SCHOOL NURSE CERTIFICATION FINAL PAPER 2025/2026
QUESTIONS AND SOLUTION RATED A+
✔✔Meningococcal - ✔✔11-12 years - Menactra
✔✔Live viruses - ✔✔MMR and Varicella (weakened/attenuated form of virus). Small risk
of causing weak case of disease
✔✔Killed/inactivated vaccines - ✔✔made from protein or other small piece taken from
virus
✔✔Vision Screening - ✔✔Chart with lines, numbers and symbols at eye level, arch of
foot on line, passing 20/40 for K, 20/30 for 1st and up. Screens for Visual acuity, color
discrimination and extraoccular movememnt
✔✔Refractive errors - ✔✔Most common vision problem in children
✔✔Greatest cause of death for children 5-9 years old - ✔✔1)accidents/unintentional
injury 2) cancer 3) congenital malformations 4) homocide
✔✔Greatest cause of death for children 10-14 years old - ✔✔1)accident 2) cancer 3)
suicide 4) homicide
✔✔Greatest cause of death for children 15-19 years old - ✔✔1) accident 2) homicide 3)
suicide 4) Cancer
✔✔hearing screening pass - ✔✔1000, 2000, 4000 (Hertz/pitch) pass at 20/25db
(loudness). Can be affected by cerumen impacted
✔✔Prevention (primary, secondary, tertiary) - ✔✔Primary - for everyone!
immunizations, info on health promotion, health fair. Secondary for those at risk to a
condition (vision screening, referring to dr). Tertiary - prevent additional disability,
maximize capabilities (devp IHP for seizures, transition back to school, staff training)
✔✔Insulin types - ✔✔Novolog - fast acting, to cover for meals. Lantus - long acting - all
day control
✔✔Calcium needs for kids - ✔✔4-8 yo 1000mg, 9-18 1300mg. also needs sunlight,
weigh bearing exercises, broccoli, cheese, yogurt. When fractures occur bone density
screening recommended
✔✔pneumothorax - ✔✔air in the pleural cavity caused by a puncture of the lung or
chest wall
, ✔✔S/s liver laceration - ✔✔Rt upper quad tenderness, guarding signs of blood loss,
shock
✔✔s/sx of bowl perforation - ✔✔abd pain, N&V
✔✔Treatment of abd injuries - ✔✔bend knees and hips, place pillow or blanket, treat for
shock
✔✔When do you need stitches - ✔✔when wound 1 inch, edges don't fall together
✔✔State Board of Nursing develops state Nurse Practice Act - ✔✔LAW. Denotes what
a nurse can and cannot do, intent to protect public
✔✔ANA (American Nurses Association) - ✔✔- 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
✔✔NBCSN - ✔✔provides cert exam voluntary
✔✔Primary Assessment - ✔✔ABCDE (Airway, breathing, circulation, disability and
exposure)
✔✔Secondary Assessment - ✔✔EFGHI: expose, farenheit (temp), get VS, H head
assessment I- inspect and isolate if infection or immune compromised
✔✔CIAMPEDS (mneumonic for pediatric triage) - ✔✔Chief complaint,
Immunizations/Isolation, Allergies, Medications/Medical history, Parent's impression of
the situation, Events surrounding, Diet/Diapers, Symptoms associated with illness/injury
✔✔Treatment of Shock - ✔✔lay supine with legs slightly elevated
✔✔CPR rescue breathing rate - ✔✔12-20 bpm for child, 10-12 for adult
✔✔Respiratory arrest - ✔✔under 8 yo - 1 min rescue breath then 911, over 8 call first
✔✔Heimlich - ✔✔heel of one hand in middle of abd slightly over navel with other hand
on top. Thrust up 5 times
✔✔Treatment of burns - ✔✔apply room temp water 2-5 min, remove clothes/jewelry, no
ointment
QUESTIONS AND SOLUTION RATED A+
✔✔Meningococcal - ✔✔11-12 years - Menactra
✔✔Live viruses - ✔✔MMR and Varicella (weakened/attenuated form of virus). Small risk
of causing weak case of disease
✔✔Killed/inactivated vaccines - ✔✔made from protein or other small piece taken from
virus
✔✔Vision Screening - ✔✔Chart with lines, numbers and symbols at eye level, arch of
foot on line, passing 20/40 for K, 20/30 for 1st and up. Screens for Visual acuity, color
discrimination and extraoccular movememnt
✔✔Refractive errors - ✔✔Most common vision problem in children
✔✔Greatest cause of death for children 5-9 years old - ✔✔1)accidents/unintentional
injury 2) cancer 3) congenital malformations 4) homocide
✔✔Greatest cause of death for children 10-14 years old - ✔✔1)accident 2) cancer 3)
suicide 4) homicide
✔✔Greatest cause of death for children 15-19 years old - ✔✔1) accident 2) homicide 3)
suicide 4) Cancer
✔✔hearing screening pass - ✔✔1000, 2000, 4000 (Hertz/pitch) pass at 20/25db
(loudness). Can be affected by cerumen impacted
✔✔Prevention (primary, secondary, tertiary) - ✔✔Primary - for everyone!
immunizations, info on health promotion, health fair. Secondary for those at risk to a
condition (vision screening, referring to dr). Tertiary - prevent additional disability,
maximize capabilities (devp IHP for seizures, transition back to school, staff training)
✔✔Insulin types - ✔✔Novolog - fast acting, to cover for meals. Lantus - long acting - all
day control
✔✔Calcium needs for kids - ✔✔4-8 yo 1000mg, 9-18 1300mg. also needs sunlight,
weigh bearing exercises, broccoli, cheese, yogurt. When fractures occur bone density
screening recommended
✔✔pneumothorax - ✔✔air in the pleural cavity caused by a puncture of the lung or
chest wall
, ✔✔S/s liver laceration - ✔✔Rt upper quad tenderness, guarding signs of blood loss,
shock
✔✔s/sx of bowl perforation - ✔✔abd pain, N&V
✔✔Treatment of abd injuries - ✔✔bend knees and hips, place pillow or blanket, treat for
shock
✔✔When do you need stitches - ✔✔when wound 1 inch, edges don't fall together
✔✔State Board of Nursing develops state Nurse Practice Act - ✔✔LAW. Denotes what
a nurse can and cannot do, intent to protect public
✔✔ANA (American Nurses Association) - ✔✔- 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
✔✔NBCSN - ✔✔provides cert exam voluntary
✔✔Primary Assessment - ✔✔ABCDE (Airway, breathing, circulation, disability and
exposure)
✔✔Secondary Assessment - ✔✔EFGHI: expose, farenheit (temp), get VS, H head
assessment I- inspect and isolate if infection or immune compromised
✔✔CIAMPEDS (mneumonic for pediatric triage) - ✔✔Chief complaint,
Immunizations/Isolation, Allergies, Medications/Medical history, Parent's impression of
the situation, Events surrounding, Diet/Diapers, Symptoms associated with illness/injury
✔✔Treatment of Shock - ✔✔lay supine with legs slightly elevated
✔✔CPR rescue breathing rate - ✔✔12-20 bpm for child, 10-12 for adult
✔✔Respiratory arrest - ✔✔under 8 yo - 1 min rescue breath then 911, over 8 call first
✔✔Heimlich - ✔✔heel of one hand in middle of abd slightly over navel with other hand
on top. Thrust up 5 times
✔✔Treatment of burns - ✔✔apply room temp water 2-5 min, remove clothes/jewelry, no
ointment
