SCHOOL NURSE CERTIFICATION EXAM 2026
PEDIATRIC AND ADOLESCENT HEALTH
ASSESSMENT STUDY GUIDE COMPLETE
QUESTIONS AND ANSWERS
◉ When is an adolescent with active TB no longer infections?
Answer: Beyond 2 weeks of medication therapy
◉ What happens if BP cuff too small Answer: Will give a high
reading. Opposite also true. Should have a bladder length 80% of the
arm circumference, length to width 2:1,
◉ How long can Hepatitis B Virus survive on surfaces? Answer: 1
week
◉ Signs of MDMA intoxication Answer: jaw clenching, teeth
grinding, N&V, muscle cramping, blurred vision, inc HR
◉ what does snorting drugs cause Answer: nose bleeds and nasal
lesions
◉ Osgood-Schlatter disease Answer: inflammation or irritation of
the tibia at its point of attachment with the patellar tendon. Can
,cause a painful, bony bump on shinbone below knee. Occurs in
children and adolescent experiencing growth spurt during puberty.
Swelling over ANTERIOR tibial tuberosity
◉ Contraindications of second pertussis dose Answer:
encephalopathy within 7 days of first dose or anaphylaxis
◉ Guanfacine (Intuniv, Tenex) Answer: non stimulant ADHD med
(antihypertensive) BP should be taken for student
◉ Kehr's sign Answer: Referred pain down the left shoulder;
indicative of a ruptured spleen.
◉ Wilms tumor Answer: malignant tumor of the kidney occurring in
childhood. One of the cancers more common to children prior to
school age
◉ Shoulder tenderness and inability to shrug shoulder against
resistance most likely due to which nerve affected Answer:
Accessory (spinal accessory) nerve
◉ tongue piercing Answer: Piercing any oral structure presents a
risk of local post procedural infection because of the presence of
pathogens in the oral cavity. Tongue piercing poses greatest risk to
damage to tooth structure.
, ◉ Who approves AED Answer: FDA
◉ A diabetic in PE class with HA, diaphoretic, confused, unable to
swallow Answer: admin glucagon
◉ bed bugs 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.
◉ peak flow meter Answer: if 80% or above best average no action
needed
◉ Goal during mass casualty event Answer: Greatest good for the
greatest number through triage. Level 1 immediate, correctable, life
threatening. Level 2 - serious but not life threatening. Level 3 - non
emergent, walking wounded, minimal care. Level 4 dead or mortally
wounded. For example would prioritized long bone fracture with
compromise over cardiac arrest
◉ Sect. 504 Rehabilitation Act of 1973 Answer: assures student has
equal right to participate in educational and extra curricular
activities as their non disabled peers
PEDIATRIC AND ADOLESCENT HEALTH
ASSESSMENT STUDY GUIDE COMPLETE
QUESTIONS AND ANSWERS
◉ When is an adolescent with active TB no longer infections?
Answer: Beyond 2 weeks of medication therapy
◉ What happens if BP cuff too small Answer: Will give a high
reading. Opposite also true. Should have a bladder length 80% of the
arm circumference, length to width 2:1,
◉ How long can Hepatitis B Virus survive on surfaces? Answer: 1
week
◉ Signs of MDMA intoxication Answer: jaw clenching, teeth
grinding, N&V, muscle cramping, blurred vision, inc HR
◉ what does snorting drugs cause Answer: nose bleeds and nasal
lesions
◉ Osgood-Schlatter disease Answer: inflammation or irritation of
the tibia at its point of attachment with the patellar tendon. Can
,cause a painful, bony bump on shinbone below knee. Occurs in
children and adolescent experiencing growth spurt during puberty.
Swelling over ANTERIOR tibial tuberosity
◉ Contraindications of second pertussis dose Answer:
encephalopathy within 7 days of first dose or anaphylaxis
◉ Guanfacine (Intuniv, Tenex) Answer: non stimulant ADHD med
(antihypertensive) BP should be taken for student
◉ Kehr's sign Answer: Referred pain down the left shoulder;
indicative of a ruptured spleen.
◉ Wilms tumor Answer: malignant tumor of the kidney occurring in
childhood. One of the cancers more common to children prior to
school age
◉ Shoulder tenderness and inability to shrug shoulder against
resistance most likely due to which nerve affected Answer:
Accessory (spinal accessory) nerve
◉ tongue piercing Answer: Piercing any oral structure presents a
risk of local post procedural infection because of the presence of
pathogens in the oral cavity. Tongue piercing poses greatest risk to
damage to tooth structure.
, ◉ Who approves AED Answer: FDA
◉ A diabetic in PE class with HA, diaphoretic, confused, unable to
swallow Answer: admin glucagon
◉ bed bugs 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.
◉ peak flow meter Answer: if 80% or above best average no action
needed
◉ Goal during mass casualty event Answer: Greatest good for the
greatest number through triage. Level 1 immediate, correctable, life
threatening. Level 2 - serious but not life threatening. Level 3 - non
emergent, walking wounded, minimal care. Level 4 dead or mortally
wounded. For example would prioritized long bone fracture with
compromise over cardiac arrest
◉ Sect. 504 Rehabilitation Act of 1973 Answer: assures student has
equal right to participate in educational and extra curricular
activities as their non disabled peers
