NUR166 (PN) EXAM 1 REVIEW - Hondros College of
Nursing 2026/2027 | Family-Centered Concepts |
100% Correct | Practical Nursing Foundations
DOMAIN 1 ‑ Foundations of Family-Centered Care & the PN Role (Q1-10)
Q1 (Single)
A child’s divorced parents give conflicting instructions about diet. The practical nurse’s
first action is to:
A. Follow the parent who is present at the bedside
B. Tell them to settle the disagreement privately
C. Report the conflict to the supervising RN
D. Record only the mother’s instructions
Verified Answer: C
Rationale: PN observes & reports family dynamics that affect care; RN coordinates plan.
Choosing sides (A) or omitting data (D) is unsafe.
Q2 (Single)
When assigned to a new immigrant family, the PN should base care on which
family-centered principle?
A. Assume the nuclear family model
,B. Ask who the patient considers “family”
C. Encourage them to adopt U.S. customs quickly
D. Avoid asking personal questions
Answer: B
Rationale: Family-centered care = accept the patient’s definition of family; supports
cultural humility.
Q3 (SATA)
Which findings must the PN report to the RN because they may alter the family care
plan? (Select ALL)
A. Grandparent stating “We use herbs at home”
B. Spouse crying in hallway
C. Teen patient refusing to take medication
D. Parent speaking a different language than chart states
E. Father asking when discharge will occur
Answers: A, C, D
Rationale: Herb use (A) = safety; refusal (C) = non-adherence; language (D) = need for
interpreter. Crying (B) & discharge question (E) are normal; PN offers comfort/answers
within scope.
Q4 (Single)
A confidential adolescent STD result is received. The PN should:
, A. Give the result only to the teen
B. Tell the parent after the teen leaves
C. Refuse to share with anyone
D. Chart it in the family group text
Answer: A
Rationale: Minors often have legal confidentiality for STD care; PN follows agency policy
& respects autonomy.
Q5 (Single)
The PN overhears a neighbour’s name during report. The family-centred & legal
response is to:
A. Share only with the neighbour
B. Keep all patient information private
C. Document it on social media
D. Tell the student in the elevator
Answer: B
Rationale: HIPAA requires confidentiality; any release outside care team is a violation.
Q6 (SATA)
Which actions are within PN scope when working with families? (Select ALL)
A. Reinforcing teaching on wound care
Nursing 2026/2027 | Family-Centered Concepts |
100% Correct | Practical Nursing Foundations
DOMAIN 1 ‑ Foundations of Family-Centered Care & the PN Role (Q1-10)
Q1 (Single)
A child’s divorced parents give conflicting instructions about diet. The practical nurse’s
first action is to:
A. Follow the parent who is present at the bedside
B. Tell them to settle the disagreement privately
C. Report the conflict to the supervising RN
D. Record only the mother’s instructions
Verified Answer: C
Rationale: PN observes & reports family dynamics that affect care; RN coordinates plan.
Choosing sides (A) or omitting data (D) is unsafe.
Q2 (Single)
When assigned to a new immigrant family, the PN should base care on which
family-centered principle?
A. Assume the nuclear family model
,B. Ask who the patient considers “family”
C. Encourage them to adopt U.S. customs quickly
D. Avoid asking personal questions
Answer: B
Rationale: Family-centered care = accept the patient’s definition of family; supports
cultural humility.
Q3 (SATA)
Which findings must the PN report to the RN because they may alter the family care
plan? (Select ALL)
A. Grandparent stating “We use herbs at home”
B. Spouse crying in hallway
C. Teen patient refusing to take medication
D. Parent speaking a different language than chart states
E. Father asking when discharge will occur
Answers: A, C, D
Rationale: Herb use (A) = safety; refusal (C) = non-adherence; language (D) = need for
interpreter. Crying (B) & discharge question (E) are normal; PN offers comfort/answers
within scope.
Q4 (Single)
A confidential adolescent STD result is received. The PN should:
, A. Give the result only to the teen
B. Tell the parent after the teen leaves
C. Refuse to share with anyone
D. Chart it in the family group text
Answer: A
Rationale: Minors often have legal confidentiality for STD care; PN follows agency policy
& respects autonomy.
Q5 (Single)
The PN overhears a neighbour’s name during report. The family-centred & legal
response is to:
A. Share only with the neighbour
B. Keep all patient information private
C. Document it on social media
D. Tell the student in the elevator
Answer: B
Rationale: HIPAA requires confidentiality; any release outside care team is a violation.
Q6 (SATA)
Which actions are within PN scope when working with families? (Select ALL)
A. Reinforcing teaching on wound care
