NCLEX Caring for Families Exam Practice Questions and Answers

140 Questions and Answers

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Understanding family-centered care is essential for delivering safe, compassionate nursing practice, and it plays a critical role on the NCLEX. This NCLEX Caring for Families Exam Practice Questions and Answers resource is designed to strengthen your clinical knowledge and judgment in addressing family dynamics, communication, and health promotion strategies within the nursing process.

This exam preparation tool covers core concepts such as family structures, cultural considerations, developmental stages of the family, and common stressors impacting family health—including chronic illness, hospitalization, grief, and transition periods. It explores how nurses assess family health needs, establish therapeutic relationships, and plan evidence-based interventions that promote family well-being.

The practice questions emphasize real-world nursing applications including caregiving roles, patient advocacy, discharge planning, health education, and ethical responsibilities in family care. It also touches on diverse family systems—single-parent households, multi-generational families, LGBTQ+ families, and others—to ensure inclusive, patient-centered care is fully understood and applied.

Aligned with current NCLEX-RN test plan standards, this practice exam supports critical thinking and prioritization skills by simulating clinical situations nurses often face in pediatric, maternity, community, and medical-surgical settings. By working through situational questions, learners build confidence in addressing complex care decisions involving both patients and their families.

Each question is structured to encourage reflection, reinforce key nursing theories, and strengthen your ability to respond effectively to emotional, spiritual, and psychosocial needs. Whether dealing with end-of-life issues, parental teaching, or crisis intervention, the scenarios included are realistic and rooted in best practices.

This study tool is ideal for nursing students preparing for licensure, international candidates, or professionals seeking to refresh their knowledge of family-centered nursing care. It’s an essential addition to any NCLEX prep strategy, helping you meet exam standards while preparing for the real challenges of holistic nursing.

Sample Questions and Answers

  • A nurse is educating a family about caring for a child with asthma. Which of the following statements by the family indicates the need for further teaching?
  • A) “We should keep the child away from smoke and strong odors.”
  • B) “We should always ensure the child uses their inhaler before physical activity.”
  • C) “It is okay to skip medications when the child is feeling well.”
  • D) “We will keep a record of the child’s peak flow readings.”

Answer: C) “It is okay to skip medications when the child is feeling well.”

  • A family is coping with a diagnosis of cancer for their child. Which of the following is the most important action for the nurse to take?
  • A) Encourage the family to ask questions about the diagnosis.
  • B) Discourage emotional expression to avoid distress.
  • C) Allow the family to focus solely on medical treatment.
  • D) Suggest support groups after treatment is completed.

Answer: A) Encourage the family to ask questions about the diagnosis.

  • A nurse is discussing family dynamics with a new mother. Which of the following should the nurse include in the teaching?
  • A) Expecting to feel only joy and excitement after childbirth is normal.
  • B) It’s common for new mothers to experience mood swings and emotional shifts.
  • C) A mother should not rely on family members for help.
  • D) The father’s role in caring for the infant is less important than the mother’s.

Answer: B) It’s common for new mothers to experience mood swings and emotional shifts.

  • A nurse is teaching a family how to care for a newborn with jaundice. Which of the following statements by the parents indicates the need for further teaching?
  • A) “We will make sure the baby is fed frequently.”
  • B) “We will keep the baby in indirect sunlight for a few hours each day.”
  • C) “We will give the baby extra fluids to help flush out the bilirubin.”
  • D) “We will monitor the baby’s skin color and report any changes.”

Answer: C) “We will give the baby extra fluids to help flush out the bilirubin.”

  • A nurse is caring for a family whose child has just been diagnosed with type 1 diabetes. Which of the following is the most important part of family teaching?
  • A) Teach the family about proper insulin administration.
  • B) Encourage the family to avoid any changes to the child’s diet.
  • C) Instruct the family to avoid all carbohydrates in the child’s meals.
  • D) Stress the importance of preventing physical activity.

Answer: A) Teach the family about proper insulin administration.

