NSG222 / NSG 222 HESI (Latest 2026/2027 Update):
Family Nursing | Review with Questions and Verified
Answers | 100% Correct | Grade A+ Herzing
Section 1: Growth and Development: Pediatric Milestones
and Family-Centered Care (Questions 1–50)
1. A 4-month-old infant is in the clinic for a well-baby checkup.
The parent asks the nurse what toys would be appropriate for this
age. Which response is most appropriate?
A. "At this age, a playpen with hanging mobiles, unbreakable mirrors, and rattles is
appropriate"
B. "A music box, soft animals, and toys that squeak are good for this age"
C. "The infant will enjoy a jumper and busy boxes at this age"
D. "Mobiles and high-contrast pattern books are still appropriate"
Answer: A
Rationale: For a 4-month-old, appropriate toys include mobiles, mirrors, rattles, and
playing/singing with the infant . These toys promote visual tracking, auditory
stimulation, and fine motor skill development. A music box and squeaky toys are more
appropriate for 4-7 months. Jumper and busy boxes are for older infants, and high-
contrast pattern books are for newborns up to 3 months.
,2. The nurse is providing developmental guidance to the parent of
a 6-month-old infant. The parent states, "I want to start
introducing solid foods. What should I do?" The nurse's best
response is:
A. "You can start with any food you like, as long as you mix it with formula"
B. "Start with rice cereal mixed with breast milk or formula, and introduce one new food
at a time, waiting 4–7 days between each new food"
C. "Start with pureed meats for the iron content, and give water with every feeding"
D. "You don't need to worry about timing; just give whatever the baby will eat"
Answer: B
Rationale: Solid foods should be introduced one at a time at 4-to-7-day intervals to
monitor for allergic reactions . Rice cereal mixed with breast milk or formula is typically
recommended as the first food due to its low allergenic potential and high iron content.
3. The nurse is assessing a toddler's growth and development. The
toddler has mastered walking up and down stairs with assistance,
can run, and is beginning to climb. This child is likely what age?
A. 12 months
B. 18 months
C. 24 months
D. 36 months
Answer: C
Rationale: A 24-month-old typically can walk up and down stairs with assistance, run,
and climb onto furniture. A 12-month-old is just beginning to walk independently. An
18-month-old can walk well, run stiffly, and walk up stairs with hand held. A 36-month-
old can walk up and down stairs with alternating feet, ride a tricycle, and jump.
,4. The nurse is assessing a 3-year-old child's language
development. Which finding indicates a delay that requires
further evaluation?
A. Uses 3-4 word sentences
B. Points to objects when named
C. Speaks in gibberish (jargon) most of the time
D. Has a vocabulary of 500 words
Answer: C
Rationale: By age 3, a child should have a vocabulary of approximately 500 words and
be able to speak in 3-4 word sentences. Speaking predominantly in gibberish or jargon
at this age suggests a language delay requiring further evaluation. A 2-year-old may use
jargon, but by 3 years, speech should be intelligible to strangers.
5. A nurse is teaching a class on injury prevention to parents of
toddlers. Which of the following is a leading cause of injury death
in this age group?
A. Falls
B. Poisoning
C. Burns
D. Motor vehicle accidents
Answer: D
Rationale: Motor vehicle accidents are a leading cause of injury death in toddlers, which
is why proper car seat use is critical. Toddlers should remain rear-facing until age 2 or
the maximum height/weight limit of the seat . Falls are common but less often fatal;
poisoning and burns are also significant but not the leading cause of mortality.
, 6. A school-age child is 9 years old. The nurse knows this child is
at risk for which of the following developmental challenges?
A. Imaginary friends
B. Fear of the dark
C. Peer pressure and self-concept issues
D. Difficulty with fine motor skills
Answer: C
Rationale: School-age children (6-12 years) are developing a sense of industry versus
inferiority. They are increasingly influenced by peers, and self-concept is heavily shaped
by academic and social performance. Peer pressure becomes a significant factor.
Imaginary friends and fears of the dark are more common in preschoolers.
7. A child with a new diagnosis of leukemia is being discharged to
home after induction chemotherapy. The parent asks the nurse
what to do if the child develops a fever. The nurse's best response
is:
A. "Give acetaminophen and see if the fever goes down"
B. "This is expected; children with leukemia often have fevers"
C. "Bring the child to the emergency department immediately; fever could indicate a
life-threatening infection"
D. "Call the clinic and we'll decide what to do"
Answer: C
Rationale: Children with leukemia are profoundly immunosuppressed from
chemotherapy. Any fever (typically ≥100.4°F) in a neutropenic child is a medical
emergency and requires immediate evaluation for possible sepsis . Acetaminophen may
be given but should not delay seeking care.
