NSG222 HESI Family Nursing Examination 100 Questions | 2026/2027
NSG222 HESI Family Nursing Examination
100 Questions | Latest 2026/2027 Update | Herzing University Curriculum Standards
Aligned with Herzing University NSG 222 Course Objectives
Section 1: Theoretical Foundations of Family Nursing
Q1-10 | Bowen, CFAM, CFIM, Hill ABC-X, Genogram/Ecomap, Gordon
1. A nurse cares for a family whose adolescent was diagnosed with type 1 diabetes. The parents argue about
treatment, and the older sibling skips school. Which framework best explains the emotional reactivity and
triangulation?
A. Duvall Developmental Family Life Cycle Theory
B. Bowen Family Systems Theory
C. Calgary Family Assessment Model (CFAM)
D. Friedan Family Nursing Framework
2. According to the CFAM, which three subcategories comprise the structural dimension?
A. Internal, External, and Contextual structures
B. Developmental, Functional, and Structural categories
C. Communication, Problem-solving, and Roles
D. Beliefs, Values, and Spirituality
3. A community nurse works with the Martinez family where the grandmother provides childcare and parents
defer decisions to her, reflecting filial piety. Which phenomenon best describes this?
A. Genogram triangulation across three generations
B. Multi-generational transmission of hierarchical power
C. Cross-cultural boundary diffusion in the parental subsystem
D. Differentiation of self in a collectivist cultural context
4. A public health nurse wants to map a family connections to community resources and healthcare providers.
Which tool is most appropriate?
A. Genogram
B. Ecomap
C. Family APGAR scale
D. Friedman Family Assessment Model
5. Which is a core concept of Bowen Family Systems Theory?
A. Family development progresses through eight predictable stages
B. The family is an emotional unit where change in one member affects all
C. Family health is determined by absence of disease in all members
D. Assessment should focus on the identified patient symptoms
6. After the father stroke, the mother assumed all caregiving, the teenage daughter became family mediator,
and the young son wets the bed. Which CFIM-based intervention is most appropriate?
A. Encouraging the mother to attend a stroke support group independently
B. Facilitating family discussion about role redistribution and boundary maintenance
C. Referring the young son for individual behavioral therapy
D. Teaching the mother stress management techniques
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,NSG222 HESI Family Nursing Examination 100 Questions | 2026/2027
7. Framework A organizes assessment into structural, developmental, and functional categories. Framework B
organizes around stressors, coping, and strengths. Which correctly identifies these?
A. A = Friedman Model; B = CFAM
B. A = CFAM; B = Double ABC-X Model
C. A = CFIM; B = Resilience Framework
D. A = Family APGAR; B = Hill ABC-X Model
8. In Gordon Functional Health Patterns, which pattern addresses health decisions and routines such as sleep,
nutrition, and exercise?
A. Health Perception-Health Management Pattern
B. Nutritional-Metabolic Pattern
C. Role-Relationship Pattern
D. Coping-Stress Tolerance Pattern
9. A father has minimal contact with his parents due to unresolved childhood conflicts and becomes anxious
when discussing his family of origin. According to Bowen, which concept describes this?
A. Emotional cutoff
B. Societal emotional process
C. Sibling position
D. Nuclear family emotional system
10. In the Hill ABC-X Model, what determines whether a stressor becomes a crisis?
A. The accumulation of all prior stressors
B. The family resources and perception interacting with the stressor
C. The severity on a standardized scale
D. The number of family members directly affected
Section 2: Family Assessment
Q11-20 | CFAM dimensions, Genogram, Ecomap, Family APGAR, Friedman Model
11. A nurse constructs a genogram. The mother sister has breast cancer at 42; the grandmother died of ovarian
cancer at 55. Which notation documents the aunt diagnosis?
A. A shaded circle with diagnosis and age noted
B. A clear circle with a diagonal line
C. A partially shaded square with an arrow to mother
D. A double-bordered circle with diagnosis
12. An ecomap shows thick solid lines to church/school, dashed line to clinic, jagged line to employer. What
do these indicate?
