Download SCHOOL NURSE CERTIFICATION EXAM 2 NBCSN - 2025 and more Exams Nursing in PDF only on Docsity!
NBCSN - 2025
What is the first sign of puberty in females? - correct answers Breast development approx age 10 (7-13), about 3 years to develop When does Menses begin? - correct answers ages 8 - 16 first is irregular and w/o ovulation What is FSH? What does it do in females? - correct answers FSH - follicle stimulating hormone Females - stimulates ovarian development and estrogen production. What is FSH? What does it do in males? - correct answers FSH - follicle stimulating hormone males - develops tubes in testes --> spermatogenesis & fertility What age does penis reach adult size? - correct answers 17 What age does sperm emission start? - correct answers age 13 What is the first sign of puberty in males, and around what age? - correct answers Testicular enlargement - around age 11- 15 What is LH? - correct answers Luteninizing hormone (LH)
NBCSN - 2025
What does LH do? - correct answers stimulates testosterone release from leydig cells (testicular enlargement) Does sperm emission happen before or after pubic hair development and growth spurt
- correct answers Before Role of Pituitary gland in puberty - correct answers Releases Luteninizing hormone (LH) and follicle stimulating hormone (FSH) Role of Hypothalamus in puberty - correct answers produces gonadotropin-releasing hormone. starts the process. this tells the Pituitary gland to start Define Puberty - correct answers the physical changes to the body due to hormone activity as per the Tanner Scale What is the Tanner Scale - correct answers The hormone activity which produces secondary sex characteristics. 13 - 19 Developmental Tasks
- Physical (2 major answers) - correct answers - Rapid period of growth, completes physical growth
- May appear clumsy while adjusting Young males and breast growth - correct answers Some kids may have growth and tenderness. Will resolve as testosterone level increase. ASSURE child this is normal
NBCSN - 2025
- test their independence
- peers are important Psychosocial growth ages 14-17 (middle adolescence) - correct answers explores and identifies personal values and defines self
- influenced by peers and their values, fads
- need to conform
- interest in sex increases, attraction
- may initiate sexual relationships
- family tensions may increase Psychosocial growth ages 18-19 (late adolescence) - correct answers independence from parents developing a plan for the future participating in society gender identity - correct answers the gender with which you identify and feel most comfortable regardless of biologic gender sexual orientation - correct answers the gender(s) that a person is attracted to emotionally, physically, sexually, and romantically Cis-gender - correct answers Individuals whose gender identity corresponds to their biological sex Transgender - correct answers umbrella term for all gender-variant people who by nature do not conform to gender-based expectations Bisexual - correct answers a person who is sexually attracted to both sexes Cognitive development for adolescence - correct answers abstract thinking
NBCSN - 2025
ability to analyze and synthesize use logic Begins awareness of the long-term consequences of their actions. Nutritional intake influences adult health status how? - correct answers Calcium - needed for bone health High cholesterol can compromise cardiovascular health Diet habits of teens - correct answers skipping meals (esp bkst) increased snacking fast food
- a social event, influenced by peers May become weight-conscious and develop unhealthy dieting habits Dental concerns for teens - correct answers good oral hygiene bi-annual dentist appts final molars (wisdom teeth) may finally erupt Most common childhood chronic disease - correct answers Dental Caries Health promotion for teens - correct answers internet safety (sexting, cyberbullying) attention to body hygiene, self-care pregnancy STI
NBCSN - 2025
early sexual activity teen pregnancy poor academic outcome Pair of ACEs - correct answers Adverse Childhood Experiences + Adverse Community Environments Biologic family - correct answers born into Source Family - correct answers legally and pragmatically functions as the biologic family Non-compliant parent - correct answers - seek and understanding of the issues and rationales for their decision
- assist family to overcome barriers Angry parent - correct answers - let them vent, then refocus convo into an action
- do not reciprocate with anger
- assure your own safety
- respect their feelings
- give a copy of the policy or the name of person responsible for the policy Definition of family - correct answers two or more people who consider themselves related by blood, marriage, or adoption and residing together. May also include those who "act" as parents or guardians Family Systems Theory - correct answers view the family as a whole system that continually acts with its members and the environment How does the family system theory affect each member? - correct answers a change for one results in a change for another
NBCSN - 2025
Family dysfunction - correct answers a result of interaction among members and is not caused by any one person % of children raised by grandparents - correct answers 4% % of children raised by 2 parents - correct answers 66% (2/3) % children living in one parent homes - correct answers 23% What type of rules govern foster care? - correct answers Guardianship/kinship care What type of rules govern rights of children and families? - correct answers State Laws What type of rules supersede state laws? - correct answers Tribal or federal laws Define homelessness - correct answers living temporarily without a permanent address (includes living with friends or family) Homeless children are higher risk of: - correct answers behavioral/emotional problems child abuse & neglect communicable diseases chronic absenteeism lower academics lower graduation rates McKinney-Vento Homeless Assistance Act - correct answers The primary piece of federal legislation dealing with the education of homeless children in public schools. What does M/V Act assure? - correct answers FAPE (Free and appropriate education) How does a child indirectly see domestic violence in their home? - correct answers Observe bruises, broken furniture, etc.
