NBCSN-NCSN : NBCSN National Certified School Nurse Exam

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NBCSN-NCSN
NBCSN National Certified School Nurse
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Question: 1072
What is a primary purpose of an Individualized Healthcare Plan (IHP)?
1. To provide a detailed plan for managing medical needs during school hours.
2. To outline the student’s academic goals.
serve as a disciplinary action plan for health-related issues. wer: A
anation: An IHP outlines how a student's medical needs will be mana ng the school day, ensuring their health and safety.
stion: 1073
hich situation would a school nurse be legally required to report a stud h information without consent?
hen the parent requests the information hen the student is absent from school hen there is a suspected abuse or neglect
hen the information is requested by a teacher
wer: C
To replace an IEP.
3. To
Ans
Expl ged
duri
Que
In w ent's
healt
1. W
2. W
3. W
4. W
Ans
Explanation: A school nurse is legally required to report health information without consent in cases of suspected abuse or neglect to protect the child's welfare.
Question: 1074
A school nurse suspects a student has a throat infection. What is the most appropriate initial action?
1. Refer to an ENT specialist
2. Document symptoms
3. Obtain a rapid strep test
wer: C
anation: Obtaining a rapid strep test is essential for confirming or ruli trep throat, guiding appropriate treatment decisions.
stion: 1075
hool nurse is assessing a student exhibiting signs of anxiety and panic is the most appropriate initial intervention?
ncourage the student to talk about their feelings rovide a quiet, safe space for the student
uggest deep breathing exercises ll of the above
wer: D
anation: Providing a supportive environment, encouraging open
Monitor for fever Ans
Expl ng
out s
Que
A sc .
What
1. E
2. P
3. S
4. A
Ans Expl
communication, and suggesting coping strategies are all appropriate interventions for anxiety.
Question: 1076
A student presents to the nurse’s office with a rash after using a new laundry detergent. What should the nurse do first?
1. Advise the student to stop using the detergent.
2. Document the findings and monitor the rash.
3. Apply a topical treatment to the rash.
anation: Advising the student to stop using the new detergent is an ediate action to prevent further irritation or allergic reactions.
stion: 1077
ch of the following best describes the role of the school nurse in mana dent's chronic health condition?
ignore the condition to maintain focus on academics. enforce disciplinary measures related to health issues. develop the IEP independently.
provide ongoing assessment and management of the condition. wer: D
anation: The school nurse plays a vital role in ongoing assessment an agement of chronic health conditions to support the student's educatio rience.
Refer the student to a dermatologist. Answer: A
Expl imm
Que
Whi ging
a stu
1. To
2. To
3. To
4. To
Ans
Expl d
man nal
expe
Question: 1078
What is the role of school health services in supporting students with chronic health conditions?
1. To manage all aspects of the students' care
2. To replace healthcare providers
3. To provide education and resources for self-management
4. To monitor student performance only Answer: C
romote a healthy school environment.
stion: 1079
ng evaluation of a mental health intervention, which method is most tive for assessing the impact on the student’s psychosocial health?
onducting follow-up interviews omparing academic performance onitoring attendance
ollecting peer feedback wer: A
anation: Conducting follow-up interviews provides direct feedback fr tudent regarding the effectiveness of the intervention and areas for ovement.
Explanation: School health services support students with chronic health conditions by providing education and resources that enable self-management and p
Que
Duri effec
1. C
2. C
3. M
4. C
Ans
Expl om
the s impr
Question: 1080
What is the most appropriate initial treatment for anaphylaxis?
1. Antihistamines
2. Corticosteroids
3. Epinephrine
4. Oxygen therapy Answer: C
Explanation: Epinephrine is the first-line treatment for anaphylaxis, as it rapidly reverses the airway constriction and vascular collapse.
ch of the following is considered a modifiable risk factor for childhoo ity?
amily history of obesity ocioeconomic status
ge
hysical inactivity wer: D
anation: Physical inactivity is a modifiable risk factor that can be cha ugh lifestyle interventions, unlike age or family history.
stion: 1082
context of the school environment, which of the following best desc oncept of "duty to warn"?
Question: 1081
Whi d
obes
1. F
2. S
3. A
4. P
Ans
Expl nged
thro
Que
In the ribes
the c
1. The obligation to inform parents of all student health issues
2. The responsibility to report imminent threats to a student's safety
3. The legal requirement to disclose all health records to staff
4. The duty to ensure students follow health protocols
Explanation: The "duty to warn" refers to the obligation to report imminent threats to a student's safety, ensuring that appropriate measures are taken to protect the student and others.
Question: 1083
hool nurse is assessing a student who reports persistent headaches. W following is the most appropriate initial action?
efer the student to a neurologist dminister over-the-counter pain relief onduct a detailed health history chedule a follow-up appointment
wer: C
anation: Conducting a detailed health history allows the nurse to gathe ective and objective data to understand the potential causes of the aches before any referrals or treatments.
stion: 1084
ch sexually transmitted infection is often asymptomatic in both men a en but can cause severe complications if untreated?
