,NSG 222 Exam 1 Family Nursing Questions And Answers 2026/2027
Herzing University
Q1. Which family structure consists of two parents and their
children living together as one household?
A) Extended family
B) Nuclear family
C) Blended family
D) Single-parent family
Correct Answer: B) Nuclear family
Rationale: A nuclear family consists of parents and their children living
together as a family unit.
Q2. Which statement best reflects family-centered nursing care?
A) Focus exclusively on the individual patient
B) Include the family in care decisions and recognize family strengths
C) Allow healthcare providers to make all decisions
D) Exclude family members from education
Correct Answer: B) Include the family in care decisions and recognize family
strengths
Rationale: Family-centered care recognizes the family as an important part
of the patient's health, decision-making, education, and support system.
Q3. Which statement best describes dysmenorrhea?
A) Absence of menstrual bleeding
B) Painful menstruation
C) Excessive menstrual bleeding only
D) Irregular ovulation
Correct Answer: B) Painful menstruation
Rationale: Dysmenorrhea refers to painful menstrual periods and may be
primary or secondary.
Q4. What is the primary pathophysiologic mechanism of primary
dysmenorrhea?
A) Excessive estrogen production
B) Increased prostaglandin production causing uterine contractions
C) Ovarian failure
D) Cervical cancer
Correct Answer: B) Increased prostaglandin production causing uterine
contractions
Rationale: Increased endometrial prostaglandins contribute to uterine
contractions and ischemia associated with primary dysmenorrhea.
, Q5. Which finding is more consistent with secondary dysmenorrhea?
A) Pain without an underlying pelvic disorder
B) Pain associated with endometriosis
C) Pain caused exclusively by normal prostaglandin activity
D) Pain beginning only during adolescence without other findings
Correct Answer: B) Pain associated with endometriosis
Rationale: Secondary dysmenorrhea results from an underlying pelvic or
uterine condition such as endometriosis, fibroids, or pelvic infection.
Q6. Which medication may be used to decrease primary
dysmenorrhea pain by reducing prostaglandin production?
A) Ibuprofen
B) Insulin
C) Digoxin
D) Warfarin
Correct Answer: A) Ibuprofen
Rationale: NSAIDs inhibit prostaglandin synthesis and are commonly used
to relieve primary dysmenorrhea.
Q7. Which contraceptive method also provides protection against
sexually transmitted infections?
A) Oral contraceptive
B) Condom
C) Intrauterine device
D) Implant
Correct Answer: B) Condom
Rationale: Condoms are contraceptive barrier methods and provide
protection against many STIs when used correctly.
Q8. Which statement about a diaphragm is correct?
A) It is placed over the cervix
B) It provides permanent contraception
C) It protects completely against all STIs
D) It is inserted only after intercourse
Correct Answer: A) It is placed over the cervix
Rationale: A diaphragm is a barrier method placed over the cervix and is
typically used with spermicide.
Q9. A client uses a diaphragm for contraception. Which instruction
is appropriate?
A) Remove it immediately after intercourse
B) Leave it in place for the recommended period after intercourse
Herzing University
Q1. Which family structure consists of two parents and their
children living together as one household?
A) Extended family
B) Nuclear family
C) Blended family
D) Single-parent family
Correct Answer: B) Nuclear family
Rationale: A nuclear family consists of parents and their children living
together as a family unit.
Q2. Which statement best reflects family-centered nursing care?
A) Focus exclusively on the individual patient
B) Include the family in care decisions and recognize family strengths
C) Allow healthcare providers to make all decisions
D) Exclude family members from education
Correct Answer: B) Include the family in care decisions and recognize family
strengths
Rationale: Family-centered care recognizes the family as an important part
of the patient's health, decision-making, education, and support system.
Q3. Which statement best describes dysmenorrhea?
A) Absence of menstrual bleeding
B) Painful menstruation
C) Excessive menstrual bleeding only
D) Irregular ovulation
Correct Answer: B) Painful menstruation
Rationale: Dysmenorrhea refers to painful menstrual periods and may be
primary or secondary.
Q4. What is the primary pathophysiologic mechanism of primary
dysmenorrhea?
A) Excessive estrogen production
B) Increased prostaglandin production causing uterine contractions
C) Ovarian failure
D) Cervical cancer
Correct Answer: B) Increased prostaglandin production causing uterine
contractions
Rationale: Increased endometrial prostaglandins contribute to uterine
contractions and ischemia associated with primary dysmenorrhea.
, Q5. Which finding is more consistent with secondary dysmenorrhea?
A) Pain without an underlying pelvic disorder
B) Pain associated with endometriosis
C) Pain caused exclusively by normal prostaglandin activity
D) Pain beginning only during adolescence without other findings
Correct Answer: B) Pain associated with endometriosis
Rationale: Secondary dysmenorrhea results from an underlying pelvic or
uterine condition such as endometriosis, fibroids, or pelvic infection.
Q6. Which medication may be used to decrease primary
dysmenorrhea pain by reducing prostaglandin production?
A) Ibuprofen
B) Insulin
C) Digoxin
D) Warfarin
Correct Answer: A) Ibuprofen
Rationale: NSAIDs inhibit prostaglandin synthesis and are commonly used
to relieve primary dysmenorrhea.
Q7. Which contraceptive method also provides protection against
sexually transmitted infections?
A) Oral contraceptive
B) Condom
C) Intrauterine device
D) Implant
Correct Answer: B) Condom
Rationale: Condoms are contraceptive barrier methods and provide
protection against many STIs when used correctly.
Q8. Which statement about a diaphragm is correct?
A) It is placed over the cervix
B) It provides permanent contraception
C) It protects completely against all STIs
D) It is inserted only after intercourse
Correct Answer: A) It is placed over the cervix
Rationale: A diaphragm is a barrier method placed over the cervix and is
typically used with spermicide.
Q9. A client uses a diaphragm for contraception. Which instruction
is appropriate?
A) Remove it immediately after intercourse
B) Leave it in place for the recommended period after intercourse
