NURS 5434 FAMILY III FINAL EXAM PRACTICE
QUESTIONS AND ANSWERS - LATEST AND
COMPLETE UPDATE WITH VERIFIED SOLUTIONS –
ASSURED PASS WITH INSTANT DOWNLOAD PDF.
1. A 32-year-old woman at 36 weeks gestation presents with mild
preeclampsia. She reports headache and visual changes. Which initial
intervention should the nurse prioritize?
A. Administer oral antihypertensives
B. Position patient on her left side and assess vital signs
C. Prepare for immediate cesarean delivery
D. Initiate oxytocin infusion
Rationale: Initial management of preeclampsia focuses on maternal
stabilization, including positioning to improve uteroplacental perfusion and
continuous monitoring of vitals.
2. A nurse is counseling a family on the importance of immunizations for a 6-
month-old infant. Which rationale is most appropriate?
A. Vaccines are optional unless traveling internationally
B. Infants are resistant to most infections at this age
C. Vaccines stimulate protective immunity to prevent serious illness
D. Vaccines reduce fever in infants
Rationale: Immunizations are critical to develop active immunity in infants
and protect against vaccine-preventable diseases.
3. A 45-year-old father expresses concern about his adolescent daughter’s risk
for depression. Which risk factor should the nurse identify as most
significant?
A. Participation in sports
B. Strong peer relationships
, C. History of family mental health disorders
D. Academic success
Rationale: Genetic predisposition and family history of mental health
disorders are primary risk factors for adolescent depression.
4. A 27-year-old postpartum patient presents with heavy vaginal bleeding 2
hours after delivery. The nurse notes a soft, boggy uterus. What is the
priority nursing action?
A. Administer oxytocin as ordered
B. Massage the fundus and monitor for continued bleeding
C. Apply cold compresses to the perineum
D. Encourage ambulation
Rationale: Uterine atony is the most common cause of postpartum
hemorrhage; fundal massage is the first-line intervention.
5. A family nurse practitioner is assessing a child for failure to thrive. Which
assessment finding is most concerning?
A. Child is slightly below 50th percentile for height
B. Weight is below the 5th percentile and has slowed over 6 months
C. Child eats small meals three times a day
D. Mild seasonal colds
Rationale: Significant deviation from expected growth patterns over time
indicates possible malnutrition or underlying medical conditions.
6. During a home visit, a nurse observes that a toddler has multiple bruises on
the upper arms and back. What is the most appropriate next step?
A. Ask parents to keep the child indoors
B. Report suspicions of abuse per mandated reporting laws
C. Document and continue routine care
D. Discuss alternative discipline strategies
, Rationale: Nurses are mandated reporters; unexplained injuries in non-
ambulatory areas may indicate abuse and require immediate reporting.
7. A patient with gestational diabetes is learning dietary management. Which
statement indicates correct understanding?
A. “I should avoid all carbohydrates completely.”
B. “I should eat balanced meals and distribute carbohydrates
throughout the day.”
C. “I should skip breakfast to control sugar.”
D. “I can eat sweets as long as I exercise.”
Rationale: Controlled carbohydrate intake distributed across meals and
snacks helps maintain stable blood glucose levels in gestational diabetes.
8. A 16-year-old adolescent reports smoking and experimenting with alcohol.
Which intervention best reflects primary prevention?
A. Administer nicotine replacement therapy
B. Provide education on risks of substance use and healthy coping
strategies
C. Refer to substance abuse treatment program
D. Monitor for withdrawal symptoms
Rationale: Primary prevention aims to prevent disease or harmful behaviors
before they occur, through education and risk reduction.
9. A 30-year-old pregnant woman with a history of asthma asks about
medication safety. Which response is most appropriate?
A. “All asthma medications are unsafe during pregnancy.”
B. “You should stop your inhaler immediately.”
C. “Most inhaled asthma medications are safe; uncontrolled asthma is
more dangerous for you and your baby.”
D. “Switch to herbal remedies instead.”
, Rationale: Maintaining maternal respiratory function is critical; most
standard inhaled medications are safe in pregnancy.
10.A nurse assessing a 10-year-old for scoliosis notices an asymmetry in
shoulder height. What is the recommended next step?
A. Schedule immediate surgery
B. Advise strict bed rest
C. Refer for scoliosis screening and imaging
D. Recommend only physiotherapy
Rationale: Early detection through screening allows monitoring and
intervention before progression.
11.A 38-week gestation patient presents with contractions every 5 minutes and
ruptured membranes. Which is the most appropriate initial nursing action?
A. Prepare for emergency cesarean
B. Assess fetal heart rate and maternal vital signs
C. Encourage oral intake
D. Administer epidural immediately
Rationale: Assessment of maternal and fetal status is the priority after
spontaneous rupture of membranes.
12.A nurse is teaching a family about asthma management for a school-aged
child. Which statement reflects correct inhaler use?
A. Shake inhaler, exhale fully, inhale deeply while pressing, hold breath 10
seconds
B. Shake inhaler, exhale fully, inhale while pressing canister, hold
breath for 10 seconds, then exhale slowly
C. Inhale rapidly without shaking
D. Press canister without inhaling
QUESTIONS AND ANSWERS - LATEST AND
COMPLETE UPDATE WITH VERIFIED SOLUTIONS –
ASSURED PASS WITH INSTANT DOWNLOAD PDF.
