NBCSN - School Nurse Certification
Exam Questions and Answers 2025
How often is PPT review required?
Annually
What to do if suspected hearing loss?
Conduct audiometric screening
Cleaning product for Norovirus, C Diff
5-6% hypochlorite solution (chlorine bleach)
Amblyopia (lazy eye)
If corrected early, affected eye can have normal vision. Treatment
before kindergarten
Ethical and professional behavior is guided by responsibility
to who?
the student
chicken pox communicability
1-2 day before and 4-5 day after onset of rash
When is an adolescent considered obese?
BMI >95% for age
>120% IBW (Ideal Body Weight)
Are active Tuberculosis patients always symptomatic?
active TB may be asymptomatic and only diagnosed with chest x-
ray
Does a positive mantoux test indicate presence of disease?
Why or why not?
Anyone who has been exposed to TB may have positive Mantoux
test
Does BCG vaccine prevent TB?
No but may decrease incidence of sever disease
When is an adolescent with active TB no longer infections?
Beyond 2 weeks of medication therapy
What happens if BP cuff too small
,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?
1 week
Signs of MDMA intoxication
jaw clenching, teeth grinding, N&V, muscle cramping, blurred
vision, inc HR
what does snorting drugs cause
nose bleeds and nasal lesions
Osgood-Schlatter disease
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
encephalopathy within 7 days of first dose or anaphylaxis
Guanfacine (Intuniv, Tenex)
non stimulant ADHD med (antihypertensive) BP should be taken
for student
Kehr's sign
Referred pain down the left shoulder; indicative of a ruptured
spleen.
Wilms tumor
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
Accessory (spinal accessory) nerve
tongue piercing
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
FDA
, A diabetic in PE class with HA, diaphoretic, confused, unable
to swallow
admin glucagon
bed bugs
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
if 80% or above best average no action needed
Goal during mass casualty event
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
assures student has equal right to participate in educational and
extra curricular activities as their non disabled peers
IDEA
Federal law that mandates IEP>. Individuals with Disabilities
Education Act. Requires LEAST restrictive environment with in
class support to the max extent possible
Skin sign of meningitis
petechia
5ths Disease/ Erythema Infectiosum
-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
scarlet fever
Exam Questions and Answers 2025
How often is PPT review required?
Annually
What to do if suspected hearing loss?
Conduct audiometric screening
Cleaning product for Norovirus, C Diff
5-6% hypochlorite solution (chlorine bleach)
Amblyopia (lazy eye)
If corrected early, affected eye can have normal vision. Treatment
before kindergarten
Ethical and professional behavior is guided by responsibility
to who?
the student
chicken pox communicability
1-2 day before and 4-5 day after onset of rash
When is an adolescent considered obese?
BMI >95% for age
>120% IBW (Ideal Body Weight)
Are active Tuberculosis patients always symptomatic?
active TB may be asymptomatic and only diagnosed with chest x-
ray
Does a positive mantoux test indicate presence of disease?
Why or why not?
Anyone who has been exposed to TB may have positive Mantoux
test
Does BCG vaccine prevent TB?
No but may decrease incidence of sever disease
When is an adolescent with active TB no longer infections?
Beyond 2 weeks of medication therapy
What happens if BP cuff too small
,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?
1 week
Signs of MDMA intoxication
jaw clenching, teeth grinding, N&V, muscle cramping, blurred
vision, inc HR
what does snorting drugs cause
nose bleeds and nasal lesions
Osgood-Schlatter disease
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
encephalopathy within 7 days of first dose or anaphylaxis
Guanfacine (Intuniv, Tenex)
non stimulant ADHD med (antihypertensive) BP should be taken
for student
Kehr's sign
Referred pain down the left shoulder; indicative of a ruptured
spleen.
Wilms tumor
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
Accessory (spinal accessory) nerve
tongue piercing
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
FDA
, A diabetic in PE class with HA, diaphoretic, confused, unable
to swallow
admin glucagon
bed bugs
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
if 80% or above best average no action needed
Goal during mass casualty event
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
assures student has equal right to participate in educational and
extra curricular activities as their non disabled peers
IDEA
Federal law that mandates IEP>. Individuals with Disabilities
Education Act. Requires LEAST restrictive environment with in
class support to the max extent possible
Skin sign of meningitis
petechia
5ths Disease/ Erythema Infectiosum
-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
scarlet fever
