ensure that their values are respected.
In summary, effective communication with families from diverse cultural backgrounds involves active listening, cultural humility, and a willingness to adapt care approaches to meet the family’s unique needs.
Explain the role of the nurse in promoting mental health and well-being within families caring for children with special healthcare needs.
Answer:
Nurses play a crucial role in promoting the mental health and well-being of families caring for children with special healthcare needs. This role involves providing emotional, psychological, and practical support to help families manage the challenges they face.
First, nurses should recognize the stress and emotional toll that caring for a child with special healthcare needs can have on family members. The nurse can assess the family’s emotional state and provide counseling or refer them to mental health professionals, such as social workers or psychologists, for additional support. Regular check-ins can help identify signs of caregiver burnout or mental health concerns, such as anxiety or depression.
Nurses can also offer coping strategies to help families manage the emotional challenges of caring for a child with a disability or chronic illness. This may include teaching stress-reduction techniques, promoting self-care for caregivers, and encouraging the family to seek respite care when needed.
It is also important for nurses to empower families by providing information and resources related to the child’s condition. By offering educational materials, connecting families with support groups, and helping them navigate the healthcare system, nurses reduce the burden on the family and help them feel more confident in managing the child’s healthcare needs.
Additionally, promoting family-centered care is essential. Nurses should encourage open communication within the family, ensuring that all members feel heard and supported. Family members can be encouraged to share their feelings and concerns, which can strengthen the family’s bond and improve their collective ability to cope with the challenges they face.
In conclusion, the nurse’s role in promoting mental health and well-being for families caring for children with special healthcare needs involves providing emotional support, offering coping strategies, and connecting families with resources that help them manage the complexities of caregiving.