Download NBCSN - SCHOOL NURSE CERTIFICATION EXAM 2025 WITH VERIFIED ANSWERS [UNIVERSITY OF MASSACHU and more Exams Nursing in PDF only on Docsity!
EXAM 2025 WITH VERIFIED ANSWERS
[UNIVERSITY OF MASSACHUSETTS
LOWELL ]
Who administers the National School Lunch Programs
- correct answers USDA (US dept of agriculture) What does the scope of school nursing practice describe? - correct answers The who, what, where when and how of school nursing practice What are the standards of school nursing? - correct answers The authoritative statements of the duties school nurses are expected to perform competently What legal document describes school nurse delegation? - correct answers State Nurse Practice Act Impetigo - correct answers Begins as a single lesion which spreads to secondary lesions that crust or scale. Staph bacteria skin infection. Honey colored crust Pinworm - correct answers A student who is tired, can't sit still, itching bottom
EXAM 2025 WITH VERIFIED ANSWERS
[UNIVERSITY OF MASSACHUSETTS
LOWELL ]
Describe the primary objective of the school nurse
- correct answers to protect and promote student health, facilitate optimal development and advance academic success. Goal is to strengthen the educational process through improvement of the health status and learning of students Sickle cell anemia - correct answers may cause painful events in hands feel and or long bones. Treatment oxygen and fluids. Monitor for fever, cough, rapid heartbeat that accompany an acute chest syndrome Adolescents are commonly deficient in which vitamins - correct answers Calcium, Iron, Vit D Connors Rating Scale - correct answers ADHD short form Similar to the Vanderbilt Assessment Scales. Practitioner must purchase rights Tanner staging - correct answers staging of sexual maturity Denver Developmental Screening Test (DDST)
EXAM 2025 WITH VERIFIED ANSWERS
[UNIVERSITY OF MASSACHUSETTS
LOWELL ]
Ethical and professional behavior is guided by responsibility to who?
- correct answers the student chicken pox communicability - correct answers 1 - 2 day before and 4-5 day after onset of rash When is an adolescent considered obese? - correct answers BMI >95% for age
120% IBW (Ideal Body Weight) Are active Tuberculosis patients always symptomatic? - correct answers 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? - correct answers Anyone who has been exposed to TB may have positive Mantoux test
EXAM 2025 WITH VERIFIED ANSWERS
[UNIVERSITY OF MASSACHUSETTS
LOWELL ]
Does BCG vaccine prevent TB?
- correct answers No but may decrease incidence of sever disease When is an adolescent with active TB no longer infections? - correct answers Beyond 2 weeks of medication therapy What happens if BP cuff too small - correct answers 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? - correct answers 1 week Signs of MDMA intoxication - correct answers jaw clenching, teeth grinding, N&V, muscle cramping, blurred vision, inc HR what does snorting drugs cause
EXAM 2025 WITH VERIFIED ANSWERS
[UNIVERSITY OF MASSACHUSETTS
LOWELL ]
Shoulder tenderness and inability to shrug shoulder against resistance most likely due to which nerve affected
- correct answers Accessory (spinal accessory) nerve tongue piercing - correct answers 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 - correct answers FDA A diabetic in PE class with HA, diaphoretic, confused, unable to swallow - correct answers admin glucagon bed bugs - correct answers 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.
EXAM 2025 WITH VERIFIED ANSWERS
[UNIVERSITY OF MASSACHUSETTS
LOWELL ]
peak flow meter
- correct answers if 80% or above best average no action needed Goal during mass casualty event - correct answers 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 - correct answers assures student has equal right to participate in educational and extra curricular activities as their non disabled peers IDEA - correct answers 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 - correct answers petechia
EXAM 2025 WITH VERIFIED ANSWERS
[UNIVERSITY OF MASSACHUSETTS
LOWELL ]
- Proximodistally - correct answers Development occurs cephalocaudally (head to toe) and proximodistally (trunk to extremities) Preschool children can jump off step - correct answers 12 inches high when can kids sit in the front seat? - correct answers 13 Booster Seat until - correct answers 8 years old, 80 pounds Precocious Puberty Girls - correct answers for caucasian girls before 7, african american before 6yo. May be caused by pituitary tumor Precocious Puberty Boys - correct answers Development of secondary sexual characteristics before the age of
- May be caused by pituitary tumor Delayed puberty may be caused by
EXAM 2025 WITH VERIFIED ANSWERS
[UNIVERSITY OF MASSACHUSETTS
LOWELL ]
- correct answers lack of gonadotropins (pituitary gland) Shortest time period you can give HBV vaccines - correct answers 6 months Paiget - correct answers cognitive development Ericson - correct answers psychosocial Kohlberg - correct answers Moral development (preconventional - concern of self, conventional
- rules to be good person, postconventional - rules for the good of all of us) Erikson Psychosocial Stages - correct answers 1 - 3Autonomy vs. Shame and Doubt, 3-6Initiative vs. Guilt, 6- 11 Industry vs. Interiority, 12-17 Identify vs. Role Confusion Piaget's stages of cognitive development
