The Role of the School Nurse Case
Study 2024 update
Question 1
Sarah assists a child with newly diagnosed asthma using
her albuterol metered-dose inhaler (MDI) with a spacer. The
child has audible wheezes prior to use. Which instruction
should the nurse provide Sarah?
A) Hold the inhaler upside down before using it.
B) Shake the aerosol MDI three to four times prior to
administration.
C) Inhale deeply before pressing the inhaler.
D) Use the inhaler without a spacer for better results.
Correct Answer: B) Shake the aerosol MDI three to four times
prior to administration.
Question 2
Which act enhances the ability of children previously served
in acute and long-term care to have access to public
education?
A) The website for the Centers for Disease Control (CDC).
B) Individuals with Disabilities Education Act (IDEA).
C) A decline in or poor academic skills.
D) Notify child protective services (CPS).
Correct Answer: B) Individuals with Disabilities Education Act
(IDEA).
Question 3
Which intervention should the nurse implement for a child
taking methylphenidate (Ritalin)? A) Take the child's
temperature.
B) Ensure the drug is taken after meals.
, C) Periodically assess height and weight.
D) Give in conjunction with MAO inhibitors.
Correct Answer: C) Periodically assess height and weight.
Question 4
Which method for medication administration by the nurse is
safest?
A) Mix all medications together in one container for efficiency.
B) Keep each student's medication in the original bottle until the
student arrives, then verify the five rights prior to administration.
C) Administer medications as soon as they are prepared, regardless
of student arrival.
D) Prepare all medications in advance and label them with student
names.
Correct Answer: B) Keep each student's medication in the original
bottle until the student arrives, then verify the five rights prior to
administration.
Question 5
Katie's step-father shows up at the school agitated and
demands to know Katie's whereabouts. Which action should
the RN and office personnel take?
A) Confront the step-father and ask him to leave the office.
B) Inform the step-father that Katie is in class and cannot be
disturbed.
C) Place an emergency call to the police department from another
room.
D) Call Katie's mother to discuss the situation.
Correct Answer: C) Place an emergency call to the police
department from another room.
Question 6
Which criteria led the nurse to suspect the child needed to
be evaluated for ADHD? (Select all that apply.)
Study 2024 update
Question 1
Sarah assists a child with newly diagnosed asthma using
her albuterol metered-dose inhaler (MDI) with a spacer. The
child has audible wheezes prior to use. Which instruction
should the nurse provide Sarah?
A) Hold the inhaler upside down before using it.
B) Shake the aerosol MDI three to four times prior to
administration.
C) Inhale deeply before pressing the inhaler.
D) Use the inhaler without a spacer for better results.
Correct Answer: B) Shake the aerosol MDI three to four times
prior to administration.
Question 2
Which act enhances the ability of children previously served
in acute and long-term care to have access to public
education?
A) The website for the Centers for Disease Control (CDC).
B) Individuals with Disabilities Education Act (IDEA).
C) A decline in or poor academic skills.
D) Notify child protective services (CPS).
Correct Answer: B) Individuals with Disabilities Education Act
(IDEA).
Question 3
Which intervention should the nurse implement for a child
taking methylphenidate (Ritalin)? A) Take the child's
temperature.
B) Ensure the drug is taken after meals.
, C) Periodically assess height and weight.
D) Give in conjunction with MAO inhibitors.
Correct Answer: C) Periodically assess height and weight.
Question 4
Which method for medication administration by the nurse is
safest?
A) Mix all medications together in one container for efficiency.
B) Keep each student's medication in the original bottle until the
student arrives, then verify the five rights prior to administration.
C) Administer medications as soon as they are prepared, regardless
of student arrival.
D) Prepare all medications in advance and label them with student
names.
Correct Answer: B) Keep each student's medication in the original
bottle until the student arrives, then verify the five rights prior to
administration.
Question 5
Katie's step-father shows up at the school agitated and
demands to know Katie's whereabouts. Which action should
the RN and office personnel take?
A) Confront the step-father and ask him to leave the office.
B) Inform the step-father that Katie is in class and cannot be
disturbed.
C) Place an emergency call to the police department from another
room.
D) Call Katie's mother to discuss the situation.
Correct Answer: C) Place an emergency call to the police
department from another room.
Question 6
Which criteria led the nurse to suspect the child needed to
be evaluated for ADHD? (Select all that apply.)