NBCSN - 2025
cultural competence - correct answers having an awareness and acceptance of cultures and the ability to interact effectively with people of diverse cultures cultural congruence - correct answers applying nursing practice that is in agreement with the client's preferred cultural values cultural humility - correct answers communal reflection to analyze the root cause of suffering and create a more inclusive world view. goal of cultural humility - correct answers to address health disparities and inequities in medicine What assumption cannot be made about a family and their culture? - correct answers That they follow all of the prescribed practices of that culture. ASK define school nursing - correct answers a specialized practice of nursing, protects and promotes student health, facilitates optimal development, and advances academic success. Role of school nurse - correct answers Bridges health care and education delivers care provides health education help keep children healthy, safe, and ready to learn What does a wellness program include? - correct answers health promotion and disease prevention Difference between School Nursing and public health - correct answers School nursing - student focused PH = focuses on the group and not the individual Principles of Public Health - correct answers 1. focus on the aggregate
- promote prevention
NBCSN - 2025
(mass screening & herd immunity)
- encourage community organization
- ethical theory of the greater good
- leadership in health
- use of epidemiologic knowledge and methods (surveillance) Primary disease prevention - correct answers Prevent disease occurrence (e.g., HPV vaccination)
- Promoting health
- bike safety, seat belts, sun safety Secondary disease prevention - correct answers Screening early for disease
- (ex: COVID screening, hearing, vision, dental)
- resolve health problems and prevent consequences Acanthosis nigricans - correct answers thickening and darkening of skin near axillary region, A/w Diabetes Type II and gastric carcinoma What type of disease prevention is Disability Limitation? - correct answers Secondary
- aim to interrupt the progression to decrease the amount of morbidity or complications
- ex: Asthma - identifying triggers Tertiary disease prevention - correct answers Treatment to reduce disability from disease
- adaptions in the school to promote inclusion
NBCSN - 2025
cognitive skills and attitudes 10 Components of WSCC Model - correct answers Health Education PE and Activity Nutrition services Health services Counseling Social & Emotional Climate Physical Environment Employee Wellness Family engagement Community Involvement Nursing Process - correct answers Assessment Diagnosis Planning Implementation Evaluation 3 Focuses of school health programs - correct answers - wellness
- health promotion
- disease prevention What do school nurses do? - correct answers - identify health needs
- deliver services
NBCSN - 2025
- refer students to other professionals in community Define health promotion - correct answers activities directed toward increasing level of well-being and actualizing the health potential Goal of early detection - correct answers - earlier intervention
- improved outcomes Role of school nurse re: immunizations - correct answers - audit new students
- assist in getting immunizations
- recommend exclusion of unprotected students Is immunization compliance increasing or decreasing? - correct answers DECREASING Role of the School Nurse with parent to resists immunizations - correct answers - dispel fears and address myths
- provide health education materials
- promote the principle of herd immunity to protect the most vulnerable by having the majority protected when can the deltoid be used for injections? - correct answers when enough muscle mass What muscle should never be used for vaccines? - correct answers dorsogluteal buttock site 7 rights of vaccines - correct answers - right patient
- right vaccine
- right time (correct age)
- right dose
- right interval
NBCSN - 2025