A. Strong church/school connections, tenuous clinic link, stressful employer relationship
B. Equal-strength connections with different services
C. Family overwhelmed by too many connections
D. Lines show frequency, not quality
13. Mrs. Okonkwo scores 1 on each Family APGAR item. What does a total of 5 indicate?
A. Severe dysfunction requiring immediate referral
B. Moderate dysfunction warranting further assessment
C. Highly functional family
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, NSG222 HESI Family Nursing Examination 100 Questions | 2026/2027
D. Satisfactory functioning with areas of partial support
14. CFAM developmental assessment reveals daughter left for college, grandmother moved in, husband
changed careers. These affect which dimension most directly?
A. Structural, because composition changed
B. Functional, because routines are disrupted
C. Developmental, because they affect stage-related tasks
D. Contextual, because social class shifted
15. In the Friedman Model, examining communication, decision-making, and conflict resolution falls under
which category?
A. Family Structure
B. Family Functions
C. Family Environment
D. Family Coping
16. On a genogram, which notation represents a consanguineous marriage?
A. A double horizontal line connecting partners
B. A single line with C above it
C. A line with an arrow from father to mother
D. A dashed horizontal line
17. A 14-year-old makes his own meals, manages homework alone, and stays home alone for extended
periods. Which CFAM concept is most relevant?
A. Family hierarchy and power distribution
B. Boundary permeability between parental and child subsystems
C. Extended family support availability
D. Contextual socioeconomic factors
18. Which CFAM functional question addresses the instrumental component?
A. How do members express affection?
B. How does the family manage daily tasks like meals, transportation, and finances?
C. How do members communicate spiritual beliefs?
D. How does the family handle disagreements?
19. An ecomap shows no healthcare connections, no community involvement, one tenuous neighbor link. Their
youngest child has a chronic condition. What should the nurse prioritize?
A. Assessing internal communication
B. Connecting the family to community and healthcare resources
C. Referring for genetic counseling
D. Teaching about the condition pathophysiology
20. The father makes all healthcare, education, and financial decisions unilaterally. The mother and children
comply but express frustration. Which Friedman concept should guide intervention?
A. Family power structure and health outcomes
B. Family developmental stage
C. Family communication patterns
D. Family environment
Page 3
NSG222 HESI Family Nursing Examination
100 Questions | Latest 2026/2027 Update | Herzing University Curriculum Standards
Aligned with Herzing University NSG 222 Course Objectives
Section 1: Theoretical Foundations of Family Nursing
Q1-10 | Bowen, CFAM, CFIM, Hill ABC-X, Genogram/Ecomap, Gordon
1. A nurse cares for a family whose adolescent was diagnosed with type 1 diabetes. The parents argue about
treatment, and the older sibling skips school. Which framework best explains the emotional reactivity and
triangulation?
A. Duvall Developmental Family Life Cycle Theory
B. Bowen Family Systems Theory
C. Calgary Family Assessment Model (CFAM)
D. Friedan Family Nursing Framework
2. According to the CFAM, which three subcategories comprise the structural dimension?
A. Internal, External, and Contextual structures
B. Developmental, Functional, and Structural categories
C. Communication, Problem-solving, and Roles
D. Beliefs, Values, and Spirituality
3. A community nurse works with the Martinez family where the grandmother provides childcare and parents
defer decisions to her, reflecting filial piety. Which phenomenon best describes this?
A. Genogram triangulation across three generations
B. Multi-generational transmission of hierarchical power
C. Cross-cultural boundary diffusion in the parental subsystem
D. Differentiation of self in a collectivist cultural context
4. A public health nurse wants to map a family connections to community resources and healthcare providers.
Which tool is most appropriate?
A. Genogram
B. Ecomap
C. Family APGAR scale
D. Friedman Family Assessment Model
5. Which is a core concept of Bowen Family Systems Theory?
A. Family development progresses through eight predictable stages
B. The family is an emotional unit where change in one member affects all
C. Family health is determined by absence of disease in all members
D. Assessment should focus on the identified patient symptoms
6. After the father stroke, the mother assumed all caregiving, the teenage daughter became family mediator,
and the young son wets the bed. Which CFIM-based intervention is most appropriate?