Family Nursing | Review with Questions and Verified
Answers | 100% Correct | Grade A+ Herzing
Section 1: Growth and Development: Pediatric Milestones
and Family-Centered Care (Questions 1–50)
1. A 4-month-old infant is in the clinic for a well-baby checkup.
The parent asks the nurse what toys would be appropriate for this
age. Which response is most appropriate?
A. "At this age, a playpen with hanging mobiles, unbreakable mirrors, and rattles is
appropriate"
B. "A music box, soft animals, and toys that squeak are good for this age"
C. "The infant will enjoy a jumper and busy boxes at this age"
D. "Mobiles and high-contrast pattern books are still appropriate"
Answer: A
Rationale: For a 4-month-old, appropriate toys include mobiles, mirrors, rattles, and
playing/singing with the infant . These toys promote visual tracking, auditory
stimulation, and fine motor skill development. A music box and squeaky toys are more
appropriate for 4-7 months. Jumper and busy boxes are for older infants, and high-
contrast pattern books are for newborns up to 3 months.
,2. The nurse is providing developmental guidance to the parent of
a 6-month-old infant. The parent states, "I want to start
introducing solid foods. What should I do?" The nurse's best
response is:
A. "You can start with any food you like, as long as you mix it with formula"
B. "Start with rice cereal mixed with breast milk or formula, and introduce one new food
at a time, waiting 4–7 days between each new food"
C. "Start with pureed meats for the iron content, and give water with every feeding"
D. "You don't need to worry about timing; just give whatever the baby will eat"
Answer: B
Rationale: Solid foods should be introduced one at a time at 4-to-7-day intervals to
monitor for allergic reactions . Rice cereal mixed with breast milk or formula is typically
recommended as the first food due to its low allergenic potential and high iron content.
3. The nurse is assessing a toddler's growth and development. The
toddler has mastered walking up and down stairs with assistance,
can run, and is beginning to climb. This child is likely what age?
A. 12 months
B. 18 months
C. 24 months
D. 36 months
Answer: C
Rationale: A 24-month-old typically can walk up and down stairs with assistance, run,
and climb onto furniture. A 12-month-old is just beginning to walk independently. An
18-month-old can walk well, run stiffly, and walk up stairs with hand held. A 36-month-
old can walk up and down stairs with alternating feet, ride a tricycle, and jump.
,4. The nurse is assessing a 3-year-old child's language
development. Which finding indicates a delay that requires
further evaluation?
A. Uses 3-4 word sentences
B. Points to objects when named
C. Speaks in gibberish (jargon) most of the time
D. Has a vocabulary of 500 words
Answer: C
Rationale: By age 3, a child should have a vocabulary of approximately 500 words and
be able to speak in 3-4 word sentences. Speaking predominantly in gibberish or jargon
at this age suggests a language delay requiring further evaluation. A 2-year-old may use
jargon, but by 3 years, speech should be intelligible to strangers.
5. A nurse is teaching a class on injury prevention to parents of
toddlers. Which of the following is a leading cause of injury death
in this age group?
A. Falls
B. Poisoning
C. Burns
D. Motor vehicle accidents
Answer: D
Rationale: Motor vehicle accidents are a leading cause of injury death in toddlers, which
is why proper car seat use is critical. Toddlers should remain rear-facing until age 2 or
the maximum height/weight limit of the seat . Falls are common but less often fatal;
poisoning and burns are also significant but not the leading cause of mortality.
, 6. A school-age child is 9 years old. The nurse knows this child is
at risk for which of the following developmental challenges?
A. Imaginary friends
B. Fear of the dark
C. Peer pressure and self-concept issues
D. Difficulty with fine motor skills
Answer: C
Rationale: School-age children (6-12 years) are developing a sense of industry versus
inferiority. They are increasingly influenced by peers, and self-concept is heavily shaped
by academic and social performance. Peer pressure becomes a significant factor.
Imaginary friends and fears of the dark are more common in preschoolers.
7. A child with a new diagnosis of leukemia is being discharged to
home after induction chemotherapy. The parent asks the nurse
what to do if the child develops a fever. The nurse's best response
is:
A. "Give acetaminophen and see if the fever goes down"
B. "This is expected; children with leukemia often have fevers"
C. "Bring the child to the emergency department immediately; fever could indicate a
life-threatening infection"
D. "Call the clinic and we'll decide what to do"
Answer: C
Rationale: Children with leukemia are profoundly immunosuppressed from
chemotherapy. Any fever (typically ≥100.4°F) in a neutropenic child is a medical
emergency and requires immediate evaluation for possible sepsis . Acetaminophen may
be given but should not delay seeking care.
