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Nursing NCSN-NBCSN Sample Questions – Free Practice Test & Real Exam Prep
Question #1
Which is NOT the function of the school nurse?
A. The school nurse does a general health appraisal for each student.
B. The school nurse prescribes medications to treat student illness.
C. The school nurse collects and interprets data, and suggests interventions.
D. The school nurse follows a physician's orders to administer ADHD medications.
Answer: B Explanation:
The school nurse may not prescribe medications in this general role. The only nurses
with the scope of prescribing medications are nurse practitioners. Students requiring new
medication prescriptions must be preferred to a physician. Nurses may administer
prescribed medications with the authorization to do so.
Question #2
Which actions would be appropriate if the same student is complaining of stomach aches every
morning?
A. Report the child to Child Protective Services.
B. Ignore the complaints and send the student back to class.
C. Trend the complaints and interpret the data to make intervention recommendations.
D. Refer the student to the emergency department for evaluation.
Answer: C Explanation:
Trending the complaints and collecting data will help you plan an intervention. Data
trending includes documenting time, breakfast eaten, vital signs and a patient description
of the pain. The pain may be due to hunger, stress, or as an avoidance tactic. Trending the time of
day, how many days a week, and other information are useful when discussing with
a parent the most effective way to handle the complaints, rather than having the student
miss class time. If these trends indicate potential abuse, at that point Child Protective
Services may be contacted. If the trends indicate a more serious disease or condition, the
student may need to be referred to a specialist Ignoring a student's complaints is never
appropriate.
Question #3
Head lice are easily transferred from student to student. What would be an intervention the nurse
could initiate to prevent the spread of head lice in the classroom?
A. Keep a universal lice comb for students to use.
B. Educate all students about how lice are spread.
C. Shampoo every student during school hours.
D. Provide an informative brochure about lice for students to bring home to their parents.
Answer: B Explanation:
It would be most helpful to educate students on how head lice are spread so students
can take an active role in prevention. Simply providing a brochure to be given to their
parents, while helpful, may not make it to the parents and places the responsibility for
education with the parents. A universal lice comb is contraindicated as lice can be spread
from student to student on the comb. Shampooing every student is an excessive measure. If
a student is assessed and found with head lice they must be sent home and treated prior to
returning to school.
Question #4
Which would be an appropriate task when administering a nebulizer treatment during school hours?
A. Withholding the nebulizer treatment if the student wants to go to recess.
B. Assessing the temperature of the student with every treatment.
C. Keeping the student in the clinic two hours after every treatment.
D. Assessing the student's heart rate before and after a treatment.
Answer: D Explanation:
Assessing the heart rate of a student taking nebulizer treatments is important because
the medicine can cause an abnormal rapid heart rate. Assessing the heart rate prior to
treatment allows the nurse to have a baseline for the student. It is also appropriate to
assess respiratory rate and breath sounds prior to and after nebulizer treatment. The postnebulizer treatment should be conducted 30 minutes after the treatment to assess the full
effectiveness of the treatment.
Question #5
Which is NOT part of assessing a student who presents to the clinic with a complaint?
A. Observing respiratory rate and effective breathing.
B. Cleaning scrapes, abrasions, and assessing for injuries.
C. Monitoring for fever when a student is complaining of illness.
D. Assessing genitalia at the end of the head to toe assessment once the student is comfortable with the nurse.
Answer: D Explanation:
A school nurse should never examine a student's genitalia unless there is a lifethreatening injury, and then only in the presence of another adult or parent. Observing
respiratory rate and effective breathing, cleaning scrapes/abrasions, assessing for injuries,
and monitoring for fever are all within the school nurse's scope of practice and are
appropriate assessment measures.
Question #6
The school nurse notices multiple bruises to a male student's face, arms, and neck on more than one
occasion. What would the school nurse need to consider when speaking to this child?
A. Boys often play rough and should be encouraged to participate in less aggressive
play.
B. Consider the possibility of physical or sexual/physical abuse, and question and act
accordingly.
C. The nurse should consider this a private matter and make no comments unless the
child seeks assistance.
