NBCSN - School Nurse Certification
Exam questions well answered latest
update
-Cephalocaudally
-Proximodistally - CORRECT ANSWER Development occurs cephalocaudally (head to
toe) and proximodistally (trunk to extremities)
5 rights of delegation - CORRECT ANSWER right procedure, situation, personnel,
training, oversight. RN retains accountability for the task and outcome
5ths Disease/ Erythema Infectiosum - CORRECT ANSWER -sx-Parvovirus B19):
SLAPPED CHEEK (erythema of check), lace like rash
-dx-dangerous in SICKLE cell pt (other anemias)
-tx- self limiting
People at risk - weak immune system bc of cancer, organ transplant, HIV. Can cause
chronic anemia
6 steps of nursing process (ADOPIE) - CORRECT ANSWER Assessment, diagnosis
(nursing), outcome identification, planning, implementation, evaluation. FIRST step
ASSESSMENT ALWAYS.
A diabetic in PE class with HA, diaphoretic, confused, unable to swallow - CORRECT
ANSWER admin glucagon
Achondroplasia - CORRECT ANSWER dwarfism., bowed legs, spine is curved
Addison's disease - CORRECT ANSWER a condition that occurs when the adrenal
glands do not produce enough cortisol or aldosterone
Adolescents are commonly deficient in which vitamins - CORRECT ANSWER
Calcium, Iron, Vit D
Amblyopia (lazy eye) - CORRECT ANSWER If corrected early, affected eye can have
normal vision. Treatment before kindergarten
ANA (American Nurses Association) - CORRECT ANSWER - professional
organization for RNs in the US
- deals with professional scope and standards of practice
- addresses ethics, public policy, and economic/general welfare of nurses
- mission = advance profession of nursing
, Anemia - CORRECT ANSWER Most common abnormal blood condition in children. a
symptom, not a disease, impaired production, poor diet, pica, blood loss, kidney
disease. Symptoms - pallor, inc HR/RR, muscle weakness, fatigue, dizzy, HA, dec
attention, jaundice
Apical pulse location - CORRECT ANSWER Mid-clavicular
Over 7 yo Fifth intercostal space and it is called PMI- point of maximum impulse (4th
intercostal space under 7yo)
appendicitis - CORRECT ANSWER RLQ pain and rebound tenderness. Pain may inc
with cough and walk. N&V
Are active Tuberculosis patients always symptomatic? - CORRECT ANSWER active
TB may be asymptomatic and only diagnosed with chest x-ray
Audiometer (pure-tone) - CORRECT ANSWER measures decibles and Hertz
(frequency and intensity)
Backpack should weigh less - CORRECT ANSWER than 10-15% body weight
bed bugs - CORRECT ANSWER small, flat, reddish-brown insects that may live
around or near areas where people sleep and that feed on the blood of people and
animals. Linear clusters of reactions, generally nocturnal, use heat to treat. Often 3
erythematous papules along a vein. They are active at night.
Bell of stethoscope is used for - CORRECT ANSWER soft, low-pitched sounds
Blood Pressure - CORRECT ANSWER 3yo 90/40
7yo 97/57
11 104/61
teens 113/64
Booster Seat until - CORRECT ANSWER 8 years old, 80 pounds
Burns (degrees) - CORRECT ANSWER 1st -- minor damage/epidermis --
ERYTHEMA. Sunburn
2nd- Partial-thickness- painful
superficial/Papillary dermis-- BLISTERS
deep/reticular dermis -- RUPTURED blisters
3rd -Full/destroy-dermal appendages - no* sensation
white, leathery, charred
Call EMS if 10% of body burned (1% = students palm)
, Calcium needs for kids - CORRECT ANSWER 4-8 yo 1000mg, 9-18 1300mg. also
needs sunlight, weigh bearing exercises, broccoli, cheese, yogurt. When fractures occur
bone density screening recommended
Can a student get all vaccines needed to start school in one sitting? - CORRECT
ANSWER Yes and then attend school the next day.
Carotenemia - CORRECT ANSWER yellowing of the skin that results from excess
beta-carotene/Vit A in the body
cerebral palsy - CORRECT ANSWER paralysis caused by damage to the area of the
brain responsible for movement. May be seizures, intellectual disability or attention
deficit disorders
Chicken pox - CORRECT ANSWER rash develops 10-21 days after exposure and
person is infective 24-48 hours before rash until they scab over
chicken pox communicability - CORRECT ANSWER 1-2 day before and 4-5 day after
onset of rash
CIAMPEDS (mneumonic for pediatric triage) - CORRECT ANSWER Chief complaint,
Immunizations/Isolation, Allergies, Medications/Medical history, Parent's impression of
the situation, Events surrounding, Diet/Diapers, Symptoms associated with illness/injury
Cleaning product for Norovirus, C Diff - CORRECT ANSWER 5-6% hypochlorite
solution (chlorine bleach)
cleft lip and palate - CORRECT ANSWER may have speech and language problems,
ear infections
Common Cold - CORRECT ANSWER Symptoms 2-8 days after exposure and last up
to 10 days
Conductive hearing loss - CORRECT ANSWER from mechanical dysfunction that
interferes with sound waves (including chronic or frequent otitis media)
Connors Rating Scale - CORRECT ANSWER ADHD short form Similar to the
Vanderbilt Assessment Scales. Practitioner must purchase rights
Consent for screenings - CORRECT ANSWER If parent consents but child does not
do not do it and notify parents of the refusal. Document
Consequence of violations of confidentiality - CORRECT ANSWER HIPPA violations
can be fined, FERPA violations can lose federal financial assistance
Exam questions well answered latest
update
-Cephalocaudally
-Proximodistally - CORRECT ANSWER Development occurs cephalocaudally (head to
toe) and proximodistally (trunk to extremities)
5 rights of delegation - CORRECT ANSWER right procedure, situation, personnel,
training, oversight. RN retains accountability for the task and outcome
5ths Disease/ Erythema Infectiosum - CORRECT ANSWER -sx-Parvovirus B19):
SLAPPED CHEEK (erythema of check), lace like rash
-dx-dangerous in SICKLE cell pt (other anemias)
-tx- self limiting
People at risk - weak immune system bc of cancer, organ transplant, HIV. Can cause
chronic anemia
6 steps of nursing process (ADOPIE) - CORRECT ANSWER Assessment, diagnosis
(nursing), outcome identification, planning, implementation, evaluation. FIRST step
ASSESSMENT ALWAYS.
