Certified School Nurse (CSN) Practice Exam Questions
And Correct Answers (Verified Answers) Plus
Rationales 2025/2026 Q&A | Instant Download Pdf
1. A school nurse evaluates a 7-year-old with a persistent cough and mild
wheezing during recess. What is the nurse’s priority action?
A. Ask the teacher about classroom behavior
B. Provide an albuterol treatment per standing orders
C. Send the student home
D. Perform a vision screening
Answer: B
Wheezing with cough during exertion suggests an asthma exacerbation; quick-
relief medication is indicated.
2. A student with Type 1 diabetes has a blood glucose of 58 mg/dL. What
should the school nurse do first?
A. Contact the parents
B. Administer 15 g of fast-acting carbohydrate
C. Call EMS
D. Allow the student to rest
Answer: B
Hypoglycemia requires immediate treatment with fast-acting carbs.
3. Which law ensures students with disabilities have equal access to
education?
A. FERPA
B. OSHA
C. Section 504 of the Rehabilitation Act
D. HIPAA
Answer: C
Section 504 guarantees accommodations for students with disabilities.
,4. The school nurse must maintain student health records. Which law
primarily governs confidentiality of educational records?
A. HIPAA
B. FERPA
C. EMTALA
D. IDEA
Answer: B
FERPA controls privacy of education-related records, including health
information in schools.
5. During a school emergency drill, the nurse’s primary role is:
A. Provide emotional support
B. Take command of the entire school
C. Manage medical supplies and triage
D. Call families
Answer: C
The nurse participates in emergency preparedness by coordinating medical
triage and supplies.
6. A 10-year-old with asthma wants to self-carry an inhaler. What must be
ensured first?
A. Parent approval only
B. Teacher comfort level
C. Written authorization and demonstration of competency
D. Student maturity only
Answer: C
Policies require written authorization and proof the student can administer
safely.
7. A student reports bullying. What is the nurse’s first action?
, A. Call the parents immediately
B. Document and follow school policy for reporting
C. Ignore unless injuries are present
D. Instruct student to avoid the bully
Answer: B
The nurse must follow mandated procedures and document concerns.
8. What is the most effective method for preventing communicable disease
transmission in schools?
A. Disinfecting desks
B. Hand hygiene education
C. Restricting outdoor play
D. Isolating symptomatic students indefinitely
Answer: B
Hand hygiene is the most evidence-based prevention measure.
9. A student arrives with a head injury after falling from playground
equipment. The nurse should first:
A. Ask what happened
B. Assess level of consciousness
C. Apply ice
D. Notify administrators
Answer: B
LOC assessment detects potentially serious head trauma.
10. A child with epilepsy has a seizure lasting 4 minutes. What is the correct
action?
A. Insert an oral airway
B. Start CPR
C. Maintain safety and observe
D. Apply restraints
And Correct Answers (Verified Answers) Plus
Rationales 2025/2026 Q&A | Instant Download Pdf
1. A school nurse evaluates a 7-year-old with a persistent cough and mild
wheezing during recess. What is the nurse’s priority action?
A. Ask the teacher about classroom behavior
B. Provide an albuterol treatment per standing orders
C. Send the student home
D. Perform a vision screening
Answer: B
Wheezing with cough during exertion suggests an asthma exacerbation; quick-
relief medication is indicated.
2. A student with Type 1 diabetes has a blood glucose of 58 mg/dL. What
should the school nurse do first?
A. Contact the parents
B. Administer 15 g of fast-acting carbohydrate
C. Call EMS
D. Allow the student to rest
Answer: B
Hypoglycemia requires immediate treatment with fast-acting carbs.
3. Which law ensures students with disabilities have equal access to
education?
A. FERPA
B. OSHA
C. Section 504 of the Rehabilitation Act
D. HIPAA
Answer: C
Section 504 guarantees accommodations for students with disabilities.
,4. The school nurse must maintain student health records. Which law
primarily governs confidentiality of educational records?
A. HIPAA
B. FERPA
C. EMTALA
D. IDEA
Answer: B
FERPA controls privacy of education-related records, including health
information in schools.
5. During a school emergency drill, the nurse’s primary role is:
A. Provide emotional support
B. Take command of the entire school
C. Manage medical supplies and triage
D. Call families
Answer: C
The nurse participates in emergency preparedness by coordinating medical
triage and supplies.
6. A 10-year-old with asthma wants to self-carry an inhaler. What must be
ensured first?
A. Parent approval only
B. Teacher comfort level
C. Written authorization and demonstration of competency
D. Student maturity only
Answer: C
Policies require written authorization and proof the student can administer
safely.
7. A student reports bullying. What is the nurse’s first action?
, A. Call the parents immediately
B. Document and follow school policy for reporting
C. Ignore unless injuries are present
D. Instruct student to avoid the bully
Answer: B
The nurse must follow mandated procedures and document concerns.
8. What is the most effective method for preventing communicable disease
transmission in schools?
A. Disinfecting desks
B. Hand hygiene education
C. Restricting outdoor play
D. Isolating symptomatic students indefinitely
Answer: B
Hand hygiene is the most evidence-based prevention measure.
9. A student arrives with a head injury after falling from playground
equipment. The nurse should first:
A. Ask what happened
B. Assess level of consciousness
C. Apply ice
D. Notify administrators
Answer: B
LOC assessment detects potentially serious head trauma.
10. A child with epilepsy has a seizure lasting 4 minutes. What is the correct
action?
A. Insert an oral airway
B. Start CPR
C. Maintain safety and observe
D. Apply restraints
