HERZING UNIVERSITY NSG222 | EXAM 4
FAMILY NURSING | PEDIATRIC SPECIALTY
NSG222 Exam 4
Family Nursing Review with Verified Answers
A comprehensive, curriculum-aligned review of pediatric family nursing content for
Herzing University NSG222 Exam 4. This document contains 100 verified multiple-choice
questions spanning ten core clinical domains, each accompanied by a detailed rationale
grounded in evidence-based practice, developmental theory, and current 2026-2027
NSG222 course standards.
Course NSG222 - Family Nursing
Exam Exam 4 (Latest Update)
Institution Herzing University
Total Questions 100 (Verified | Grade A)
Question Style 70% scenario-based | 20% recall | 10% clinical judgment
Cognitive Levels 25% recall | 50% application | 25% analysis
Format Multiple choice (A-D), single best answer
Sections 10 integrated clinical domains
Sections Covered: 1) Pediatric Oncology & Hematology 2) Cardiovascular & Respiratory 3) Endocrine &
Metabolic 4) Renal & Genitourinary 5) Musculoskeletal & Neurological 6) Infectious Diseases &
Immunizations 7) Integumentary & Sensory 8) Child Maltreatment 9) Mental Health 10) Integrated
Clinical Case Scenarios
Family Nursing | Pediatric Review Grade A | Verified Answers
,HERZING UNIVERSITY NSG222 | EXAM 4
Exam Overview & Instructions
This NSG222 Exam 4 review document is a curated compilation of 100 verified
multiple-choice questions designed to assess and reinforce family nursing competencies
required by the 2026-2027 Herzing University curriculum. Each question is aligned with one
of ten core clinical domains and is accompanied by a comprehensive rationale that explains
why the correct option is the best answer and why the distractors are incorrect or inferior.
The rationales integrate evidence-based practice, pediatric developmental theory,
family-centered care principles, and current pharmacologic and safety standards.
Cognitive level distribution: Approximately 25% of questions assess foundational recall,
50% require application of nursing knowledge to clinical scenarios, and 25% demand
analysis, prioritization, or clinical judgment. Question style: 70% are scenario-based,
mirroring actual NCLEX and Herzing exam difficulty; 20% are direct recall of essential facts;
and 10% require integrated clinical judgment across multiple content domains.
How to use this review: Attempt each question independently before reviewing the
rationale. Pay particular attention to the differentiation between similar conditions (e.g.,
nephrotic vs. glomerulonephritis, croup vs. epiglottitis, leukemia vs. neuroblastoma) as
these distinctions are frequently tested on NSG222 Exam 4. All answers have been verified
against current pediatric nursing references and Herzing NSG222 course objectives.
Section Breakdown
Section Domain Questions
1 Section 1: Pediatric Oncology and Hematologic Disorders Q1-Q15
2 Section 2: Pediatric Cardiovascular and Respiratory Disorders Q16-Q25
3 Section 3: Pediatric Endocrine and Metabolic Disorders Q26-Q35
4 Section 4: Pediatric Renal and Genitourinary Disorders Q36-Q45
Section 5: Pediatric Musculoskeletal and Neurological
5 Q46-Q55
Disorders
6 Section 6: Pediatric Infectious Diseases and Immunizations Q56-Q65
7 Section 7: Pediatric Integumentary and Sensory Disorders Q66-Q75
8 Section 8: Child Maltreatment, Abuse, and Neglect Q76-Q85
9 Section 9: Pediatric Mental Health and Behavioral Disorders Q86-Q92
Family Nursing | Pediatric Review Grade A | Verified Answers
,NSG222 Exam 4 | Family Nursing | Herzing University Update
Section 10: Integrated Clinical Case Scenarios and
10 Q93-Q100
Prioritization
Disclaimer: This review document is an independent study aid aligned with Herzing University NSG222
course objectives. It is not an official Herzing University publication. Always consult current clinical
guidelines, course syllabi, and pharmacologic references when making clinical decisions.
Grade A Review | Verified Answers Page 3
, NSG222 Exam 4 | Family Nursing | Herzing University Update
Questions
Section 1: Pediatric Oncology and
Q1-Q15
Hematologic Disorders
This section covers pediatric cancers (leukemia, neuroblastoma, Wilms tumor, brain tumors) and
hematologic disorders (sickle cell disease, iron-deficiency anemia, thalassemia, aplastic anemia,
hemophilia, and immune thrombocytopenia). Emphasis is placed on early recognition of
oncologic emergencies, neutropenic precautions, bleeding precautions, and family-centered
education.
