NUR166/NUR 166 Exam 3 V3 | Concepts of
Family Centered Nursing for the Practical
Nurse Q&A with Rationale | Hondros
College of Nursing
1. A nurse is assessing a 4-month-old infant. According to Erikson’s stages of psychosocial
development, which task should the nurse expect the infant to be working on?
A. Autonomy vs. Shame and Doubt
B. Initiative vs. Guilt
C. Trust vs. Mistrust
D. Industry vs. Inferiority
Correct Answer: C
Rationale: Trust vs. Mistrust is the primary psychosocial task for infants from birth to 1
year of age. During this stage, the infant relies on caregivers to meet basic needs like
feeding and comfort. Successful completion leads to a sense of security and trust in the
world.
2. Which developmental milestone is expected for a 6-month-old infant?
A. Walking with assistance
B. Rolling from back to abdomen
C. Sitting up without support
,D. Using a pincer grasp
Correct Answer: B
Rationale: By 6 months of age, most infants can roll over from their back to their abdomen.
While they may begin to sit with support, sitting completely unsupported usually happens
closer to 8 months. The pincer grasp typically develops around 9 months of age.
3. A nurse is providing education to a parent of a toddler about preventing accidental
poisoning. Which statement by the parent indicates a need for further teaching?
A. I will keep all cleaning supplies in a locked cabinet.
B. I will store medications in their original child-proof containers.
C. I will call the Poison Control Center immediately if an ingestion occurs.
D. I will keep Syrup of Ipecac in the house to induce vomiting if needed.
Correct Answer: D
Rationale: Syrup of Ipecac is no longer recommended for home use because inducing
vomiting can cause more damage depending on the substance swallowed. Parents should
be taught to call Poison Control immediately before taking any action. Proper storage and
locking of chemicals remain the best prevention strategies.
4. A 2-year-old child is admitted with laryngotracheobronchitis (croup). Which clinical
manifestation should the nurse expect to observe?
A. High fever and drooling
, B. Silent chest with no breath sounds
C. Productive cough with thick green mucus
D. Barky, brassy cough
Correct Answer: D
Rationale: Croup is characterized by edema of the larynx and trachea, which results in a
distinct barking cough. This condition often worsens at night and may include inspiratory
stridor. It is usually viral and managed with cool mist or corticosteroids.
5. What is the priority nursing intervention for a child suspected of having acute epiglottitis?
A. Obtain a throat culture to identify the pathogen.
B. Apply a warm compress to the neck area.
C. Encourage the child to lie flat to ease breathing.
D. Prepare for emergency airway maintenance.
Correct Answer: D
Rationale: Acute epiglottitis is a medical emergency that can lead to sudden total airway
obstruction. The nurse should never examine the throat with a tongue blade as this can
trigger a laryngospasm. Airway equipment and personnel capable of intubation must be
readily available.
Family Centered Nursing for the Practical
Nurse Q&A with Rationale | Hondros
College of Nursing
1. A nurse is assessing a 4-month-old infant. According to Erikson’s stages of psychosocial
development, which task should the nurse expect the infant to be working on?
A. Autonomy vs. Shame and Doubt
B. Initiative vs. Guilt
C. Trust vs. Mistrust
D. Industry vs. Inferiority
Correct Answer: C
Rationale: Trust vs. Mistrust is the primary psychosocial task for infants from birth to 1
year of age. During this stage, the infant relies on caregivers to meet basic needs like
feeding and comfort. Successful completion leads to a sense of security and trust in the
world.
2. Which developmental milestone is expected for a 6-month-old infant?
A. Walking with assistance
B. Rolling from back to abdomen
C. Sitting up without support
,D. Using a pincer grasp
Correct Answer: B
Rationale: By 6 months of age, most infants can roll over from their back to their abdomen.
While they may begin to sit with support, sitting completely unsupported usually happens
closer to 8 months. The pincer grasp typically develops around 9 months of age.
3. A nurse is providing education to a parent of a toddler about preventing accidental
poisoning. Which statement by the parent indicates a need for further teaching?
A. I will keep all cleaning supplies in a locked cabinet.
B. I will store medications in their original child-proof containers.
C. I will call the Poison Control Center immediately if an ingestion occurs.
D. I will keep Syrup of Ipecac in the house to induce vomiting if needed.
Correct Answer: D
Rationale: Syrup of Ipecac is no longer recommended for home use because inducing
vomiting can cause more damage depending on the substance swallowed. Parents should
be taught to call Poison Control immediately before taking any action. Proper storage and
locking of chemicals remain the best prevention strategies.
4. A 2-year-old child is admitted with laryngotracheobronchitis (croup). Which clinical
manifestation should the nurse expect to observe?
A. High fever and drooling
, B. Silent chest with no breath sounds
C. Productive cough with thick green mucus
D. Barky, brassy cough
Correct Answer: D
Rationale: Croup is characterized by edema of the larynx and trachea, which results in a
distinct barking cough. This condition often worsens at night and may include inspiratory
stridor. It is usually viral and managed with cool mist or corticosteroids.
5. What is the priority nursing intervention for a child suspected of having acute epiglottitis?
A. Obtain a throat culture to identify the pathogen.
B. Apply a warm compress to the neck area.
C. Encourage the child to lie flat to ease breathing.
D. Prepare for emergency airway maintenance.
Correct Answer: D
Rationale: Acute epiglottitis is a medical emergency that can lead to sudden total airway
obstruction. The nurse should never examine the throat with a tongue blade as this can
trigger a laryngospasm. Airway equipment and personnel capable of intubation must be
readily available.
