NUR166/NUR 166 Exam 4 V2 | Concepts of
Family Centered Nursing for the Practical
Nurse Q&A with Rationale | Hondros
College of Nursing
1. According to Erikson’s stages of psychosocial development, which task is primary for a
toddler between 1 and 3 years of age?
A. Autonomy vs. Shame and Doubt
B. Industry vs. Inferiority
C. Trust vs. Mistrust
D. Initiative vs. Guilt
Correct Answer: A
Rationale: Toddlers are focused on developing a sense of personal control over physical
skills and a sense of independence. Successfully completing this stage leads to feelings of
self-confidence and security. If toddlers are overly criticized or controlled, they may begin
to feel inadequate in their ability to survive and become overly dependent upon others.
2. A nurse is caring for a 4-year-old child post-tonsillectomy. Which observation should the
nurse report immediately to the healthcare provider?
A. Frequent swallowing while asleep
B. Refusal to drink citrus juices
,C. Reports of a sore throat
D. Presence of dried dark blood on the tongue
Correct Answer: A
Rationale: Frequent swallowing is a classic sign of postoperative bleeding in a child who
has undergone a tonsillectomy. This occurs because the child is swallowing the blood that
is trickling down the back of the throat. Immediate intervention is required to prevent
significant blood loss and airway compromise.
3. A child is admitted with suspected epiglottitis. Which nursing action is contraindicated?
A. Allowing the child to remain in a tripod position
B. Initiating droplet precautions
C. Administering humidified oxygen
D. Using a tongue blade to visualize the throat
Correct Answer: D
Rationale: Using a tongue blade or performing a throat culture can trigger a laryngospasm
in a child with epiglottitis. A laryngospasm can completely obstruct the airway, leading to a
respiratory emergency. The nurse should keep the child calm and have emergency
intubation equipment readily available.
, 4. When educating a parent about administering pancreatic enzymes to a child with Cystic
Fibrosis, which instruction is correct?
A. Administer enzymes once daily in the morning
B. Mix the enzyme powder into hot oatmeal
C. Give enzymes with every meal and snack
D. Enzymes should be taken only if the child has a bowel movement
Correct Answer: C
Rationale: Pancreatic enzymes are essential for the digestion of fats and proteins in
children with Cystic Fibrosis. They must be taken with every meal and snack to ensure
adequate nutrient absorption. Failure to provide enzymes consistently can lead to
malabsorption, steatorrhea, and poor weight gain.
5. A 6-week-old infant is brought to the clinic with reports of projectile vomiting after
feedings. Which condition does the nurse suspect?
A. Intussusception
B. Pyloric Stenosis
C. Gastroesophageal Reflux
D. Hirschsprung Disease
Correct Answer: B
Family Centered Nursing for the Practical
Nurse Q&A with Rationale | Hondros
College of Nursing
1. According to Erikson’s stages of psychosocial development, which task is primary for a
toddler between 1 and 3 years of age?
A. Autonomy vs. Shame and Doubt
B. Industry vs. Inferiority
C. Trust vs. Mistrust
D. Initiative vs. Guilt
Correct Answer: A
Rationale: Toddlers are focused on developing a sense of personal control over physical
skills and a sense of independence. Successfully completing this stage leads to feelings of
self-confidence and security. If toddlers are overly criticized or controlled, they may begin
to feel inadequate in their ability to survive and become overly dependent upon others.
2. A nurse is caring for a 4-year-old child post-tonsillectomy. Which observation should the
nurse report immediately to the healthcare provider?
A. Frequent swallowing while asleep
B. Refusal to drink citrus juices
,C. Reports of a sore throat
D. Presence of dried dark blood on the tongue
Correct Answer: A
Rationale: Frequent swallowing is a classic sign of postoperative bleeding in a child who
has undergone a tonsillectomy. This occurs because the child is swallowing the blood that
is trickling down the back of the throat. Immediate intervention is required to prevent
significant blood loss and airway compromise.
3. A child is admitted with suspected epiglottitis. Which nursing action is contraindicated?
A. Allowing the child to remain in a tripod position
B. Initiating droplet precautions
C. Administering humidified oxygen
D. Using a tongue blade to visualize the throat
Correct Answer: D
Rationale: Using a tongue blade or performing a throat culture can trigger a laryngospasm
in a child with epiglottitis. A laryngospasm can completely obstruct the airway, leading to a
respiratory emergency. The nurse should keep the child calm and have emergency
intubation equipment readily available.
, 4. When educating a parent about administering pancreatic enzymes to a child with Cystic
Fibrosis, which instruction is correct?
A. Administer enzymes once daily in the morning
B. Mix the enzyme powder into hot oatmeal
C. Give enzymes with every meal and snack
D. Enzymes should be taken only if the child has a bowel movement
Correct Answer: C
Rationale: Pancreatic enzymes are essential for the digestion of fats and proteins in
children with Cystic Fibrosis. They must be taken with every meal and snack to ensure
adequate nutrient absorption. Failure to provide enzymes consistently can lead to
malabsorption, steatorrhea, and poor weight gain.
5. A 6-week-old infant is brought to the clinic with reports of projectile vomiting after
feedings. Which condition does the nurse suspect?
A. Intussusception
B. Pyloric Stenosis
C. Gastroesophageal Reflux
D. Hirschsprung Disease
Correct Answer: B