D. The nurse is under the obligation to report the concern to the parents.
Answer: B Explanation:
It is important to consider the possibility of physical or sexual abuse if a student has
unexplained bruising. As a mandatory reporter of suspected abuse, the nurse is responsible
for taking action on these observations, whether the student confesses abuse or not. The
nurse should be aware that the student may lie about the source of the bruises and this
should not change their course on reporting the issue. The nurse should not go to the
parents, in this instance, because the parents may be the source of the harm. Rather, the
nurse should follow protocol for reporting suspected abuse to the appropriate agency.
Question #7
Which piece of medical information is required by each state to enroll a student in school?
A. Mother and Father's history with significant illness.
B. Notes for possible changes in after-school care.
C. Immunization record for the student.
D. Birth information including weight and height.
Answer: C Explanation:
Immunization records are part of state regulations, and parents must sign a waiver if
they have chosen to not immunize their child. It is important for the school nurse to be
aware of which students have not been immunized in the case of an outbreak of a
contagious disease. Parental health history, after-school care and birth information are not
mandated by the state, and are requested only on a school by school basis.
Question #8
What comfort measure can be used for a student with ear pain?
A. Apply ice packs.
B. Irrigate the ears.
C. Schedule a doctor's appointment.
D. Apply warm packs to the external ear.
Answer: D Explanation:
Applying a warm compress to the external painful ear will offer comfort for the child
having ear pain. Ice/cold temperatures can increase ear pain therefore would not be
appropriate. Irrigation of the ear is not an appropriate intervention for ear pain and is
generally used to remove impacted cerumen or foreign objects from the ear canal. Notify
the parents to schedule a doctor's appointment if the pain does not resolve or if there is a
fever.
Question #9
The nurse is screening for visual difficulties. Which student would need a referral to an eye doctor?
A. A student with 20/20 vision.
B. A student with 20/20 in the right eye and 20/30 in the left eye.
C. A student with 20/90 in the right eye and 20/80 in the left eye.
D. A student with 20/30 in both eyes.
Answer: C Explanation:
Any student with a visual acuity of 20/90 in either eye should receive follow up with
an eye doctor. What the normal child can see and distinguish at 90 feet, this child must be
20 feet away from in order to distinguish. This can interrupt the child's ability to learn (in the school setting) and can also present obstacles in the child's daily life. This child would
benefit greatly from glasses and the sooner this correction can be made, the better. 20/20
vision is considered optimal and it is not uncommon for one eye to have an acuity that is 10
feet different than the other. 20/30 vision does not warrant a referral to the eye doctor, though this
student should continue to be monitored regularly to ensure vision is not
worsening rapidly.
Question #10
The nurse is called to the gym for a student who is feeling lightheaded. The nurse notes that the
child is pale and diaphoretic. His initial pulse rate is more than 180. What is the first action the nurse
should take?
A. Reassure the child, apply cool rags to the forehead, reassess, and be prepared to call
the parents and 911.
B. Scream for someone to call 911 now.
C. Bring the student to the nursing office to rest and excuse the student from gym for
the remainder of the period.
D. Call the student's parents or emergency contact to pick up the student, and excuse
the student from gym for the remainder of the week.
Answer: A Explanation:
A pulse rate of 180 is dangerously high (tachycardia) and may represent the
transition into a dangerous rhythm such as supraventricular tachycardia. Because the
student is feeling lightheaded, it is a sign that the tachycardia is unstable and affecting the
child's ability to perfuse critical organs. Keeping the child calm, offering a cool rag for
comfort, and reassessing the pulse rate after a short rest will give the school nurse time to
complete a head to toe assessment very quickly to determine if emergency care is needed
or if the child became overheated during exercise. The cool rag (or ice) to the head can also
induce a vasovagal response and lower the child's heart rate naturally. Regardless of the
causes, parents should be notified and the suggestion should be made to take the child for
an evaluation. If the child remains symptomatic after a few minutes of rest, call 911 and the
parents for cardiac evaluation, as a sustained heart rate of 180 is too fast to provide
sufficient perfusion.
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