NATIONAL BOARD FOR CERTIFICATION OF SCHOOL NURSES
(NBCSN) EXAM STUDY GUIDE | QUESTIONS & ANSWERS | NEW
2026/ 2027 UPDATE | GRADED A+| 100% CORRECT (VERIFIED
SOLUTIONS)
the national association of school nurses (NASN) defines school nursing as: -
CORRECT|ANSWER
a specialized practice of nursing that protects and promotes student health, facilitates optimal
development, and advances academic success. School nurses, grounded in ethical and evidence-
based practice, are the leaders who bridge health care and education, provide care coordination,
advocate for quality student-centered care, and collaborate to design systems that allow individuals
and communities to develop to their full potential.
the opportunities and rewards in school nursing includes: -
CORRECT|ANSWER
- helping students reach education goals while learning positive health behaviors
- seeing students with chronic health conditions learn to manage their health
- creating a culture of health in the school community so that students are heathy, safe, and ready to
learn
- collaborating with school staff and community members to reduce social determinants that create
barriers to student health and learning
challenges in school nursing -
CORRECT|ANSWER
- inconsistent fiscal investment in school nursing positions
- misconceptions about the role of the school nurse as health professionals in educational settings
what does the school nurse do that is specific to the school setting? -
CORRECT|ANSWER
- Promote health and safety
- Provide case management
- Intervene when actual and potential health problems arise
- Serve as advocates
- Promote self-management
,*it is a specialized practice that, for students, advances:*
- their well-being
- academic success
- lifelong achievements
- health
School nurses function in two worlds: health and education. Explain how the nurse functions in both.
-
CORRECT|ANSWER
the school nurse knows both education and health priorities, goals, policies, and legal requirements
in the implementation of school health services
- this knowledge places school nurses in a central role as coordinators and connectors in the school
- code of ethics focuses on: client care, professional advocacy, professional responsibilities
school nurses can be employed by: -
CORRECT|ANSWER
- local school districts
- health departments
- hospitals
- other entities
*schools nurses are primarily employed by educational entities and funded with general or special
education dollars
percentages of schools that employ school nurses -
CORRECT|ANSWER
- 35.3% of schools employ part-time school nurses (< 35 hours)
- 39.3% of schools employ full-time school nurses (> 35 hours)
- Across the country, 25.2% of schools do not employ a school nurse
*percentages will not be on exam
primary areas of concerns for refugee children -
CORRECT|ANSWER
, mental health, nutrition, communicable and vaccine-preventable diseases, and oral health
historical foundations of school nursing -
CORRECT|ANSWER
- in the 20th century, the convergence of compulsory educational laws in the US and medical
exclusion of students with contagious diseases paved the way for Lillian Wald to collaborate with the
NYC board of edu and health to hire a nurse to work with students and families in four schools where
student absenteeism and medical exclusions were high
- in 1902 Lina Rogers Struther's work began as a month long experiment when she took the role of
school nurse in those 4 schools
- her work relied increased school time for children and an expansion of the school nurse staff from 1
to 12
- Struthers became the superintendent of school nurses for NYC schools and was one of the first
school nurses hired by a municipality
- the presence of school nurses proved effective and spread throughout the US and canada
In the section "Healthy People and school nursing" the HP2020 objectives are discussed. Briefly, go to
the HP 2030 website and search "schools". Compare and contrast the objectives and topics for both
campaigns. Were 2020 goals reached? Which ones are continued? Are there new objectives or topics
for 2030? -
CORRECT|ANSWER
© Pg. 449 both topics emphasize link between behavioral patterns established in early childhood or
adolescence to adult health and role of school setting in promoting health.
© Goal for early and middle childhood: document and track population based measures of health
and well being for early and middle childhood populations over time in US.
© Increase segment of children ready for school in 5 domains of healthy development: physical,
social-emotional, approaches to learning, language, and cognitive development.
© Goal for adolescent: improve healthy development, health, safety, and well-being of adolescents
and young adults.
© Increase segment of adolescents who participate in extracurricular activities and out of school
activities.
© Objective 5: increase segment of elementary, middle, and senior high schools that have a full time
registered school nurse ratio at least 1:750 students.
© Educational and community HP 2020: objectives related to provision of health related educational
programs including topics such as unintentional injury, violence, suicide, tobacco use and addiction,
alcohol, drug use, unintended pregnancy, HIV/ AIDs, and STIs, unhealthy dietary patterns and
inadequate physical activity.
