K'S NBCSN EXAM QUESTIONS AND ANSWERS
What is the overall purpose of licensure for an RN? - Answer -Protection of the public.
Why is the State's Nurse Practice Act important? - Answer -It identifies who can be a
nurse and what an RN can and cannot do within the confines of the license (scope of
practice).
It is important to understand that the RN's scope of practice is governed at the state
level. Therefore, requirements for practicing as a nurse, in general, and as a school
nurse specifically vary by state.
Can district policies require the nurse to do activities not permitted in the state's Nurse
Practice Act? - Answer -No. However, district policies can restrict the nurse from
practicing within his/her full scope. Even if district policies are more restrictive, the nurse
must maintain and use his/her nursing knowledge when called to do so.
What is the difference between certification and accreditation? - Answer -Certification
denotes mastery of a body of knowledge for the individual.
Accreditation is provided to an organization that demonstrates the achievements of
specific standards of quality outlined by the accrediting body.
What is the ultimate purpose of school nursing? - Answer -1. Support the success of
the student.
2. Have the students in their learning environment in their optimal state of health.
How does school nursing specifically support success of students? - Answer -1.
Provide healthcare through assessment, intervention, and follow up for all children in
the school setting
2. Address the physical, mental, emotional, and social needs of students.
3. Bridge health care and education.
What are the steps of the nursing process? - Answer -1. Assessment: collect data
2 Diagnosis: interpret data, make hypothesis
3. Identify expected outcomes
4. Planning
5. Implementation
6. Evaluation
7. Follow-up
What is the difference between subjective and objective data? - Answer -Subjective
data: what the patient says
Objective data: what is seen, heard, felt, smelled
What are the standards of practice? - Answer -1. Agreed-upon level of practice
developed by the profession with a goal to promote quality care.
,2. Best practice
3. Professional expectations
They are NOT law.
Define primary prevention and give an example - Answer -Promoting the health all of
through interventions like promoting immunizations and health promotion behaviors
(proper nutrition, sleep, dental care, use of seat belts, bike helmets)
Define secondary prevention and give an example. - Answer -Identifying problems
early to promote early intervention in those most at risk
Example: screening high-risk groups
Cephalocaudal development refers to: - Answer -Development from head to toe
Proximodistal development refers to: - Answer -Development from the core to the
extremities
This includes the concept of development of gross motor to fine motor skills.
What is a developmental assessment? - Answer -Comparison of physical, cognitive,
and psychosocial markers of what a child is expected to do based on chronological age.
Why is the school nurse's ability to complete a developmental assessment important? -
Answer -Early identification and intervention for children with developmental delays
leads to decreased morbidity.
Chronological age is __________. - Answer -years or months since birth.
Mental age is ___________. - Answer -Level of cognitive function
communication with a child should be geared towards the child's mental age.
How is bone age determined and why is it used? - Answer -A bone age is determined
based on an x-ray of the carpals of the wrist. It is typically performed on school age
children who have short stature.
As a school nurse with a concern that a child in your school has symptoms of a
particular condition or is not developmentally at a level with their peers, what is your
best action? - Answer -Suggest to a parent that they ask the child's primary care
provider at his/her next appointment about the particular symptoms. School nurses'
cannot diagnose, but they can make observations of particular symptoms and suggest
further evaluation and diagnosis by the child's primary health care provider.
The focus of Piaget's developmental theory is on what component of development? -
Answer -Cognitive development
,Piaget's cognitive developmental theory states that a child's cognitive development
occurs through interaction with the ___________. - Answer -Environment
List characteristics of Piaget's cognitive theory for the pre-operational phase. - Answer -
1. 2-7 years of age
2. Non-logical thought
3. Egocentricity (see the world only from their perspective)
4. Role play an effective strategy for teaching
List characteristics of Piaget's cognitive theory for the concrete operations phase. -
Answer -1. 7-11 years of age
2. Considers other's point of view
3. Logical thought is now based on concrete facts.
4. Enjoys collecting and sorting
5. Hands on learning is an effective method to convey information.
Characteristics of Piaget's cognitive theory for the formal operations phase are: -
Answer -1. abstract thought
2. ability to assign meaning
The focus of Erikson's developmental theory is on what component of development? -
Answer -Psychosocial development
What is the focus for the first phase (0-1 year) in Erikson's psychosocial developmental
theory? - Answer -Trust
the caregiver should promote trust through meeting the infant's needs. (this would be
important for teen mothers in the school system for teaching).