A. Encouraging the mother to attend a stroke support group independently
B. Facilitating family discussion about role redistribution and boundary maintenance
C. Referring the young son for individual behavioral therapy
D. Teaching the mother stress management techniques
Page 1
,NSG222 HESI Family Nursing Examination 100 Questions | 2026/2027
7. Framework A organizes assessment into structural, developmental, and functional categories. Framework B
organizes around stressors, coping, and strengths. Which correctly identifies these?
A. A = Friedman Model; B = CFAM
B. A = CFAM; B = Double ABC-X Model
C. A = CFIM; B = Resilience Framework
D. A = Family APGAR; B = Hill ABC-X Model
8. In Gordon Functional Health Patterns, which pattern addresses health decisions and routines such as sleep,
nutrition, and exercise?
A. Health Perception-Health Management Pattern
B. Nutritional-Metabolic Pattern
C. Role-Relationship Pattern
D. Coping-Stress Tolerance Pattern
9. A father has minimal contact with his parents due to unresolved childhood conflicts and becomes anxious
when discussing his family of origin. According to Bowen, which concept describes this?
A. Emotional cutoff
B. Societal emotional process
C. Sibling position
D. Nuclear family emotional system
10. In the Hill ABC-X Model, what determines whether a stressor becomes a crisis?
A. The accumulation of all prior stressors
B. The family resources and perception interacting with the stressor
C. The severity on a standardized scale
D. The number of family members directly affected
Section 2: Family Assessment
Q11-20 | CFAM dimensions, Genogram, Ecomap, Family APGAR, Friedman Model
11. A nurse constructs a genogram. The mother sister has breast cancer at 42; the grandmother died of ovarian
cancer at 55. Which notation documents the aunt diagnosis?
A. A shaded circle with diagnosis and age noted
B. A clear circle with a diagonal line
C. A partially shaded square with an arrow to mother
D. A double-bordered circle with diagnosis
12. An ecomap shows thick solid lines to church/school, dashed line to clinic, jagged line to employer. What
do these indicate?
A. Strong church/school connections, tenuous clinic link, stressful employer relationship
B. Equal-strength connections with different services
C. Family overwhelmed by too many connections
D. Lines show frequency, not quality
13. Mrs. Okonkwo scores 1 on each Family APGAR item. What does a total of 5 indicate?
A. Severe dysfunction requiring immediate referral
B. Moderate dysfunction warranting further assessment
C. Highly functional family
Page 2
, NSG222 HESI Family Nursing Examination 100 Questions | 2026/2027
D. Satisfactory functioning with areas of partial support
14. CFAM developmental assessment reveals daughter left for college, grandmother moved in, husband
changed careers. These affect which dimension most directly?
A. Structural, because composition changed
B. Functional, because routines are disrupted
C. Developmental, because they affect stage-related tasks
D. Contextual, because social class shifted
15. In the Friedman Model, examining communication, decision-making, and conflict resolution falls under
which category?
A. Family Structure
B. Family Functions
C. Family Environment
D. Family Coping
16. On a genogram, which notation represents a consanguineous marriage?
A. A double horizontal line connecting partners
B. A single line with C above it
C. A line with an arrow from father to mother
D. A dashed horizontal line
17. A 14-year-old makes his own meals, manages homework alone, and stays home alone for extended
periods. Which CFAM concept is most relevant?
A. Family hierarchy and power distribution
B. Boundary permeability between parental and child subsystems
C. Extended family support availability
D. Contextual socioeconomic factors
18. Which CFAM functional question addresses the instrumental component?
A. How do members express affection?
B. How does the family manage daily tasks like meals, transportation, and finances?
C. How do members communicate spiritual beliefs?
D. How does the family handle disagreements?
19. An ecomap shows no healthcare connections, no community involvement, one tenuous neighbor link. Their
youngest child has a chronic condition. What should the nurse prioritize?
A. Assessing internal communication
B. Connecting the family to community and healthcare resources
C. Referring for genetic counseling
D. Teaching about the condition pathophysiology
20. The father makes all healthcare, education, and financial decisions unilaterally. The mother and children
comply but express frustration. Which Friedman concept should guide intervention?
A. Family power structure and health outcomes
B. Family developmental stage
C. Family communication patterns
D. Family environment
Page 3