(NBCSN) EXAM STUDY GUIDE | QUESTIONS & ANSWERS | NEW
2026/ 2027 UPDATE | GRADED A+| 100% CORRECT (VERIFIED
SOLUTIONS)
the national association of school nurses (NASN) defines school nursing as: -
CORRECT|ANSWER
a specialized practice of nursing that protects and promotes student health, facilitates optimal
development, and advances academic success. School nurses, grounded in ethical and evidence-
based practice, are the leaders who bridge health care and education, provide care coordination,
advocate for quality student-centered care, and collaborate to design systems that allow individuals
and communities to develop to their full potential.
the opportunities and rewards in school nursing includes: -
CORRECT|ANSWER
- helping students reach education goals while learning positive health behaviors
- seeing students with chronic health conditions learn to manage their health
- creating a culture of health in the school community so that students are heathy, safe, and ready to
learn
- collaborating with school staff and community members to reduce social determinants that create
barriers to student health and learning
challenges in school nursing -
CORRECT|ANSWER
- inconsistent fiscal investment in school nursing positions
- misconceptions about the role of the school nurse as health professionals in educational settings
what does the school nurse do that is specific to the school setting? -
CORRECT|ANSWER
- Promote health and safety
- Provide case management
- Intervene when actual and potential health problems arise
- Serve as advocates
- Promote self-management
,*it is a specialized practice that, for students, advances:*
- their well-being
- academic success
- lifelong achievements
- health
School nurses function in two worlds: health and education. Explain how the nurse functions in both.
-
CORRECT|ANSWER
the school nurse knows both education and health priorities, goals, policies, and legal requirements
in the implementation of school health services
- this knowledge places school nurses in a central role as coordinators and connectors in the school
- code of ethics focuses on: client care, professional advocacy, professional responsibilities
school nurses can be employed by: -
CORRECT|ANSWER
- local school districts
- health departments
- hospitals
- other entities
*schools nurses are primarily employed by educational entities and funded with general or special
education dollars
percentages of schools that employ school nurses -
CORRECT|ANSWER
- 35.3% of schools employ part-time school nurses (< 35 hours)
- 39.3% of schools employ full-time school nurses (> 35 hours)
- Across the country, 25.2% of schools do not employ a school nurse
*percentages will not be on exam
primary areas of concerns for refugee children -
CORRECT|ANSWER
, mental health, nutrition, communicable and vaccine-preventable diseases, and oral health
historical foundations of school nursing -
CORRECT|ANSWER
- in the 20th century, the convergence of compulsory educational laws in the US and medical
exclusion of students with contagious diseases paved the way for Lillian Wald to collaborate with the
NYC board of edu and health to hire a nurse to work with students and families in four schools where
student absenteeism and medical exclusions were high
- in 1902 Lina Rogers Struther's work began as a month long experiment when she took the role of
school nurse in those 4 schools
- her work relied increased school time for children and an expansion of the school nurse staff from 1
to 12
- Struthers became the superintendent of school nurses for NYC schools and was one of the first
school nurses hired by a municipality
- the presence of school nurses proved effective and spread throughout the US and canada
In the section "Healthy People and school nursing" the HP2020 objectives are discussed. Briefly, go to
the HP 2030 website and search "schools". Compare and contrast the objectives and topics for both
campaigns. Were 2020 goals reached? Which ones are continued? Are there new objectives or topics
for 2030? -
CORRECT|ANSWER
© Pg. 449 both topics emphasize link between behavioral patterns established in early childhood or
adolescence to adult health and role of school setting in promoting health.
© Goal for early and middle childhood: document and track population based measures of health
and well being for early and middle childhood populations over time in US.
© Increase segment of children ready for school in 5 domains of healthy development: physical,
social-emotional, approaches to learning, language, and cognitive development.
© Goal for adolescent: improve healthy development, health, safety, and well-being of adolescents
and young adults.
© Increase segment of adolescents who participate in extracurricular activities and out of school
activities.
© Objective 5: increase segment of elementary, middle, and senior high schools that have a full time
registered school nurse ratio at least 1:750 students.
© Educational and community HP 2020: objectives related to provision of health related educational
programs including topics such as unintentional injury, violence, suicide, tobacco use and addiction,
alcohol, drug use, unintended pregnancy, HIV/ AIDs, and STIs, unhealthy dietary patterns and
inadequate physical activity.