What is the focus for the second phase (1-3 years) in Erikson's psychosocial
developmental theory? - Answer -Autonomy
The focus for caregivers in this phase is to promote autonomy through actions like
feeding, toileting, and dressing.
What is the focus for the third phase (3-5 years) in Erikson's psychosocial
developmental theory? - Answer -Initiative
Promote initiative through activities like helping, sharing, taking turns, and learning to
interact with others.
children in this age begin to develop a sense of conscience.
What is the focus for the fourth phase (7-11) in Erikson's psychosocial developmental
theory? - Answer -Achievement/industry
The focus for caregivers in this phase is to promote cooperation, competition, and social
relationships. They learn the rules.
What is the focus for the fifth phase (12-19 years) in Erikson's psychosocial
developmental theory? - Answer -Identity.
, adolescents determine their identity in terms of who they are, what they believe, and
what they want to do or be.
caregiver should encourage self-exploration, reassure normalcy, provide acceptance
and mitigate risk.
List pre-school developmental tasks. - Answer -Balance (skip, hop, jump)
Tricycle
Dress self, toilet trained
Copy circle and cross, use scissors
Begins to be aware of others' feelings
Begin to understand rules
Takes pride in accomplishments
Begins to communicate feelings
Begins knowledge of colors
Beginning body image
Diet: 3 meals, 2 snacks/day
Discipline: Timeout 1 min/year
List important school nurse teaching content for preschoolers. - Answer -handwashing
dental care
water safety
fire safety
healthy foods
List school age developmental tasks. - Answer -Tie shoes, 2 wheel bike, sports
printing, writing, spelling, reading
understands cause and effect
loses first tooth- 6 years of age
has all permanent teeth by 12 years of age
vision maturity by 7 years of age
begins pubertal milestones
peers most important, first true friend
cooperative play, plays games with rules.
List some important considerations for the school nurse when interacting with the school
age child. - Answer -Involve child in care
Active listening
Provide privacy
Be consistent
Encourage independence
Reinforce consequences of actions
Give concrete explanations
Psychosomatic concerns are common and often indicate something else
(psychosocial).
What is the leading cause of death for the school age child? - Answer -Accidents
What is the overall purpose of licensure for an RN? - Answer -Protection of the public.
Why is the State's Nurse Practice Act important? - Answer -It identifies who can be a
nurse and what an RN can and cannot do within the confines of the license (scope of
practice).
It is important to understand that the RN's scope of practice is governed at the state
level. Therefore, requirements for practicing as a nurse, in general, and as a school
nurse specifically vary by state.
Can district policies require the nurse to do activities not permitted in the state's Nurse
Practice Act? - Answer -No. However, district policies can restrict the nurse from
practicing within his/her full scope. Even if district policies are more restrictive, the nurse
must maintain and use his/her nursing knowledge when called to do so.
What is the difference between certification and accreditation? - Answer -Certification
denotes mastery of a body of knowledge for the individual.
Accreditation is provided to an organization that demonstrates the achievements of
specific standards of quality outlined by the accrediting body.
What is the ultimate purpose of school nursing? - Answer -1. Support the success of
the student.
2. Have the students in their learning environment in their optimal state of health.
How does school nursing specifically support success of students? - Answer -1.
Provide healthcare through assessment, intervention, and follow up for all children in
the school setting
2. Address the physical, mental, emotional, and social needs of students.
3. Bridge health care and education.
What are the steps of the nursing process? - Answer -1. Assessment: collect data
2 Diagnosis: interpret data, make hypothesis
3. Identify expected outcomes
4. Planning
5. Implementation
6. Evaluation
7. Follow-up
What is the difference between subjective and objective data? - Answer -Subjective
data: what the patient says
Objective data: what is seen, heard, felt, smelled
What are the standards of practice? - Answer -1. Agreed-upon level of practice
developed by the profession with a goal to promote quality care.
,2. Best practice
3. Professional expectations
They are NOT law.
Define primary prevention and give an example - Answer -Promoting the health all of
through interventions like promoting immunizations and health promotion behaviors
(proper nutrition, sleep, dental care, use of seat belts, bike helmets)
Define secondary prevention and give an example. - Answer -Identifying problems
early to promote early intervention in those most at risk
Example: screening high-risk groups
Cephalocaudal development refers to: - Answer -Development from head to toe
Proximodistal development refers to: - Answer -Development from the core to the
extremities
This includes the concept of development of gross motor to fine motor skills.
