SCHOOL NURSE COMPREHENSIVE EXAM 2025/2026
QUESTIONS AND SOLUTION RATED A+
✔✔Section 504 - Rehabilitation Act of 1973 - ✔✔Broader definition. Under 504, a
person with disabilities is one who has a physical or mental impairment which
significantly limits one or more major life activity. These would include self care, walking,
seeing hearing, speaking, performing manual tasks, breathing, learning and working.
✔✔Individualized Education Plans - ✔✔Deals with special learning needs related to
disability as defined under IDEA
States how educators will address the child's specific barriers to promote learning
Individualized Health Care Plans
Asthma, diabetes, seizures, food allergies, etc.
504 Plans
More specifically related to health issues
Allows for time missed from school or class r/t illness/disability management
✔✔School Nurse Roles - ✔✔Caregiver
Health Educator
Case Manager
Consultant
Counselor
Role model
Community Outreach
Researcher
Supervisor
Program Manager
✔✔Primary prevention - ✔✔Education, immunization, health promotion
✔✔Secondary - ✔✔Health screenings, first aid, medication administration
✔✔Tertiary - ✔✔Care for chronic illnesses, referrals
✔✔Standards of
School Nursing Practice - ✔✔Developed by NASN and ANA 1988, updated last in 2012
Many similarities to Public Health Nursing Standards
Emphasize health promotion, prevention of illness and injury, ethical conduct, ongoing
education, advocacy, policy development, cultural competence and interdisciplinary
collaboration
Practice requires a high degree of autonomy
BSN minimum recommended educational level for entry into field
✔✔School Nursing Practice
Throughout the U.S - ✔✔Laws vary from state to state
, Interpretations of laws vary within each state
Various agencies involved in making laws and regulations that affect school nurse
practice
Regulations may be "recommendations" or "required"
✔✔Program Management Concepts Applied to School Nursing Practice - ✔✔A program
is an organized approach to meet the assessed needs of individuals, families, groups or
communities by reducing or eliminating one or more health problems.
Used by individual nurses at school level and school nurse supervisors at district level
The goal of program planning is to ensure that the services are acceptable, equitable,
efficient, and effective
✔✔Program Planning - ✔✔Assessment
Identify existing school-based and community resources
Obtain data regarding student and staff health needs
Identify key players
Principals, Teachers, School Board, Hospitals, Health Departments, Parents,
Concerned Citizens
Determine funding sources
Federal, state, local, grants
Review existing health policies and laws
State nurse practice act, standards of practice, state and federal laws, local regulations,
school board policies
✔✔Program Implementation - ✔✔Implement School Health Program
Establish School Health Team
Select Coordinator
Set Priorities
Hire and train school nurses and other support staff
Develop/implement School Health Policies
Develop strategies to address barriers as they arise
✔✔Program Evaluation - ✔✔Program evaluation includes determining whether a
service is needed and likely to be used (needs assessment), whether it was conducted
as planned, and whether the program goals and objectives were met
✔✔Formative - ✔✔evaluation for the purpose of assessing whether the objectives were
met or the planned activities were completed - monthly school nurse reports
✔✔Summative - ✔✔evaluation to assess program outcomes or a follow up of the results
of program activities - annual report to school board, state required reporting, grant
reports
✔✔Relevance - ✔✔Is there truly a need for this program?
QUESTIONS AND SOLUTION RATED A+
✔✔Section 504 - Rehabilitation Act of 1973 - ✔✔Broader definition. Under 504, a
person with disabilities is one who has a physical or mental impairment which
significantly limits one or more major life activity. These would include self care, walking,
seeing hearing, speaking, performing manual tasks, breathing, learning and working.
✔✔Individualized Education Plans - ✔✔Deals with special learning needs related to
disability as defined under IDEA
States how educators will address the child's specific barriers to promote learning
Individualized Health Care Plans
Asthma, diabetes, seizures, food allergies, etc.
504 Plans
More specifically related to health issues
Allows for time missed from school or class r/t illness/disability management
✔✔School Nurse Roles - ✔✔Caregiver
Health Educator
Case Manager
Consultant
Counselor
Role model
Community Outreach
Researcher
Supervisor
Program Manager
✔✔Primary prevention - ✔✔Education, immunization, health promotion
✔✔Secondary - ✔✔Health screenings, first aid, medication administration
✔✔Tertiary - ✔✔Care for chronic illnesses, referrals
✔✔Standards of
School Nursing Practice - ✔✔Developed by NASN and ANA 1988, updated last in 2012
Many similarities to Public Health Nursing Standards
Emphasize health promotion, prevention of illness and injury, ethical conduct, ongoing
education, advocacy, policy development, cultural competence and interdisciplinary
collaboration
Practice requires a high degree of autonomy
BSN minimum recommended educational level for entry into field
✔✔School Nursing Practice
Throughout the U.S - ✔✔Laws vary from state to state
, Interpretations of laws vary within each state
Various agencies involved in making laws and regulations that affect school nurse
practice
Regulations may be "recommendations" or "required"
✔✔Program Management Concepts Applied to School Nursing Practice - ✔✔A program
is an organized approach to meet the assessed needs of individuals, families, groups or
communities by reducing or eliminating one or more health problems.
Used by individual nurses at school level and school nurse supervisors at district level
The goal of program planning is to ensure that the services are acceptable, equitable,
efficient, and effective
✔✔Program Planning - ✔✔Assessment
Identify existing school-based and community resources
Obtain data regarding student and staff health needs
Identify key players
Principals, Teachers, School Board, Hospitals, Health Departments, Parents,
Concerned Citizens
Determine funding sources
Federal, state, local, grants
Review existing health policies and laws
State nurse practice act, standards of practice, state and federal laws, local regulations,
school board policies
✔✔Program Implementation - ✔✔Implement School Health Program
Establish School Health Team
Select Coordinator
Set Priorities
Hire and train school nurses and other support staff
Develop/implement School Health Policies
Develop strategies to address barriers as they arise
✔✔Program Evaluation - ✔✔Program evaluation includes determining whether a
service is needed and likely to be used (needs assessment), whether it was conducted
as planned, and whether the program goals and objectives were met
✔✔Formative - ✔✔evaluation for the purpose of assessing whether the objectives were
met or the planned activities were completed - monthly school nurse reports
✔✔Summative - ✔✔evaluation to assess program outcomes or a follow up of the results
of program activities - annual report to school board, state required reporting, grant
reports
✔✔Relevance - ✔✔Is there truly a need for this program?