  • A nurse is providing support to a family whose child has been diagnosed with a chronic illness. Which of the following actions by the nurse is most appropriate?
  • A) Encourage the family to maintain a “normal” routine as much as possible.
  • B) Discourage the family from expressing feelings of frustration and anger.
  • C) Advise the family to focus only on the child’s health needs.
  • D) Suggest the family avoid seeking emotional support from others.

Answer: A) Encourage the family to maintain a “normal” routine as much as possible.

  • A nurse is teaching a family about the care of a child with sickle cell anemia. Which of the following should the nurse include in the teaching?
  • A) The child should avoid contact with other children to prevent infections.
  • B) The child should drink plenty of fluids to prevent dehydration.
  • C) The child should engage in vigorous physical activity daily.
  • D) The child should avoid any type of immunization.

Answer: B) The child should drink plenty of fluids to prevent dehydration.

  • A nurse is discussing the stages of grief with a family who has just lost a loved one. Which of the following should the nurse explain as a common response in the grief process?
  • A) The family will go through all stages in a specific order.
  • B) Denial is often the final stage in the grieving process.
  • C) Grief is a unique process and may vary for each individual.
  • D) Grief only affects the individual and not the family as a whole.

Answer: C) Grief is a unique process and may vary for each individual.

  • A nurse is working with a family to develop a plan for discharge for a child with a chronic illness. Which of the following should the nurse emphasize?
  • A) The family should continue to rely solely on the healthcare team for support.
  • B) The family should keep the child isolated from others to prevent exposure.
  • C) The family should establish a routine for managing the child’s care at home.
  • D) The family should avoid seeking support from other families with similar conditions.

Answer: C) The family should establish a routine for managing the child’s care at home.

  • A nurse is providing education to a family caring for an elderly relative with Alzheimer’s disease. Which of the following should the nurse include in the teaching?
  • A) The elderly person should be encouraged to stay as independent as possible.
  • B) The family should provide a calm and structured environment for the relative.
  • C) The family should minimize communication to avoid frustration.
  • D) The elderly person should be left alone to avoid overstimulation.

Answer: B) The family should provide a calm and structured environment for the relative.

  • A nurse is caring for a child with cystic fibrosis and is educating the family about managing the condition. Which of the following should the nurse include in the teaching?
  • A) The child should be encouraged to increase salt intake.
  • B) The child should avoid daily physical activity.
  • C) The child should eat a high-protein, low-fat diet.
  • D) The child should undergo routine chest physiotherapy.

Answer: D) The child should undergo routine chest physiotherapy.

  • A nurse is educating a family about car seat safety for their newborn. Which of the following statements by the parents indicates that they need further teaching?
  • A) “We will use a rear-facing car seat in the back seat of the car.”
  • B) “We will secure the car seat using the car’s seat belt system.”
  • C) “We will place the baby in a forward-facing car seat after six months.”
  • D) “We will make sure the car seat is tightly secured to prevent movement.”

Answer: C) “We will place the baby in a forward-facing car seat after six months.”

  • A nurse is discussing the impact of hospitalization on a family with a child who is experiencing a chronic illness. Which of the following is most important for the nurse to assess?
  • A) The family’s ability to pay for medical expenses.
  • B) The emotional and psychological support needs of the family.
  • C) The child’s progress in physical therapy.
  • D) The family’s knowledge about the child’s medical condition.

Answer: B) The emotional and psychological support needs of the family.

  • A nurse is providing discharge instructions to a family caring for a child after a tonsillectomy. Which of the following instructions is most important?
  • A) “Offer the child only solid foods for the first few days after discharge.”
  • B) “Encourage the child to drink plenty of fluids to prevent dehydration.”
  • C) “Avoid giving the child any pain medications until the next appointment.”
  • D) “Restrict the child’s activities for one week following the procedure.”

Answer: B) “Encourage the child to drink plenty of fluids to prevent dehydration.”