What is a developmental assessment? - Answer -Comparison of physical, cognitive,
and psychosocial markers of what a child is expected to do based on chronological age.
Why is the school nurse's ability to complete a developmental assessment important? -
Answer -Early identification and intervention for children with developmental delays
leads to decreased morbidity.
Chronological age is __________. - Answer -years or months since birth.
Mental age is ___________. - Answer -Level of cognitive function
communication with a child should be geared towards the child's mental age.
How is bone age determined and why is it used? - Answer -A bone age is determined
based on an x-ray of the carpals of the wrist. It is typically performed on school age
children who have short stature.
As a school nurse with a concern that a child in your school has symptoms of a
particular condition or is not developmentally at a level with their peers, what is your
best action? - Answer -Suggest to a parent that they ask the child's primary care
provider at his/her next appointment about the particular symptoms. School nurses'
cannot diagnose, but they can make observations of particular symptoms and suggest
further evaluation and diagnosis by the child's primary health care provider.
The focus of Piaget's developmental theory is on what component of development? -
Answer -Cognitive development
,Piaget's cognitive developmental theory states that a child's cognitive development
occurs through interaction with the ___________. - Answer -Environment
List characteristics of Piaget's cognitive theory for the pre-operational phase. - Answer -
1. 2-7 years of age
2. Non-logical thought
3. Egocentricity (see the world only from their perspective)
4. Role play an effective strategy for teaching
List characteristics of Piaget's cognitive theory for the concrete operations phase. -
Answer -1. 7-11 years of age
2. Considers other's point of view
3. Logical thought is now based on concrete facts.
4. Enjoys collecting and sorting
5. Hands on learning is an effective method to convey information.
Characteristics of Piaget's cognitive theory for the formal operations phase are: -
Answer -1. abstract thought
2. ability to assign meaning
The focus of Erikson's developmental theory is on what component of development? -
Answer -Psychosocial development
What is the focus for the first phase (0-1 year) in Erikson's psychosocial developmental
theory? - Answer -Trust
the caregiver should promote trust through meeting the infant's needs. (this would be
important for teen mothers in the school system for teaching).
What is the focus for the second phase (1-3 years) in Erikson's psychosocial
developmental theory? - Answer -Autonomy
The focus for caregivers in this phase is to promote autonomy through actions like
feeding, toileting, and dressing.
What is the focus for the third phase (3-5 years) in Erikson's psychosocial
developmental theory? - Answer -Initiative
Promote initiative through activities like helping, sharing, taking turns, and learning to
interact with others.
children in this age begin to develop a sense of conscience.
What is the focus for the fourth phase (7-11) in Erikson's psychosocial developmental
theory? - Answer -Achievement/industry
The focus for caregivers in this phase is to promote cooperation, competition, and social
relationships. They learn the rules.
What is the focus for the fifth phase (12-19 years) in Erikson's psychosocial
developmental theory? - Answer -Identity.
, adolescents determine their identity in terms of who they are, what they believe, and
what they want to do or be.
caregiver should encourage self-exploration, reassure normalcy, provide acceptance
and mitigate risk.
List pre-school developmental tasks. - Answer -Balance (skip, hop, jump)
Tricycle
Dress self, toilet trained
Copy circle and cross, use scissors
Begins to be aware of others' feelings
Begin to understand rules
Takes pride in accomplishments
Begins to communicate feelings
Begins knowledge of colors
Beginning body image
Diet: 3 meals, 2 snacks/day
Discipline: Timeout 1 min/year
List important school nurse teaching content for preschoolers. - Answer -handwashing
dental care
water safety
fire safety
healthy foods
List school age developmental tasks. - Answer -Tie shoes, 2 wheel bike, sports
printing, writing, spelling, reading
understands cause and effect
loses first tooth- 6 years of age
has all permanent teeth by 12 years of age
vision maturity by 7 years of age
begins pubertal milestones
peers most important, first true friend
cooperative play, plays games with rules.
List some important considerations for the school nurse when interacting with the school
age child. - Answer -Involve child in care
Active listening
Provide privacy
Be consistent
Encourage independence
Reinforce consequences of actions
Give concrete explanations
Psychosomatic concerns are common and often indicate something else
(psychosocial).
What is the leading cause of death for the school age child? - Answer -Accidents
