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NSG 222 HESI FAMILY NURSING EXAM COMPREHENSIVE QUESTIONS
AND CORRECT ANSWERS LATEST EDITION 2026
NSG 222 HESI FAMILY NURSING EXAM
10-POINT EXAM COVERAGE SUMMARY
1. Family Nursing Theory & Assessment – Family structure, function, assessment tools,
genograms, ecomaps
2. Family Development & Lifespan – Developmental stages, transitions, family life cycle
3. Maternal-Newborn & Reproductive Health – Pregnancy, postpartum, newborn care,
family adaptation
4. Pediatric & Adolescent Family Care – Growth and development, immunizations, safety,
behavioral health
5. Older Adult & Aging Family – Age-related changes, caregiver burden, elder safety,
polypharmacy
6. Family Communication & Dynamics – Roles, boundaries, conflict, coping, family stress
7. Cultural, Spiritual, & Community Health – Cultural competence, health beliefs,
community resources
8. Chronic Illness, Disability, & End-of-Life – Chronic care, palliative care, grief, hospice
9. Family Violence, Abuse, & Mental Health – Intimate partner violence, child/elder abuse,
mental health
10. Legal, Ethical, & Professional Issues – Consent, confidentiality, mandated reporting,
advocacy
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SECTION 1: FAMILY NURSING THEORY & ASSESSMENT (25 QUESTIONS)
1. A nurse is assessing a family with a new infant and asks about sleeping arrangements. Which
statement by the parent indicates a need for further teaching?
A) “The baby sleeps in a bassinet in our room.”
B) “The baby sleeps on the sofa with pillows.”
C) “The baby sleeps on a firm mattress in a crib.”
D) “The baby sleeps on their back for every nap.”
Rationale: Sofa sleeping with pillows increases suffocation risk; infants should sleep on a firm
surface.
2. A nurse is constructing a genogram for a family with multiple chronic illnesses. Which
information is most important to include in this family assessment tool?
A) Family relationships and medical history across generations
B) Only the immediate family’s current medications
C) The family’s grocery list and daily schedule
D) The nurse’s personal opinions about family health
Rationale: A genogram maps family relationships and health history across at least three
generations.
3. A nurse is using an ecomap to assess a family with limited community support. Which data
should the nurse expect to collect using this tool?
A) External systems and resources that influence the family
B) Only the family’s internal communication patterns
C) The family’s genetic history and inherited disorders
D) The nurse’s schedule for home visits
Rationale: An ecomap identifies external supports, stressors, and community linkages affecting
the family.
4. A nurse is assessing a family’s ability to meet basic needs during a home visit. Which family
function is being evaluated when the nurse observes food, shelter, and safety?
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A) Economic and physical care function
B) Reproductive and socialization function
C) Affective and emotional function
D) Educational and vocational function
Rationale: Providing food, shelter, and safety reflects the family’s economic and physical care
function.
5. A nurse is assessing a family after a job loss and asks how they are coping. Which family
strength is most important for the nurse to identify?
A) Ability to adapt and use available resources
B) Avoidance of all discussion about the problem
C) Reliance on only one family member for decisions
D) Refusal to seek help from community agencies
Rationale: Family resilience and adaptability are key strengths during stressful transitions.
6. A nurse is completing a family assessment and notes unclear roles among members. Which
question best explores family role structure?
A) “Who is responsible for making decisions and completing daily tasks?”
B) “What did you eat for dinner last night?”
C) “How many pets do you have in the home?”
D) “What time do you usually wake up?”
Rationale: Role structure is assessed by exploring decision-making and task responsibilities.
7. A nurse is assessing family boundaries and observes that relatives enter without notice.
Which term describes this family pattern?
A) Enmeshed boundaries
B) Rigid boundaries
C) Clear boundaries
D) Disengaged boundaries
Rationale: Enmeshed boundaries are overly permeable, with little privacy or independence
among members.
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8. A nurse is assessing a family with rigid boundaries and minimal emotional connection. Which
family characteristic is most likely present?
A) Disengagement
B) Enmeshment
C) Open communication
D) Shared decision-making
Rationale: Rigid boundaries and low connection indicate disengagement among family
members.
9. A nurse is using the Calgary Family Assessment Model to evaluate a family. Which three
major categories does this model include?
A) Structural, developmental, and functional
B) Physical, emotional, and financial
C) Acute, chronic, and terminal
D) Primary, secondary, and tertiary
Rationale: The Calgary model assesses structural, developmental, and functional dimensions of
family life.
10. A nurse is assessing a family’s developmental stage after the birth of a first child. Which task
is expected at this stage?
A) Adjusting to new parenting roles and responsibilities
B) Preparing for retirement and reduced income
C) Launching adolescents into independent living
D) Accepting the death of a parent
Rationale: Adding a child requires adjusting roles, routines, and responsibilities as new parents.
11. A nurse is assessing a family’s communication patterns during a family meeting. Which
behavior indicates healthy family communication?
