National School Nurse Certification Exam Questions With
Correct Answers | Latest Update 2026 | Graded A+
1. If a school nurse identifies a student with sensorineural hearing loss, what
would be the most appropriate initial action to take?
Advise the student to avoid noisy environments.
Refer the student for a comprehensive audiological evaluation.
Provide the student with hearing aids immediately.
Conduct a hearing test using a tuning fork.
2. If a child experiences significant mistrust during the trust vs mistrust stage,
how might this affect their interactions with caregivers later in life?
They will have no impact on their future relationships.
They will likely become overly independent and self-reliant.
They may struggle to form healthy relationships and exhibit anxiety
in social situations.
They will develop a strong sense of identity and purpose.
3. What is the threshold for a positive lead level in children?
10 micrograms per deciliter (µg/dL)
5 micrograms per deciliter (µg/dL)
15 micrograms per deciliter (µg/dL)
20 micrograms per deciliter (µg/dL)
4. Describe the primary purpose of Lantus insulin in diabetes management.
Lantus insulin is used to treat high blood pressure in diabetic patients.
, Lantus insulin is used for immediate blood sugar spikes after meals.
Lantus insulin is primarily used for weight loss in diabetic patients.
Lantus insulin is used to provide a steady level of insulin to help
control blood sugar levels throughout the day and night.
5. What is the proper method for documenting TB testing results?
Results should be shared verbally with the patient only.
Results should be kept confidential and not documented.
Results should be recorded in a separate TB registry.
Results should be documented in the patient's health record.
6. What type of stool is commonly seen in celiac disease?
normal
steatorrhea (fatty floating stools)
melena
thin, pencil stools
7. A patient with type 1 diabetes is prescribed Lantus insulin. How should this
medication be integrated into their daily routine?
Lantus should be taken before every meal to manage blood sugar
spikes.
Lantus should be administered once daily at the same time each day
to maintain consistent blood sugar control.
Lantus should be injected twice a day for optimal results.
Lantus should be taken only when blood sugar levels are high.
,8. What should you do if a patient begins to vomit during a feeding through an
NGT?
Continue the feeding to ensure the patient gets the necessary
nutrition
Administer antiemetic medication immediately
Increase the rate of infusion to complete the feeding quickly
Stop the feeding and position the patient in side-lying to prevent
aspiration
9. A specialized practice of professional nursing that advances the well-being,
academic success, and lifelong achievement of students. To that end, school
nurses facilitate positive student responses to normal development; promote
health and safety; intervene with actual and potential health problems;
provide case management services; and actively collaborate with others to
build student and family capacity for adaptation, self-management, self-
advocacy, and learning.
School health Nursing
Occupational Health Nursing
Community Mental Nurse
10. A school nurse observes a student with a noticeable curvature of the spine
during a health assessment. What should be the nurse's immediate course of
action regarding this potential case of structural scoliosis?
Refer the student for further evaluation by a healthcare provider.
Advise the student to perform specific exercises to correct the
curvature.
Monitor the student for changes over the next year.
Inform the student's parents that scoliosis is not a concern.
, 11. Sensorineural Hearing Loss is a condition involving:
problems with the conduction of the auditory nerve or brainstem
problems associating hearing with source of sounds
damage or obstruction to the external ear canal
damage to the tympanic membrane or auditory ossicles
12. What are Cafe au lait spots?
Pigmented skin lesions
Seborrheic keratosis
Eczematous patches
Vascular birthmarks
13. If a school nurse suspects a student has Slipped Capital Femoral Epiphysis,
what should be the immediate course of action?
Encourage the student to continue physical activities.
Refer the student for a medical evaluation.
Administer pain relief medication.
Monitor the student for further symptoms without action.
14. If a school nurse finds swollen lymph nodes during an assessment, what
should be the next step in their care plan?
Administer over-the-counter pain relief.
Refer the student for further medical evaluation.
Schedule a follow-up assessment in one month.
Ignore the finding if there are no other symptoms.
