NBCSN SCHOOL NURSE CERTIFICATION
EXAM 2 COMPREHENSIVE ASSESSMENT 2026
TESTED QUESTIONS
◉ 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.
EXAM 2 COMPREHENSIVE ASSESSMENT 2026
TESTED QUESTIONS
◉ 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.
