SCHOOL NURSE LATEST
CONTENT EXAM
The school nurse checks the emergency care plan (ECP) on file that
outlines steps to take if the student exhibits signs of hypoglycemia.
According to current standards of school nursing practice, which of the
following actions is most appropriate to take first in response to a
hypoglycemic reaction in a conscious student?
A. administering warm clear fluids or diet soda in sips
B. administering a quickly digestible protein source and monitoring the
student for 15 minutes
C. administering insulin according to the dose specified in the student's
insulin schedule
D. administering glucose tabs or a fast-acting carbohydrate such as juice,
cake gel, or candy - ANSWERS-Objective 0014 Understand the role of
the school nurse in preparedness response and coordination during
emergencies, crises, and disasters
Correct Response: D.
END OF
PAGE
1
, SCHOOL NURSE LATEST
CONTENT EXAM
A hypoglycemic (low blood sugar) reaction can occur in a conscious
student who has type 1 diabetes when the student's insulin level is too
high, when the student misses or delays food intake, or when the student
over-exercises. In these cases, the school nurse should administer a
source of sugar, in the form of glucose tabs or gel/icing, or simple
carbohydrates such as juice, regular soda, candy, or honey. After 10 or
15 minutes and once symptoms have been alleviated, the school nurse
may provide the student with a protein and carbohydrate snack (e.g.,
cheese and crackers).
The school nurse would like to collaborate with the student's middle
school teachers in managing his health-care needs. Which of the
following strategies is the most appropriate way of involving teachers in
a health care plan for this student?
A. suggesting to teachers that they buy and store healthful snacks in the
classroom in case of an acidosis or hypoglycemic reaction
B. increasing teachers' understanding of diabetes, signs of early insulin
reaction, and what to do if symptoms appear
END OF
PAGE
2
, SCHOOL NURSE LATEST
CONTENT EXAM
C. asking teachers to designate a private corner or place in the classroom
where the student can test and record his blood levels
D. developing a protocol and training course for teacher administration
of medication in emergencies - ANSWERS-Objective 0013 Understand
effective approaches to collaboration and delegation in the school health
program.
Correct Response: B.
Teachers who have students with diabetes in their classes should have
basic knowledge about the disease and how to assist students in
managing the disease. The school nurse can coordinate conferences with
the student who has diabetes and the student's parents/guardians,
teachers, and principal to discuss the student's health and develop a care
plan for the student. The school nurse should ensure that teachers are
familiar with the supplies students may need during the school day (e.g.,
testing strips, insulin pen, lancets, blood glucose meter, glucose tablets,
juice boxes), signs and symptoms of low and high blood sugar, action
plans for hypoglycemia and hyperglycemia, and communication and
response considerations (e.g., contacting parents/guardians in the event
of a diabetic emergency, never allowing a student who is experiencing
low blood sugar to walk to the nurse's office alone). There are also many
END OF
PAGE
3
, SCHOOL NURSE LATEST
CONTENT EXAM
professional resources that can support a school nurse's efforts in
educating students about diabetes, including downloadable handouts
from the Web sites of national diabetes organizations.
. A third-grade student's family has recently experienced stressful
events. The parents have been unemployed for six months and one of the
student's young siblings has a health impairment. The parents have
exhibited periods of depression. The school nurse should be alert to the
fact that these factors are likely to influence the student's development
most significantly in which of the following areas?
receptive language
higher-order thinking
social relationships
motor development - ANSWERS-Objective 0001 Understand human
growth and development, the learning process, and factors that affect
development and learning of different school-age populations.
END OF
PAGE
4
CONTENT EXAM
The school nurse checks the emergency care plan (ECP) on file that
outlines steps to take if the student exhibits signs of hypoglycemia.
According to current standards of school nursing practice, which of the
following actions is most appropriate to take first in response to a
hypoglycemic reaction in a conscious student?
A. administering warm clear fluids or diet soda in sips
B. administering a quickly digestible protein source and monitoring the
student for 15 minutes
C. administering insulin according to the dose specified in the student's
insulin schedule
D. administering glucose tabs or a fast-acting carbohydrate such as juice,
cake gel, or candy - ANSWERS-Objective 0014 Understand the role of
the school nurse in preparedness response and coordination during
emergencies, crises, and disasters
Correct Response: D.
END OF
PAGE
1
, SCHOOL NURSE LATEST
CONTENT EXAM
A hypoglycemic (low blood sugar) reaction can occur in a conscious
student who has type 1 diabetes when the student's insulin level is too
high, when the student misses or delays food intake, or when the student
over-exercises. In these cases, the school nurse should administer a
source of sugar, in the form of glucose tabs or gel/icing, or simple
carbohydrates such as juice, regular soda, candy, or honey. After 10 or
15 minutes and once symptoms have been alleviated, the school nurse
may provide the student with a protein and carbohydrate snack (e.g.,
cheese and crackers).
The school nurse would like to collaborate with the student's middle
school teachers in managing his health-care needs. Which of the
following strategies is the most appropriate way of involving teachers in
a health care plan for this student?
A. suggesting to teachers that they buy and store healthful snacks in the
classroom in case of an acidosis or hypoglycemic reaction
B. increasing teachers' understanding of diabetes, signs of early insulin
reaction, and what to do if symptoms appear
END OF
PAGE
2
, SCHOOL NURSE LATEST
CONTENT EXAM
C. asking teachers to designate a private corner or place in the classroom
where the student can test and record his blood levels
D. developing a protocol and training course for teacher administration
of medication in emergencies - ANSWERS-Objective 0013 Understand
effective approaches to collaboration and delegation in the school health
program.
Correct Response: B.
Teachers who have students with diabetes in their classes should have
basic knowledge about the disease and how to assist students in
managing the disease. The school nurse can coordinate conferences with
the student who has diabetes and the student's parents/guardians,
teachers, and principal to discuss the student's health and develop a care
plan for the student. The school nurse should ensure that teachers are
familiar with the supplies students may need during the school day (e.g.,
testing strips, insulin pen, lancets, blood glucose meter, glucose tablets,
juice boxes), signs and symptoms of low and high blood sugar, action
plans for hypoglycemia and hyperglycemia, and communication and
response considerations (e.g., contacting parents/guardians in the event
of a diabetic emergency, never allowing a student who is experiencing
low blood sugar to walk to the nurse's office alone). There are also many
END OF
PAGE
3
, SCHOOL NURSE LATEST
CONTENT EXAM
professional resources that can support a school nurse's efforts in
educating students about diabetes, including downloadable handouts
from the Web sites of national diabetes organizations.
. A third-grade student's family has recently experienced stressful
events. The parents have been unemployed for six months and one of the
student's young siblings has a health impairment. The parents have
exhibited periods of depression. The school nurse should be alert to the
fact that these factors are likely to influence the student's development
most significantly in which of the following areas?
receptive language
higher-order thinking
social relationships
motor development - ANSWERS-Objective 0001 Understand human
growth and development, the learning process, and factors that affect
development and learning of different school-age populations.
END OF
PAGE
4