A diabetic in PE class with HA, diaphoretic, confused, unable to swallow - CORRECT
ANSWER admin glucagon
Achondroplasia - CORRECT ANSWER dwarfism., bowed legs, spine is curved
Addison's disease - CORRECT ANSWER a condition that occurs when the adrenal
glands do not produce enough cortisol or aldosterone
Adolescents are commonly deficient in which vitamins - CORRECT ANSWER
Calcium, Iron, Vit D
Amblyopia (lazy eye) - CORRECT ANSWER If corrected early, affected eye can have
normal vision. Treatment before kindergarten
ANA (American Nurses Association) - CORRECT ANSWER - professional
organization for RNs in the US
- deals with professional scope and standards of practice
- addresses ethics, public policy, and economic/general welfare of nurses
- mission = advance profession of nursing
, Anemia - CORRECT ANSWER Most common abnormal blood condition in children. a
symptom, not a disease, impaired production, poor diet, pica, blood loss, kidney
disease. Symptoms - pallor, inc HR/RR, muscle weakness, fatigue, dizzy, HA, dec
attention, jaundice
Apical pulse location - CORRECT ANSWER Mid-clavicular
Over 7 yo Fifth intercostal space and it is called PMI- point of maximum impulse (4th
intercostal space under 7yo)
appendicitis - CORRECT ANSWER RLQ pain and rebound tenderness. Pain may inc
with cough and walk. N&V
Are active Tuberculosis patients always symptomatic? - CORRECT ANSWER active
TB may be asymptomatic and only diagnosed with chest x-ray
Audiometer (pure-tone) - CORRECT ANSWER measures decibles and Hertz
(frequency and intensity)
Backpack should weigh less - CORRECT ANSWER than 10-15% body weight
bed bugs - CORRECT ANSWER small, flat, reddish-brown insects that may live
around or near areas where people sleep and that feed on the blood of people and
animals. Linear clusters of reactions, generally nocturnal, use heat to treat. Often 3
erythematous papules along a vein. They are active at night.
Bell of stethoscope is used for - CORRECT ANSWER soft, low-pitched sounds
Blood Pressure - CORRECT ANSWER 3yo 90/40
7yo 97/57
11 104/61
teens 113/64
Booster Seat until - CORRECT ANSWER 8 years old, 80 pounds
Burns (degrees) - CORRECT ANSWER 1st -- minor damage/epidermis --
ERYTHEMA. Sunburn
2nd- Partial-thickness- painful
superficial/Papillary dermis-- BLISTERS
deep/reticular dermis -- RUPTURED blisters
3rd -Full/destroy-dermal appendages - no* sensation
white, leathery, charred
Call EMS if 10% of body burned (1% = students palm)
, Calcium needs for kids - CORRECT ANSWER 4-8 yo 1000mg, 9-18 1300mg. also
needs sunlight, weigh bearing exercises, broccoli, cheese, yogurt. When fractures occur
bone density screening recommended
Can a student get all vaccines needed to start school in one sitting? - CORRECT
ANSWER Yes and then attend school the next day.
Carotenemia - CORRECT ANSWER yellowing of the skin that results from excess
beta-carotene/Vit A in the body
cerebral palsy - CORRECT ANSWER paralysis caused by damage to the area of the
brain responsible for movement. May be seizures, intellectual disability or attention
deficit disorders
Chicken pox - CORRECT ANSWER rash develops 10-21 days after exposure and
person is infective 24-48 hours before rash until they scab over
chicken pox communicability - CORRECT ANSWER 1-2 day before and 4-5 day after
onset of rash
CIAMPEDS (mneumonic for pediatric triage) - CORRECT ANSWER Chief complaint,
Immunizations/Isolation, Allergies, Medications/Medical history, Parent's impression of
the situation, Events surrounding, Diet/Diapers, Symptoms associated with illness/injury
Cleaning product for Norovirus, C Diff - CORRECT ANSWER 5-6% hypochlorite
solution (chlorine bleach)
cleft lip and palate - CORRECT ANSWER may have speech and language problems,
ear infections
Common Cold - CORRECT ANSWER Symptoms 2-8 days after exposure and last up
to 10 days
Conductive hearing loss - CORRECT ANSWER from mechanical dysfunction that
interferes with sound waves (including chronic or frequent otitis media)
Connors Rating Scale - CORRECT ANSWER ADHD short form Similar to the
Vanderbilt Assessment Scales. Practitioner must purchase rights
Consent for screenings - CORRECT ANSWER If parent consents but child does not
do not do it and notify parents of the refusal. Document
Consequence of violations of confidentiality - CORRECT ANSWER HIPPA violations
can be fined, FERPA violations can lose federal financial assistance