EXAM 2025 WITH VERIFIED ANSWERS
[UNIVERSITY OF MASSACHUSETTS
LOWELL ]
Normal HR
- correct answers Up to 8 75- 115 8 - 11 70- 110 teens 60- 100 Book says 6-10 yo 65-125. Just remember higher for younger child Respiratory Rate - correct answers 3 - 7yo 20- 25 8 - 11 yo. 14- 22 over 12 12- 20 Or remember average 15- 20 Which arm for BP - correct answers 1. Dominant first
- other arm
- Use highest BP arm next time
EXAM 2025 WITH VERIFIED ANSWERS
[UNIVERSITY OF MASSACHUSETTS
LOWELL ]
Blood Pressure - correct answers 3yo 90/ 7yo 97/ 11 104/ teens 113/ Retake BP how often if abnormal with HA, flushing, weak pulse, bounding pulse, pallor, dizziness - correct answers 5 min Bell of stethoscope is used for
- correct answers soft, low-pitched sounds McKinney-Vento Act - correct answers the nation's first law to provide assistance to homeless persons, including free public education for children. School stability (can remain in school for duration of academic year), transportation is required. Homeless = children, youth who lack a fixed regular and adequate nighttime residence including sharing a residence, motel or campgrounds Freud's stages of development - correct answers oral stage, anal stage, phallic stage, latency stage, genital stage
EXAM 2025 WITH VERIFIED ANSWERS
[UNIVERSITY OF MASSACHUSETTS
LOWELL ]
Meningococcal - correct answers 11 - 12 years - Menactra Live viruses - correct answers MMR and Varicella (weakened/attenuated form of virus). Small risk of causing weak case of disease Killed/inactivated vaccines - correct answers made from protein or other small piece taken from virus Vision Screening - correct answers Chart with lines, numbers and symbols at eye level, arch of foot on line, passing 20/40 for K, 20/30 for 1st and up. Screens for Visual acuity, color discrimination and extraoccular movememnt Refractive errors - correct answers Most common vision problem in children Greatest cause of death for children 5-9 years old - correct answers 1)accidents/unintentional injury 2) cancer 3) congenital malformations 4) homocide Greatest cause of death for children 10-14 years old - correct answers 1)accident 2) cancer 3) suicide 4) homicide
EXAM 2025 WITH VERIFIED ANSWERS
[UNIVERSITY OF MASSACHUSETTS
LOWELL ]
Greatest cause of death for children 15-19 years old - correct answers 1) accident 2) homicide 3) suicide 4) Cancer hearing screening pass - correct answers 1000, 2000, 4000 (Hertz/pitch) pass at 20/25db (loudness). Can be affected by cerumen impacted Prevention (primary, secondary, tertiary) - correct answers Primary - for everyone! immunizations, info on health promotion, health fair. Secondary for those at risk to a condition (vision screening, referring to dr). Tertiary - prevent additional disability, maximize capabilities (devp IHP for seizures, transition back to school, staff training) Insulin types - correct answers Novolog - fast acting, to cover for meals. Lantus - long acting - all day control Calcium needs for kids - correct answers 4 - 8 yo 1000mg, 9-18 1300mg. also needs sunlight, weigh bearing exercises, broccoli, cheese, yogurt. When fractures occur bone density screening recommended pneumothorax - correct answers air in the pleural cavity caused by a puncture of the lung or chest wall
EXAM 2025 WITH VERIFIED ANSWERS
[UNIVERSITY OF MASSACHUSETTS
LOWELL ]
NBCSN - correct answers provides cert exam voluntary Primary Assessment - correct answers ABCDE (Airway, breathing, circulation, disability and exposure) Secondary Assessment - correct answers EFGHI: expose, farenheit (temp), get VS, H head assessment I- inspect and isolate if infection or immune compromised CIAMPEDS (mneumonic for pediatric triage) - correct answers Chief complaint, Immunizations/Isolation, Allergies, Medications/Medical history, Parent's impression of the situation, Events surrounding, Diet/Diapers, Symptoms associated with illness/injury Treatment of Shock - correct answers lay supine with legs slightly elevated CPR rescue breathing rate - correct answers 12 - 20 bpm for child, 10-12 for adult Respiratory arrest - correct answers under 8 yo - 1 min rescue breath then 911, over 8 call first
EXAM 2025 WITH VERIFIED ANSWERS
[UNIVERSITY OF MASSACHUSETTS
LOWELL ]
Heimlich - correct answers heel of one hand in middle of abd slightly over navel with other hand on top. Thrust up 5 times Treatment of burns - correct answers apply room temp water 2-5 min, remove clothes/jewelry, no ointment Hemorage - correct answers rapid weak pulse, cool moist skin, pale, bluish, excessive thirst, low BP, restless, unconscious How often to assess head injury/spinal cord injury - correct answers every 5 min What do you do with body parts torn from body - correct answers wrap in clean damp cloth and place in sealed plastic bath with cold water (not ice) transport with child How much does fever increase respiratory rate or heart rate - correct answers increase 10 pulse beats and 4 breaths per min for every degree of fever Sign of CHF in child - correct answers inc in RR, resp congestion, dry cough, SOB, crackels, diaphoresis
