NBCSN - School Nurse Certification Exam,
Q&A 2023 Update A+
Who administers the National School Lunch Program? - ANSWER-USDA (US dept of
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agriculture)
What does the scope of school nursing practice describe? - ANSWER-The who, what,
where when and how of school nursing practice
What are the standards of school nursing? - ANSWER-The authoritative statements of
the duties school nurses are expected to perform competently
What legal document describes school nurse delegation? - ANSWER-State Nurse
Practice Act
Impetigo - ANSWER-Begins as a single lesion which spreads to secondary lesions that
crust or scale. Staph bacteria skin infection. Honey colored crust
Pinworm - ANSWER-A student who is tired, can't sit still, itching bottom
Describe the primary objective of the school nurse - ANSWER-to protect and promote
student health, facilitate optimal development and advance academic success. Goal is
to strengthen the educational process through improvement of the health status and
learning of students
Sickle cell anemia - ANSWER-may cause painful events in hands feel and or long
bones. Treatment oxygen and fluids. Monitor for fever, cough, rapid heartbeat that
accompany an acute chest syndrome
Adolescents are commonly deficient in which vitamins - ANSWER-Calcium, Iron, Vit D
Connors Rating Scale - ANSWER-ADHD short form Similar to the Vanderbilt
Assessment Scales. Practitioner must purchase rights
Tanner staging - ANSWER-staging of sexual maturity
Denver Developmental Screening Test (DDST) - ANSWER-To chart normal progress
between the ages of 1 mo. to 6 yrs. To identify children who are NOT developing
normally. Does not measure intelligence
Wechsler Adult Intelligence Scale - ANSWER-the WAIS is the most widely used
intelligence test; contains verbal and performance (nonverbal) subtests
How often is PPT review required? - ANSWER-Annually
What to do if suspected hearing loss? - ANSWER-Conduct audiometric screening
Cleaning product for Norovirus, C Diff - ANSWER-5-6% hypochlorite solution (chlorine
bleach)
Amblyopia (lazy eye) - ANSWER-If corrected early, affected eye can have normal
vision. Treatment before kindergarten
Ethical and professional behavior is guided by responsibility to who? - ANSWER-the
student
chicken pox communicability - ANSWER-1-2 day before and 4-5 day after onset of rash
When is an adolescent considered obese? - ANSWER-BMI >95% for age
>120% IBW (Ideal Body Weight)
Are active Tuberculosis patients always symptomatic? - ANSWER-active TB may be
asymptomatic and only diagnosed with chest x-ray
Does a positive mantoux test indicate presence of disease? Why or why not? -
ANSWER-Anyone who has been exposed to TB may have positive Mantoux test
Does BCG vaccine prevent TB? - ANSWER-No but may decrease incidence of sever
disease
When is an adolescent with active TB no longer infections? - ANSWER-Beyond 2
weeks of medication therapy
What happens if BP cuff too small - ANSWER-Will give a high reading. Opposite also
true. Should have a bladder length 80% of the arm circumference, length to width 2:1,
How long can Hepatitis B Virus survive on surfaces? - ANSWER-1 week
Signs of MDMA intoxication - ANSWER-jaw clenching, teeth grinding, N&V, muscle
cramping, blurred vision, inc HR
what does snorting drugs cause - ANSWER-nose bleeds and nasal lesions
Osgood-Schlatter disease - ANSWER-inflammation or irritation of the tibia at its point of
attachment with the patellar tendon. Can cause a painful, bony bump on shinbone
below knee. Occurs in children and adolescent experiencing growth spurt during
puberty. Swelling over ANTERIOR tibial tuberosity
Contraindications of second pertussis dose - ANSWER-encephalopathy within 7 days of
first dose or anaphylaxis
Guanfacine (Intuniv, Tenex) - ANSWER-non stimulant ADHD med (antihypertensive)
BP should be taken for student
Kehr's sign - ANSWER-Referred pain down the left shoulder; indicative of a ruptured
spleen.
Wilms tumor - ANSWER-malignant tumor of the kidney occurring in childhood. One of
the cancers more common to children prior to school age
Shoulder tenderness and inability to shrug shoulder against resistance most likely due
to which nerve affected - ANSWER-Accessory (spinal accessory) nerve
tongue piercing - ANSWER-Piercing any oral structure presents a risk of local post
procedural infection because of the presence of pathogens in the oral cavity. Tongue
piercing poses greatest risk to damage to tooth structure.
Who approves AED - ANSWER-FDA
A diabetic in PE class with HA, diaphoretic, confused, unable to swallow - ANSWERadmin glucagon
bed bugs - ANSWER-small, flat, reddish-brown insects that may live around or near
areas where people sleep and that feed on the blood of people and animals. Linear
clusters of reactions, generally nocturnal, use heat to treat. Often 3 erythematous
papules along a vein. They are active at night.
peak flow meter - ANSWER-if 80% or above best average no action needed
Goal during mass casualty event - ANSWER-Greatest good for the greatest number
through triage. Level 1 immediate, correctable, life threatening. Level 2 - serious but not
life threatening. Level 3 - non emergent, walking wounded, minimal care. Level 4 dead
or mortally wounded. For example would prioritized long bone fracture with compromise
over cardiac arrest
Sect. 504 Rehabilitation Act of 1973 - ANSWER-assures student has equal right to
participate in educational and extra curricular activities as their non disabled peers
IDEA - ANSWER-Federal law that mandates IEP>. Individuals with Disabilities
Education Act. Requires LEAST restrictive environment with in class support to the max
extent possible
Skin sign of meningitis - ANSWER-petechia
5ths Disease/ Erythema Infectiosum - ANSWER--sx-Parvovirus B19): SLAPPED
CHEEK (erythema of check), lace like rash
-dx-dangerous in SICKLE cell pt (other anemias)...
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