A sc hich
of the
1. R
2. A
3. C
4. S
Ans
Expl r
subj head
Que
Whi nd
wom
1. Gonorrhea
2. Chlamydia
3. Herpes
4. HIV
Explanation: Chlamydia is frequently asymptomatic, especially in women, but can lead to serious reproductive health issues if not diagnosed and treated promptly.
Question: 1085
dentiality?
eeping health records secure and private
iscussing a student's health with their parent without consent eporting a contagious disease to public health authorities ducating staff on health issues without naming individuals
wer: B
anation: Disclosing a student's health information to a parent without ssary consent violates patient confidentiality and ethical standards.
stion: 1086
ch intervention is most appropriate for a student exhibiting signs of sc al due to anxiety?
evelop a gradual re-entry plan
Which action by a school nurse would constitute a violation of patient confi
1. K
2. D
3. R
4. E
Ans
Expl the
nece
Que
Whi hool
refus
1. D
2. Enforce strict attendance policies
3. Provide academic accommodations
4. Counsel the student on coping strategies Answer: A
Question: 1087
A student is found to have a high fever and a rash that does not blanch with pressure. What condition should the nurse suspect?
eningococcal infection carlet fever
easles wer: B
anation: A non-blanching rash with a high fever is characteristic of ngococcal infection, which is a medical emergency requiring immedi ment.
stion: 1088
ch of the following is a common side effect of long-term corticosteroi py in children?
eight loss yperactivity ypertension
Chickenpox
M
S
M
Ans Expl
meni ate
treat
Que
Whi d
thera
1. W
2. H
3. H
4. Hypoglycemia Answer: C
Explanation: Long-term corticosteroid therapy can lead to various side effects, including hypertension, due to fluid retention and other metabolic changes.
A school nurse is implementing a health promotion program on nutrition. Which statement made by a student indicates a need for further education?
1. "Eating a variety of foods helps me stay healthy."
2. "I can skip meals to lose weight."
Drinking water is better than sugary drinks." wer: B
anation: Skipping meals is not a healthy practice and can lead to nutrit iencies, illustrating a need for education on healthy eating habits.
stion: 1090
sessing a student’s risk for substance abuse, which factor is most ctive?
articipation in extracurricular activities arental supervision levels
cademic performance eer group influences
wer: D
"Fruits and vegetables are important for a balanced diet."
3. "
Ans
Expl ional
defic
Que
In as predi
1. P
2. P
3. A
4. P
Ans
Explanation: Peer group influences are a significant risk factor for adolescent substance abuse, often impacting choices and behaviors.
Question: 1091
During a health assessment, a nurse suspects a student may have a learning
1. Parent and teacher questionnaires
2. Academic performance records
3. Behavioral assessment
anation: Parent and teacher questionnaires provide comprehensive ins he student’s behavior and performance, aiding in the identification of ing disabilities.
stion: 1092
udent presents to the nurse’s office with a severe allergic reaction to a The student has a prescribed epinephrine auto-injector. What should do first?
all emergency services.
pply a cold compress to the sting site. onitor the student’s vital signs. dminister the epinephrine immediately.
wer: D
Medical history review Answer: A
Expl ights
into t learn
Que
A st bee
sting. the
nurse
1. C
2. A
3. M
4. A
Ans
Explanation: Administering epinephrine immediately is the priority in managing a severe allergic reaction to prevent further complications.
Question: 1093
Which legal document outlines the specific accommodations required for a student with a disability under Section 504?
1. Individualized Education Plan (IEP)
2. 504 Plan
3. Emergency Action Plan
anation: A 504 Plan details the accommodations and modifications red for a student with a disability to ensure equal access to education.
stion: 1094
udent with chronic migraines frequently visits the nurse’s office. What est approach for the school nurse to take in managing this student’s c
ecommend over-the-counter pain medication.
ncourage attendance in all classes regardless of symptoms. evelop a personalized headache action plan.
uggest the student sees a counselor for stress management. wer: C
anation: A personalized headache action plan can help the student ma symptoms effectively and provide guidance for both the student and s
Individualized Healthcare Plan (IHP) Answer: B
Expl requi
Que
A st is
the b are?
1. R
2. E
3. D
4. S
Ans
Expl nage
their taff.
Question: 1095
A school nurse is assessing a student for signs of dehydration. Which finding is most indicative of severe dehydration?
1. Dry mucous membranes
2. Dark urine
3. Decreased skin turgor
4. Rapid heartbeat Answer: C
Explanation: Decreased skin turgor is a key indicator of severe dehydration, reflecting the body’s loss of fluid.

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