  • A nurse is teaching a family about the care of a newborn with a cleft lip. Which of the following statements by the family indicates the need for further teaching?
  • A) “We will feed the baby slowly to prevent aspiration.”
  • B) “We will use a special bottle designed for babies with cleft lips.”
  • C) “We will wait until the baby is at least 6 months old for surgery.”
  • D) “We will make sure to clean the baby’s lip and mouth after feedings.”

Answer: C) “We will wait until the baby is at least 6 months old for surgery.”

  • A nurse is assessing the family of a child who has recently been diagnosed with autism spectrum disorder (ASD). Which of the following should the nurse include in the assessment?
  • A) Family history of psychiatric disorders.
  • B) The child’s developmental milestones.
  • C) The family’s level of education.
  • D) The family’s socioeconomic status.

Answer: B) The child’s developmental milestones.

  • A nurse is working with a family to manage a child with asthma. Which of the following should the nurse include in the family teaching?
  • A) The child should take bronchodilators only when symptoms worsen.
  • B) The child should avoid allergens that trigger asthma symptoms.
  • C) The child should only use a nebulizer during a severe asthma attack.
  • D) The child should be limited to minimal physical activity to avoid exacerbations.

Answer: B) The child should avoid allergens that trigger asthma symptoms.

  • A nurse is caring for a family after the birth of a preterm infant. Which of the following is the nurse’s priority in family-centered care?
  • A) Encouraging the family to participate in infant care as much as possible.
  • B) Limiting family visits to reduce the risk of infection.
  • C) Restricting family members from providing infant care until discharge.
  • D) Providing detailed instructions on infant care before discharge.

Answer: A) Encouraging the family to participate in infant care as much as possible.

  • A nurse is educating a family about the use of a feeding tube for their child with cerebral palsy. Which of the following should the nurse include in the teaching?
  • A) The child should be placed in a supine position during tube feedings.
  • B) The family should rotate the feeding tube every few hours.
  • C) The family should monitor for signs of tube displacement.
  • D) The family should avoid flushing the tube with water.

Answer: C) The family should monitor for signs of tube displacement.

  • A nurse is discussing genetic testing with a family of a child diagnosed with a genetic disorder. Which of the following is the nurse’s role in the decision-making process?
  • A) To provide the family with a definitive diagnosis.
  • B) To offer emotional support and assist in understanding the test results.
  • C) To suggest the family refuse testing to avoid potential complications.
  • D) To make decisions about whether the family should proceed with testing.

Answer: B) To offer emotional support and assist in understanding the test results.

  • A nurse is caring for a child who has been diagnosed with type 1 diabetes. Which of the following family members should the nurse prioritize for teaching about insulin administration?
  • A) The child’s sibling.
  • B) The child’s father.
  • C) The child’s mother.
  • D) The child’s grandparent.

Answer: C) The child’s mother.

  • A nurse is caring for a family who has a child with a terminal illness. Which of the following should the nurse include in the family’s care plan?
  • A) Focus on physical comfort and emotional support.
  • B) Encourage the family to deny feelings of grief to avoid distress.
  • C) Encourage the family to avoid discussing the child’s illness.
  • D) Restrict family interactions with the child to prevent sadness.

Answer: A) Focus on physical comfort and emotional support.

  • A nurse is assessing a family’s coping mechanisms after a child is diagnosed with a chronic illness. Which of the following behaviors should the nurse identify as a maladaptive coping strategy?
  • A) Seeking social support from friends and family.
  • B) Engaging in relaxation techniques and stress reduction.
  • C) Ignoring medical advice and not following the prescribed treatment plan.
  • D) Participating in support groups for families of children with similar conditions.

Answer: C) Ignoring medical advice and not following the prescribed treatment plan.

  • A nurse is providing guidance to a family whose child has undergone surgery. Which of the following interventions should the nurse include in the family’s care plan?
  • A) Encourage family members to avoid visiting the child in the hospital to prevent emotional stress.
  • B) Provide information on the child’s recovery and pain management techniques.
  • C) Restrict the family’s involvement in the child’s care to allow for medical recovery.
  • D) Instruct the family to limit communication with the child to avoid overstimulation.

Answer: B) Provide information on the child’s recovery and pain management techniques.

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