NBCSN School Nurse Certification Practice Test 2026 | Most
Tested Questions | Graded A+
1. In women, what is the function of FSH?
A. Initiate development of egg cells in the ovaries.
B. Increase the secretion of estrogen.
C. Both A and B.
D. Both A and B, and increase the secretion of GnRH.
2. If a state law regarding child welfare is found to be less protective than
federal regulations, what action should be taken by school nurses?
They should follow state laws regardless of federal regulations.
They should ignore both state and federal laws if they conflict.
They should consult local authorities for guidance on which law to
follow.
They should adhere to federal regulations and advocate for
compliance with those standards.
3. What hormones are primarily regulated by the pituitary gland during
puberty?
Cortisol
Thyroid hormones
Gonadotropins
Insulin
,4. What is the recommended temperature range for storing vaccines in a
refrigerator?
2 to 8 degrees Celsius
0 to 4 degrees Celsius
10 to 15 degrees Celsius
5 to 10 degrees Celsius
5. In a scenario where a school nurse believes that a student needs immediate
medical intervention for a health issue, but the student's parents refuse
consent, what ethical considerations should the nurse weigh?
The nurse should consult only with the school administration.
The nurse should ignore the family's decision and proceed with
treatment.
The nurse should weigh the principles of beneficence against the
family's autonomy and the potential health risks to the student.
The nurse should prioritize the family's wishes over the student's
health.
6. If a school nurse notices a student aged 12 struggling with peer relationships,
what psychosocial characteristic should they consider in their assessment?
The student is likely focused solely on academic performance.
The student may be developing a stable self-identity.
The student may be experiencing increased peer influence and the
need for acceptance.
The student is likely to withdraw from social interactions.
,7. What is the main risk associated with the administration of live-attenuated
vaccines?
Development of disease due to requirement of administration using
natural portal of entry
Stronger stimulation of the host's immune system
Development of autism as a result of thimerosal (thiomersal) exposure
Development of disease due to reversion to virulent phenotype
8. The parents of a 13-year-old boy are concerned because their son is
experiencing breast enlargement and tenderness. The nurse should explain
that
this is a sign of a hormonal imbalance
they need to take him to the emergency department immediately
this is a normal occurrence and should disappear within 2 years
the boy should be put on a diet
9. If a female student is experiencing irregular menstrual cycles, which
hormone's function might be disrupted, and how could a school nurse
address this issue?
Estrogen; the school nurse could recommend exercise to regulate
cycles.
FSH; the school nurse could refer the student to a healthcare
provider for evaluation of hormonal balance.
Progesterone; the school nurse could suggest stress management
techniques.
LH; the school nurse could provide dietary advice to improve
nutrition.
, 10. What is a recommended condition for a person receiving a vaccine?
Not to be sick
To be well-rested
To have eaten a full meal
To be in a quiet environment
11. What type of allergies may prevent a student from receiving certain
vaccines?
Mild skin reactions
Seasonal allergies
Life-threatening allergies
Food intolerances
12. Describe why life-threatening allergies are considered contraindications for
some vaccines.
Life-threatening allergies can lead to severe allergic reactions,
which may pose significant health risks when administering certain
vaccines.
Life-threatening allergies are common and do not affect vaccine
administration.
Life-threatening allergies are easily managed with over-the-counter
medications.
Life-threatening allergies are only relevant for food-related vaccines.
13. What organization developed the framework for 21st century school nursing
practice?
Tested Questions | Graded A+
1. In women, what is the function of FSH?
A. Initiate development of egg cells in the ovaries.
B. Increase the secretion of estrogen.
C. Both A and B.
D. Both A and B, and increase the secretion of GnRH.
2. If a state law regarding child welfare is found to be less protective than
federal regulations, what action should be taken by school nurses?
They should follow state laws regardless of federal regulations.
They should ignore both state and federal laws if they conflict.
They should consult local authorities for guidance on which law to
follow.
They should adhere to federal regulations and advocate for
compliance with those standards.
3. What hormones are primarily regulated by the pituitary gland during
puberty?
Cortisol
Thyroid hormones
Gonadotropins
Insulin
,4. What is the recommended temperature range for storing vaccines in a
refrigerator?
2 to 8 degrees Celsius
0 to 4 degrees Celsius
10 to 15 degrees Celsius
5 to 10 degrees Celsius
5. In a scenario where a school nurse believes that a student needs immediate
medical intervention for a health issue, but the student's parents refuse
consent, what ethical considerations should the nurse weigh?
The nurse should consult only with the school administration.
The nurse should ignore the family's decision and proceed with
treatment.
The nurse should weigh the principles of beneficence against the
family's autonomy and the potential health risks to the student.
The nurse should prioritize the family's wishes over the student's
health.
6. If a school nurse notices a student aged 12 struggling with peer relationships,
what psychosocial characteristic should they consider in their assessment?
The student is likely focused solely on academic performance.
The student may be developing a stable self-identity.
The student may be experiencing increased peer influence and the
need for acceptance.
The student is likely to withdraw from social interactions.
,7. What is the main risk associated with the administration of live-attenuated
vaccines?
Development of disease due to requirement of administration using
natural portal of entry
Stronger stimulation of the host's immune system
Development of autism as a result of thimerosal (thiomersal) exposure
Development of disease due to reversion to virulent phenotype
8. The parents of a 13-year-old boy are concerned because their son is
experiencing breast enlargement and tenderness. The nurse should explain
that
this is a sign of a hormonal imbalance
they need to take him to the emergency department immediately
this is a normal occurrence and should disappear within 2 years
the boy should be put on a diet
9. If a female student is experiencing irregular menstrual cycles, which
hormone's function might be disrupted, and how could a school nurse
address this issue?
Estrogen; the school nurse could recommend exercise to regulate
cycles.
FSH; the school nurse could refer the student to a healthcare
provider for evaluation of hormonal balance.
Progesterone; the school nurse could suggest stress management
techniques.
LH; the school nurse could provide dietary advice to improve
nutrition.
, 10. What is a recommended condition for a person receiving a vaccine?
Not to be sick
To be well-rested
To have eaten a full meal
To be in a quiet environment
11. What type of allergies may prevent a student from receiving certain
vaccines?
Mild skin reactions
Seasonal allergies
Life-threatening allergies
Food intolerances
12. Describe why life-threatening allergies are considered contraindications for
some vaccines.
Life-threatening allergies can lead to severe allergic reactions,
which may pose significant health risks when administering certain
vaccines.
Life-threatening allergies are common and do not affect vaccine
administration.
Life-threatening allergies are easily managed with over-the-counter
medications.
Life-threatening allergies are only relevant for food-related vaccines.
13. What organization developed the framework for 21st century school nursing
practice?