A) Members listen respectfully and express feelings openly
B) One member dominates all conversation and decisions
C) Members use sarcasm to avoid discussing problems
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NSG 222 HESI FAMILY NURSING EXAM COMPREHENSIVE QUESTIONS
AND CORRECT ANSWERS LATEST EDITION 2026
NSG 222 HESI FAMILY NURSING EXAM
10-POINT EXAM COVERAGE SUMMARY
1. Family Nursing Theory & Assessment – Family structure, function, assessment tools,
genograms, ecomaps
2. Family Development & Lifespan – Developmental stages, transitions, family life cycle
3. Maternal-Newborn & Reproductive Health – Pregnancy, postpartum, newborn care,
family adaptation
4. Pediatric & Adolescent Family Care – Growth and development, immunizations, safety,
behavioral health
5. Older Adult & Aging Family – Age-related changes, caregiver burden, elder safety,
polypharmacy
6. Family Communication & Dynamics – Roles, boundaries, conflict, coping, family stress
7. Cultural, Spiritual, & Community Health – Cultural competence, health beliefs,
community resources
8. Chronic Illness, Disability, & End-of-Life – Chronic care, palliative care, grief, hospice
9. Family Violence, Abuse, & Mental Health – Intimate partner violence, child/elder abuse,
mental health
10. Legal, Ethical, & Professional Issues – Consent, confidentiality, mandated reporting,
advocacy
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,Page 2 of 64
SECTION 1: FAMILY NURSING THEORY & ASSESSMENT (25 QUESTIONS)
1. A nurse is assessing a family with a new infant and asks about sleeping arrangements. Which
statement by the parent indicates a need for further teaching?
A) “The baby sleeps in a bassinet in our room.”
B) “The baby sleeps on the sofa with pillows.”
C) “The baby sleeps on a firm mattress in a crib.”
D) “The baby sleeps on their back for every nap.”
Rationale: Sofa sleeping with pillows increases suffocation risk; infants should sleep on a firm
surface.
2. A nurse is constructing a genogram for a family with multiple chronic illnesses. Which
information is most important to include in this family assessment tool?
A) Family relationships and medical history across generations
B) Only the immediate family’s current medications
C) The family’s grocery list and daily schedule
D) The nurse’s personal opinions about family health
Rationale: A genogram maps family relationships and health history across at least three
generations.
3. A nurse is using an ecomap to assess a family with limited community support. Which data
should the nurse expect to collect using this tool?
A) External systems and resources that influence the family
B) Only the family’s internal communication patterns
C) The family’s genetic history and inherited disorders
D) The nurse’s schedule for home visits
Rationale: An ecomap identifies external supports, stressors, and community linkages affecting
the family.
4. A nurse is assessing a family’s ability to meet basic needs during a home visit. Which family
function is being evaluated when the nurse observes food, shelter, and safety?
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A) Economic and physical care function
B) Reproductive and socialization function
C) Affective and emotional function
D) Educational and vocational function
Rationale: Providing food, shelter, and safety reflects the family’s economic and physical care
function.
5. A nurse is assessing a family after a job loss and asks how they are coping. Which family
strength is most important for the nurse to identify?
A) Ability to adapt and use available resources
B) Avoidance of all discussion about the problem
C) Reliance on only one family member for decisions
D) Refusal to seek help from community agencies
Rationale: Family resilience and adaptability are key strengths during stressful transitions.
6. A nurse is completing a family assessment and notes unclear roles among members. Which
question best explores family role structure?
A) “Who is responsible for making decisions and completing daily tasks?”
B) “What did you eat for dinner last night?”
C) “How many pets do you have in the home?”
D) “What time do you usually wake up?”
Rationale: Role structure is assessed by exploring decision-making and task responsibilities.
7. A nurse is assessing family boundaries and observes that relatives enter without notice.
Which term describes this family pattern?
A) Enmeshed boundaries
B) Rigid boundaries
C) Clear boundaries
D) Disengaged boundaries
Rationale: Enmeshed boundaries are overly permeable, with little privacy or independence
among members.
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8. A nurse is assessing a family with rigid boundaries and minimal emotional connection. Which
family characteristic is most likely present?
A) Disengagement
B) Enmeshment
C) Open communication
D) Shared decision-making
Rationale: Rigid boundaries and low connection indicate disengagement among family
members.
9. A nurse is using the Calgary Family Assessment Model to evaluate a family. Which three
major categories does this model include?
A) Structural, developmental, and functional
B) Physical, emotional, and financial
C) Acute, chronic, and terminal
D) Primary, secondary, and tertiary
Rationale: The Calgary model assesses structural, developmental, and functional dimensions of
family life.
10. A nurse is assessing a family’s developmental stage after the birth of a first child. Which task
is expected at this stage?
A) Adjusting to new parenting roles and responsibilities
B) Preparing for retirement and reduced income
C) Launching adolescents into independent living
D) Accepting the death of a parent
Rationale: Adding a child requires adjusting roles, routines, and responsibilities as new parents.
11. A nurse is assessing a family’s communication patterns during a family meeting. Which
behavior indicates healthy family communication?
A) Members listen respectfully and express feelings openly
B) One member dominates all conversation and decisions
C) Members use sarcasm to avoid discussing problems
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