Q1: A 4-year-old boy is brought to the clinic with a 3-week history of fatigue, pallor,
intermittent fever, and bruising on his lower extremities. His mother reports he has been
refusing to walk, complaining of 'bone pain' in his legs. CBC reveals WBC 35,000/mm³
with 80% blasts, Hgb 7.2 g/dL, platelets 45,000/mm³. Which diagnosis does the nurse
anticipate based on this presentation?
A. Iron-deficiency anemia secondary to poor dietary intake
B. Acute lymphoblastic leukemia (ALL) requiring bone marrow biopsy confirmation
[CORRECT]
C. Idiopathic thrombocytopenic purpura (ITP) following a viral illness
D. Sickle cell disease presenting with vaso-occlusive crisis
Correct Answer: B
Rationale: The combination of pancytopenia (elevated blasts, low Hgb, low platelets), bone
pain, fever, and bruising is the classic presentation of acute lymphoblastic leukemia (ALL), the
most common pediatric cancer. Bone marrow aspiration/biopsy is required for definitive
diagnosis. Iron-deficiency anemia would not cause blasts or fever; ITP typically presents with
isolated thrombocytopenia without anemia or leukemic blasts; sickle cell crisis would show
sickled cells on smear and is associated with pain but not blasts.
Q2: A 5-year-old girl is receiving induction chemotherapy for acute lymphoblastic
leukemia. Her absolute neutrophil count (ANC) is 350/mm³. Which nursing intervention
is the priority at this time?
A. Encourage fresh fruits and vegetables to support nutritional intake
B. Initiate strict neutropenic precautions and monitor for signs of infection
[CORRECT]
C. Administer live attenuated vaccines to prevent community-acquired infections
D. Restrict all visitors and place the child in a positive-pressure isolation room
Correct Answer: B
Rationale: An ANC below 500/mm³ places the child at severe risk for life-threatening infection.
Neutropenic precautions include strict hand hygiene, limiting visitors with illness, avoiding
fresh fruits/vegetables with non-peelable skins and live plants, and monitoring temperature
closely. Live vaccines are contraindicated in immunocompromised patients. Fresh fruits and
live plants carry bacterial/fungal risk. A regular private room with neutropenic precautions is
generally sufficient; positive-pressure isolation is reserved for specific pathogens.
Grade A Review | Verified Answers Page 4
FAMILY NURSING | PEDIATRIC SPECIALTY
NSG222 Exam 4
Family Nursing Review with Verified Answers
A comprehensive, curriculum-aligned review of pediatric family nursing content for
Herzing University NSG222 Exam 4. This document contains 100 verified multiple-choice
questions spanning ten core clinical domains, each accompanied by a detailed rationale
grounded in evidence-based practice, developmental theory, and current 2026-2027
NSG222 course standards.
Course NSG222 - Family Nursing
Exam Exam 4 (Latest Update)
Institution Herzing University
Total Questions 100 (Verified | Grade A)
Question Style 70% scenario-based | 20% recall | 10% clinical judgment
Cognitive Levels 25% recall | 50% application | 25% analysis
Format Multiple choice (A-D), single best answer
Sections 10 integrated clinical domains
Sections Covered: 1) Pediatric Oncology & Hematology 2) Cardiovascular & Respiratory 3) Endocrine &
Metabolic 4) Renal & Genitourinary 5) Musculoskeletal & Neurological 6) Infectious Diseases &
Immunizations 7) Integumentary & Sensory 8) Child Maltreatment 9) Mental Health 10) Integrated
Clinical Case Scenarios
Family Nursing | Pediatric Review Grade A | Verified Answers
,HERZING UNIVERSITY NSG222 | EXAM 4
Exam Overview & Instructions
This NSG222 Exam 4 review document is a curated compilation of 100 verified
multiple-choice questions designed to assess and reinforce family nursing competencies
required by the 2026-2027 Herzing University curriculum. Each question is aligned with one
of ten core clinical domains and is accompanied by a comprehensive rationale that explains
why the correct option is the best answer and why the distractors are incorrect or inferior.
The rationales integrate evidence-based practice, pediatric developmental theory,
family-centered care principles, and current pharmacologic and safety standards.
Cognitive level distribution: Approximately 25% of questions assess foundational recall,
50% require application of nursing knowledge to clinical scenarios, and 25% demand
analysis, prioritization, or clinical judgment. Question style: 70% are scenario-based,
mirroring actual NCLEX and Herzing exam difficulty; 20% are direct recall of essential facts;
and 10% require integrated clinical judgment across multiple content domains.
