NBCSN SCHOOL NURSE CERTIFICATION
EXAM 2 PRACTICE STUDY GUIDE 2026 SOLVED
QUESTIONS
◉ Describe actions to take into account when considering culture in
the care of a child in the school system. Answer: 1.
Language/Understanding
2. Behavioral Responses
3. Use of eye contact
4. Who makes decisions in the family?
5. Who can examine?
6. Food restrictions and fasting
7. Dress/clothing
◉ In a health appraisal, how do you record the child's chief
complaint? Answer: In the child's own words
◉ What questions should be asked when assessing the chief
complaint Answer: Where?
What?
When?
How much?
,Other symptoms?
◉ List the components of collecting a health history. Answer:
Observe
Chief complaint
Last intake
What have you tried for the problem? Did it help?
Amount of sleep
Health status of family members
Stressors (home, school, friends)
High risk behaviors
◉ How vital signs change as a child ages? Answer: Age 3:
HR: 102-121
RR 23-27
BP 90/50
Age 10:
HR: 84-104
RR 17-21
BP 100/62
,Age 17
HR 74-97
RR 16-20
BP 120/80
◉ Describe temperature assessment in children Answer: 1. Oral
electronic (sublingual pocket with lips closed)
2. Tympanic (pull ear up and back and rotate probe handle toward
jaw)
3. Temporal artery (middle of forehead to hairline)
97.5- 98.6 oral normal temp
Fever >101 some use 100.4
◉ List the components of a respiratory assessment. Answer: 1.
Observe for depth and pattern
2. Presence of restlessness, irritability and position of comfort
3 . color around mouth (circumoral cyanosis) and fingertips
(clubbing)
4. muffled voice (w/ drooling)
5. shortness of breath
6. cough, wheeze, stridor
7. barrel chest
8. speak a full sentence?
, ◉ What are the parameters for choosing an appropriate BP cuff?
Answer: Width of the cuff 40% of arm's circumference between
elbow and shoulder, should cover 2/3 or 3/4 of upper arm
bladder cuff should cover >80% of arm circumference
◉ What are the signs of hyper- or hypo tension in children? Answer:
1. Hypertension:
Headache, bounding pulse, flushing
2. Hypotension:
Weak pulse, Diaphoresis, Dizzy, Pallor
Hypertension is often asymptomatic and hypotension is a late sign of
shock in children.
◉ An appropriate pain scale for a non-verbal child is ________________.
Answer: FLACC
Facial expression
Legs
Activity
Cry
Consolability
EXAM 2 PRACTICE STUDY GUIDE 2026 SOLVED
QUESTIONS
◉ Describe actions to take into account when considering culture in
the care of a child in the school system. Answer: 1.
Language/Understanding
2. Behavioral Responses
3. Use of eye contact
4. Who makes decisions in the family?
5. Who can examine?
6. Food restrictions and fasting
7. Dress/clothing
◉ In a health appraisal, how do you record the child's chief
complaint? Answer: In the child's own words
◉ What questions should be asked when assessing the chief
complaint Answer: Where?
What?
When?
How much?
,Other symptoms?
◉ List the components of collecting a health history. Answer:
Observe
Chief complaint
Last intake
What have you tried for the problem? Did it help?
Amount of sleep
Health status of family members
Stressors (home, school, friends)
High risk behaviors
◉ How vital signs change as a child ages? Answer: Age 3:
HR: 102-121
RR 23-27
BP 90/50
Age 10:
HR: 84-104
RR 17-21
BP 100/62
,Age 17
HR 74-97
RR 16-20
BP 120/80
◉ Describe temperature assessment in children Answer: 1. Oral
electronic (sublingual pocket with lips closed)
2. Tympanic (pull ear up and back and rotate probe handle toward
jaw)
3. Temporal artery (middle of forehead to hairline)
97.5- 98.6 oral normal temp
Fever >101 some use 100.4
◉ List the components of a respiratory assessment. Answer: 1.
Observe for depth and pattern
2. Presence of restlessness, irritability and position of comfort
3 . color around mouth (circumoral cyanosis) and fingertips
(clubbing)
4. muffled voice (w/ drooling)
5. shortness of breath
6. cough, wheeze, stridor
7. barrel chest
8. speak a full sentence?
, ◉ What are the parameters for choosing an appropriate BP cuff?
Answer: Width of the cuff 40% of arm's circumference between
elbow and shoulder, should cover 2/3 or 3/4 of upper arm
bladder cuff should cover >80% of arm circumference
◉ What are the signs of hyper- or hypo tension in children? Answer:
1. Hypertension:
Headache, bounding pulse, flushing
2. Hypotension:
Weak pulse, Diaphoresis, Dizzy, Pallor
Hypertension is often asymptomatic and hypotension is a late sign of
shock in children.
◉ An appropriate pain scale for a non-verbal child is ________________.
Answer: FLACC
Facial expression
Legs
Activity
Cry
Consolability