Correct Answers | Latest Update 2026 | Graded A+
1. If a school nurse identifies a student with sensorineural hearing loss, what
would be the most appropriate initial action to take?
Advise the student to avoid noisy environments.
Refer the student for a comprehensive audiological evaluation.
Provide the student with hearing aids immediately.
Conduct a hearing test using a tuning fork.
2. If a child experiences significant mistrust during the trust vs mistrust stage,
how might this affect their interactions with caregivers later in life?
They will have no impact on their future relationships.
They will likely become overly independent and self-reliant.
They may struggle to form healthy relationships and exhibit anxiety
in social situations.
They will develop a strong sense of identity and purpose.
3. What is the threshold for a positive lead level in children?
10 micrograms per deciliter (µg/dL)
5 micrograms per deciliter (µg/dL)
15 micrograms per deciliter (µg/dL)
20 micrograms per deciliter (µg/dL)
4. Describe the primary purpose of Lantus insulin in diabetes management.
Lantus insulin is used to treat high blood pressure in diabetic patients.
, Lantus insulin is used for immediate blood sugar spikes after meals.
Lantus insulin is primarily used for weight loss in diabetic patients.
Lantus insulin is used to provide a steady level of insulin to help
control blood sugar levels throughout the day and night.
5. What is the proper method for documenting TB testing results?
Results should be shared verbally with the patient only.
Results should be kept confidential and not documented.
Results should be recorded in a separate TB registry.
Results should be documented in the patient's health record.
6. What type of stool is commonly seen in celiac disease?
normal
steatorrhea (fatty floating stools)
melena
thin, pencil stools
7. A patient with type 1 diabetes is prescribed Lantus insulin. How should this
medication be integrated into their daily routine?
Lantus should be taken before every meal to manage blood sugar
spikes.
Lantus should be administered once daily at the same time each day
to maintain consistent blood sugar control.
Lantus should be injected twice a day for optimal results.
Lantus should be taken only when blood sugar levels are high.
,8. What should you do if a patient begins to vomit during a feeding through an
NGT?
Continue the feeding to ensure the patient gets the necessary
nutrition
Administer antiemetic medication immediately
Increase the rate of infusion to complete the feeding quickly
Stop the feeding and position the patient in side-lying to prevent
aspiration
9. A specialized practice of professional nursing that advances the well-being,
academic success, and lifelong achievement of students. To that end, school
nurses facilitate positive student responses to normal development; promote
health and safety; intervene with actual and potential health problems;
provide case management services; and actively collaborate with others to
build student and family capacity for adaptation, self-management, self-
advocacy, and learning.
School health Nursing
Occupational Health Nursing
Community Mental Nurse
10. A school nurse observes a student with a noticeable curvature of the spine
during a health assessment. What should be the nurse's immediate course of
action regarding this potential case of structural scoliosis?
Refer the student for further evaluation by a healthcare provider.
Advise the student to perform specific exercises to correct the
curvature.
Monitor the student for changes over the next year.
Inform the student's parents that scoliosis is not a concern.
, 11. Sensorineural Hearing Loss is a condition involving:
problems with the conduction of the auditory nerve or brainstem
problems associating hearing with source of sounds
damage or obstruction to the external ear canal
damage to the tympanic membrane or auditory ossicles
12. What are Cafe au lait spots?
Pigmented skin lesions
Seborrheic keratosis
Eczematous patches
Vascular birthmarks
13. If a school nurse suspects a student has Slipped Capital Femoral Epiphysis,
what should be the immediate course of action?
Encourage the student to continue physical activities.
Refer the student for a medical evaluation.
Administer pain relief medication.
Monitor the student for further symptoms without action.
14. If a school nurse finds swollen lymph nodes during an assessment, what
should be the next step in their care plan?
Administer over-the-counter pain relief.
Refer the student for further medical evaluation.
Schedule a follow-up assessment in one month.
Ignore the finding if there are no other symptoms.
