NUR 113 Family Health Concepts

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Sample questions from NUR 113 Family Health Concepts

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a pediatric unit, the charge nurse receives reports on four clients. Which client should the nurse assess first?

   • A.A 12-year-old 1 day after appendectomy who reports incisional pain of 6/10
   • B.A 4-year-old with a cast who reports itching under the cast
   • C.A 9-year-old with asthma who has audible wheezing and an SpO2 of 89% on room air
   • D.A 6-year-old with a temperature of 38.2 C (100.8 F) who is requesting a drink

   Rationale: The child with asthma has hypoxemia and active respiratory distress, so airway and breathing take priority. Fever with thirst, postoperative pain, and cast itching require assessment but are not as immediately threatening. Prioritize unstable airway or breathing findings over comfort needs.

2. 2.During a home visit, a 30-year-old client at 34 weeks of pregnancy reports a severe headache and seeing spots. Blood pressure is 168/110 mm Hg, and urine dipstick shows 3+ protein. Which actions should the nurse take? Select all that apply.

   • A.Notify the obstetric provider of the findings
   • B.Ask the client to drive herself to the hospital
   • C.Arrange immediate evaluation in an obstetric unit
   • D.Reassure the client that these symptoms are expected late in pregnancy
   • E.Instruct the client to lie on the left side while help is arranged

   Rationale: Severe hypertension, headache, visual changes, and proteinuria suggest preeclampsia with severe features and require urgent obstetric evaluation. Left lateral positioning can support uteroplacental perfusion while transfer is arranged, and the provider needs prompt notification. Driving alone creates risk, and these findings are not expected normal discomforts of late pregnancy.

3. 3.In a community clinic, a 16-year-old requests contraception and asks that the visit remain private. Which response by the nurse is best?

   • A.Promise that nothing discussed will ever be shared with anyone
   • B.Tell the adolescent that a parent must consent before any discussion can occur
   • C.Ask the adolescent to return with a parent before providing information
   • D.Explain that confidentiality is maintained except when safety or reporting laws require disclosure

   Rationale: The nurse should explain confidentiality and its limits in a clear, developmentally appropriate way. Confidentiality is not absolute when there is risk of harm or a legal reporting obligation. Requiring a parent or promising absolute secrecy may prevent needed care and misrepresent the nurse's responsibilities.

4. 4.In a maternity unit, a 28-year-old client 2 hours after birth has a boggy uterus and heavy lochia. Vital signs are HR 112/min and BP 98/60 mm Hg. What should the nurse do first?

   • A.Obtain a urine specimen
   • B.Massage the uterine fundus
   • C.Prepare discharge teaching about lochia
   • D.Administer the prescribed oral iron

   Answer and rationale are in the full material.

5. 5.Refer to the client's chart. Which actions should the nurse take now? Select all that apply.

   • A.Reassess respiratory effort and oxygen saturation frequently
   • B.Administer oxygen as prescribed and titrate to the ordered target
   • C.Notify the rapid response team or provider of the worsening respiratory status
   • D.Encourage the client to walk to improve ventilation
   • E.Place the client in a lateral position

   Answer and rationale are in the full material.