How to use this review: Attempt each question independently before reviewing the
rationale. Pay particular attention to the differentiation between similar conditions (e.g.,
nephrotic vs. glomerulonephritis, croup vs. epiglottitis, leukemia vs. neuroblastoma) as
these distinctions are frequently tested on NSG222 Exam 4. All answers have been verified
against current pediatric nursing references and Herzing NSG222 course objectives.
Section Breakdown
Section Domain Questions
1 Section 1: Pediatric Oncology and Hematologic Disorders Q1-Q15
2 Section 2: Pediatric Cardiovascular and Respiratory Disorders Q16-Q25
3 Section 3: Pediatric Endocrine and Metabolic Disorders Q26-Q35
4 Section 4: Pediatric Renal and Genitourinary Disorders Q36-Q45
Section 5: Pediatric Musculoskeletal and Neurological
5 Q46-Q55
Disorders
6 Section 6: Pediatric Infectious Diseases and Immunizations Q56-Q65
7 Section 7: Pediatric Integumentary and Sensory Disorders Q66-Q75
8 Section 8: Child Maltreatment, Abuse, and Neglect Q76-Q85
9 Section 9: Pediatric Mental Health and Behavioral Disorders Q86-Q92
Family Nursing | Pediatric Review Grade A | Verified Answers
,NSG222 Exam 4 | Family Nursing | Herzing University Update
Section 10: Integrated Clinical Case Scenarios and
10 Q93-Q100
Prioritization
Disclaimer: This review document is an independent study aid aligned with Herzing University NSG222
course objectives. It is not an official Herzing University publication. Always consult current clinical
guidelines, course syllabi, and pharmacologic references when making clinical decisions.
Grade A Review | Verified Answers Page 3
, NSG222 Exam 4 | Family Nursing | Herzing University Update
Questions
Section 1: Pediatric Oncology and
Q1-Q15
Hematologic Disorders
This section covers pediatric cancers (leukemia, neuroblastoma, Wilms tumor, brain tumors) and
hematologic disorders (sickle cell disease, iron-deficiency anemia, thalassemia, aplastic anemia,
hemophilia, and immune thrombocytopenia). Emphasis is placed on early recognition of
oncologic emergencies, neutropenic precautions, bleeding precautions, and family-centered
education.
Q1: A 4-year-old boy is brought to the clinic with a 3-week history of fatigue, pallor,
intermittent fever, and bruising on his lower extremities. His mother reports he has been
refusing to walk, complaining of 'bone pain' in his legs. CBC reveals WBC 35,000/mm³
with 80% blasts, Hgb 7.2 g/dL, platelets 45,000/mm³. Which diagnosis does the nurse
anticipate based on this presentation?
A. Iron-deficiency anemia secondary to poor dietary intake
B. Acute lymphoblastic leukemia (ALL) requiring bone marrow biopsy confirmation
[CORRECT]
C. Idiopathic thrombocytopenic purpura (ITP) following a viral illness
D. Sickle cell disease presenting with vaso-occlusive crisis
Correct Answer: B
Rationale: The combination of pancytopenia (elevated blasts, low Hgb, low platelets), bone
pain, fever, and bruising is the classic presentation of acute lymphoblastic leukemia (ALL), the
most common pediatric cancer. Bone marrow aspiration/biopsy is required for definitive
diagnosis. Iron-deficiency anemia would not cause blasts or fever; ITP typically presents with
isolated thrombocytopenia without anemia or leukemic blasts; sickle cell crisis would show
sickled cells on smear and is associated with pain but not blasts.
Q2: A 5-year-old girl is receiving induction chemotherapy for acute lymphoblastic
leukemia. Her absolute neutrophil count (ANC) is 350/mm³. Which nursing intervention
is the priority at this time?
A. Encourage fresh fruits and vegetables to support nutritional intake
B. Initiate strict neutropenic precautions and monitor for signs of infection
[CORRECT]
C. Administer live attenuated vaccines to prevent community-acquired infections
D. Restrict all visitors and place the child in a positive-pressure isolation room
Correct Answer: B
Rationale: An ANC below 500/mm³ places the child at severe risk for life-threatening infection.
Neutropenic precautions include strict hand hygiene, limiting visitors with illness, avoiding
fresh fruits/vegetables with non-peelable skins and live plants, and monitoring temperature
closely. Live vaccines are contraindicated in immunocompromised patients. Fresh fruits and
live plants carry bacterial/fungal risk. A regular private room with neutropenic precautions is
generally sufficient; positive-pressure isolation is reserved for specific pathogens.
Grade A Review | Verified Answers Page 4
