NBCSN - School Nurse Certification Exam questions and answers

Who administers the National School Lunch Program? USDA (US dept of agriculture) What does the scope of school nursing practice describe? The who, what, where when and how of school nursing practice What are the standards of school nursing? The authoritative statements of the duties school nurses are expected to perform competently What legal document describes school nurse delegation? State Nurse Practice Act Impetigo Begins as a single lesion which spreads to secondary lesions that crust or scale. Staph bacteria skin infection. Honey colored crust Pinworm A student who is tired, can't sit still, itching bottom Describe the primary objective of the school nurse 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 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 Calcium, Iron, Vit D Connors Rating Scale ADHD short form Similar to the Vanderbilt Assessment Scales. Practitioner must purchase rights Tanner staging staging of sexual maturity Denver Developmental Screening Test (DDST) 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 the WAIS is the most widely used intelligence test; contains verbal and performance (nonverbal) subtests How often is PPT review required? Annually What to do if suspected hearing loss? Conduct audiometric screening Cleaning product for Norovirus, C Diff 5-6% hypochlorite solution (chlorine bleach) Amblyopia (lazy eye) If corrected early, affected eye can have normal vision. Treatment before kindergarten Ethical and professional behavior is guided by responsibility to who? the student chicken pox communicability 1-2 day before and 4-5 day after onset of rash When is an adolescent considered obese? BMI >95% for age >120% IBW (Ideal Body Weight) Are active Tuberculosis patients always symptomatic? 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? Anyone who has been exposed to TB may have positive Mantoux test Does BCG vaccine prevent TB? No but may decrease incidence of sever disease When is an adolescent with active TB no longer infections? Beyond 2 weeks of medication therapy What happens if BP cuff too small 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? 1 week Signs of MDMA intoxication jaw clenching, teeth grinding, N&V, muscle cramping, blurred vision, inc HR what does snorting drugs cause nose bleeds and nasal lesions Osgood-Schlatter disease 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 encephalopathy within 7 days of first dose or anaphylaxis Guanfacine (Intuniv, Tenex) non stimulant ADHD med (antihypertensive) BP should be taken for student Kehr's sign Referred pain down the left shoulder; indicative of a ruptured spleen. Wilms tumor 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 Accessory (spinal accessory) nerve tongue piercing 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 FDA A diabetic in PE class with HA, diaphoretic, confused, unable to swallow admin glucagon bed bugs 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 if 80% or above best average no action needed Goal during mass casualty event 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 assures student has equal right to participate in educational and extra curricular activities as their non disabled peers IDEA 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 petechia