1. A 32-year-old woman at 36 weeks gestation presents with mild
preeclampsia. She reports headache and visual changes. Which initial
intervention should the nurse prioritize?
A. Administer oral antihypertensives
B. Position patient on her left side and assess vital signs
C. Prepare for immediate cesarean delivery
D. Initiate oxytocin infusion
Rationale: Initial management of preeclampsia focuses on maternal
stabilization, including positioning to improve uteroplacental perfusion and
continuous monitoring of vitals.
2. A nurse is counseling a family on the importance of immunizations for a 6-
month-old infant. Which rationale is most appropriate?
A. Vaccines are optional unless traveling internationally
B. Infants are resistant to most infections at this age
C. Vaccines stimulate protective immunity to prevent serious illness
D. Vaccines reduce fever in infants
Rationale: Immunizations are critical to develop active immunity in infants
and protect against vaccine-preventable diseases.
3. A 45-year-old father expresses concern about his adolescent daughter’s risk
for depression. Which risk factor should the nurse identify as most
significant?
A. Participation in sports
B. Strong peer relationships
, C. History of family mental health disorders
D. Academic success
Rationale: Genetic predisposition and family history of mental health
disorders are primary risk factors for adolescent depression.
4. A 27-year-old postpartum patient presents with heavy vaginal bleeding 2
hours after delivery. The nurse notes a soft, boggy uterus. What is the
priority nursing action?
A. Administer oxytocin as ordered
B. Massage the fundus and monitor for continued bleeding
C. Apply cold compresses to the perineum
D. Encourage ambulation
Rationale: Uterine atony is the most common cause of postpartum
hemorrhage; fundal massage is the first-line intervention.
5. A family nurse practitioner is assessing a child for failure to thrive. Which
assessment finding is most concerning?
A. Child is slightly below 50th percentile for height
B. Weight is below the 5th percentile and has slowed over 6 months
C. Child eats small meals three times a day
D. Mild seasonal colds
Rationale: Significant deviation from expected growth patterns over time
indicates possible malnutrition or underlying medical conditions.
6. During a home visit, a nurse observes that a toddler has multiple bruises on
the upper arms and back. What is the most appropriate next step?
A. Ask parents to keep the child indoors
B. Report suspicions of abuse per mandated reporting laws
C. Document and continue routine care
D. Discuss alternative discipline strategies
, Rationale: Nurses are mandated reporters; unexplained injuries in non-
ambulatory areas may indicate abuse and require immediate reporting.
7. A patient with gestational diabetes is learning dietary management. Which
statement indicates correct understanding?
A. “I should avoid all carbohydrates completely.”
B. “I should eat balanced meals and distribute carbohydrates
throughout the day.”
C. “I should skip breakfast to control sugar.”
D. “I can eat sweets as long as I exercise.”
Rationale: Controlled carbohydrate intake distributed across meals and
snacks helps maintain stable blood glucose levels in gestational diabetes.
8. A 16-year-old adolescent reports smoking and experimenting with alcohol.
Which intervention best reflects primary prevention?
A. Administer nicotine replacement therapy
B. Provide education on risks of substance use and healthy coping
strategies
C. Refer to substance abuse treatment program
D. Monitor for withdrawal symptoms
Rationale: Primary prevention aims to prevent disease or harmful behaviors
before they occur, through education and risk reduction.
9. A 30-year-old pregnant woman with a history of asthma asks about
medication safety. Which response is most appropriate?
A. “All asthma medications are unsafe during pregnancy.”
B. “You should stop your inhaler immediately.”
C. “Most inhaled asthma medications are safe; uncontrolled asthma is
more dangerous for you and your baby.”
D. “Switch to herbal remedies instead.”
, Rationale: Maintaining maternal respiratory function is critical; most
standard inhaled medications are safe in pregnancy.
10.A nurse assessing a 10-year-old for scoliosis notices an asymmetry in
shoulder height. What is the recommended next step?
A. Schedule immediate surgery
B. Advise strict bed rest
C. Refer for scoliosis screening and imaging
D. Recommend only physiotherapy
Rationale: Early detection through screening allows monitoring and
intervention before progression.
11.A 38-week gestation patient presents with contractions every 5 minutes and
ruptured membranes. Which is the most appropriate initial nursing action?
A. Prepare for emergency cesarean
B. Assess fetal heart rate and maternal vital signs
C. Encourage oral intake
D. Administer epidural immediately
Rationale: Assessment of maternal and fetal status is the priority after
spontaneous rupture of membranes.
12.A nurse is teaching a family about asthma management for a school-aged
child. Which statement reflects correct inhaler use?
A. Shake inhaler, exhale fully, inhale deeply while pressing, hold breath 10
seconds
B. Shake inhaler, exhale fully, inhale while pressing canister, hold
breath for 10 seconds, then exhale slowly
C. Inhale rapidly without shaking
D. Press canister without inhaling