- possible links to neurodevelopmental deficits What life-threatening allergies are contraindicated for some vaccines? - correct answers MMR - gelatin Polio - neomycin, streptomycin, polymyxin B Why do you not want to be sick(ill) when get a vaccine? - correct answers side effects would be hard to differentiate from illness Signs of adverse reaction to vaccine - correct answers difficulty breathing, wheezing hives pallor tachycardia high fever behavior changes Which vaccine should never be frozen? - correct answers Influenza Which vaccine should be protected from light (in storage)? - correct answers MMR Where in the fridge should vaccines be stored? - correct answers on the middle shelf, not the door Which vaccine has a 3 wk min, not a 4 wk min? - correct answers Varicella Who makes the requirements for vaccine? - correct answers State rules
- CDC updates recommendations every January. Define incubation period - correct answers the interval between the receipt of the infectious agent and the onset of clinical disease Define Prodromal Stage - correct answers Stage where early symptoms occur before the full blown symptoms of disease hit
NBCSN - 2025
Define period of communicability - correct answers when the disease is contagious (transmissible) may be before symptoms appear Define convalescent period - correct answers time between decrease of disease symptoms and complete return to wellness What OTC med should NOT be given for pain relief after vaccine? - correct answers Aspirin Three focuses of Student Athlete Sports Nutrition - correct answers hydration, fueling, recovery Low economic status would be associated with which types of hazards - correct answers psychological There are two primary sources for obtaining the data necessary for building a successful employee wellness program - correct answers an employee health risk appraisal and an individual interest survey Blood levels of 10 mcg/dL of lead have been shown to produce a drop in IQ of - correct answers 7.4 points Screening tools must be specific and sensitive for the targeted health issue. They must measure what it says it does and correctly classify participants. This quality is which of the following? - correct answers validity The Individualized Education Program for students eligible for the services of IDEA has two general purposes. These are: - correct answers to set reasonable learning goals and to state the services that the school district will provide In terms of semantics related to the computerization of medical and health records, the first-level product that brings together information for other sources is known as which of the following? - correct answers automated medical record
NBCSN - 2025
Complications of pertussis - correct answers infants and children: pneumonia, convulsions, apnea, encephalopathy, death teens/adults: weight loss, loss of bladder control, passing out, rib fractures Schedule for DTaP - correct answers 2, 4, 6, 15-18 months and between 4-6 years Contraindication for pertussis vaccine - correct answers an active neurologic condition ie: seizures When will you see side effects of Dtap? - correct answers w/in 72 hours. fever, irritability, site pain somnolence, loss of appetite Another name for M, M, & R - correct answers Measles (Rubeola) Mumps (Parotitis) Rubella (German Measles) How are MMR spread? - correct answers by respiratory drops Symptoms of congenital rubella - correct answers - miscarriage
- defects
- cardiac abnormalities
- ocular lesions
- deafness
- intellectual disability
- growth retardation Schedule for MMR vaccine - correct answers 2 doses; between 12-15 months, between 4 - 6 years
NBCSN - 2025
Must be distanced by 4 weeks Why isn't oral polio vaccine given anymore? - correct answers disease was contracted by immunocompromised people who handled the feces of vaccinated infants Is IPV a live vaccine? - correct answers No. It is a trivalent enhanced inactivated (killed) vaccine What is the difference between the nasal Flu vaccine and the Injected Flu vaccine? - correct answers - Nasal is a live attenuated vaccine. Has been approved for > 24mos but usually > age 5. Can have a small case of the flu
- Injected flu is inactivated. Recommended for all children & adults. When are hand sanitizers most effective? - correct answers when alcohol solution is 60 - 95% alcohol What is recommended agent for cleaning up body fluids? - correct answers Bleach
- 1 park bleach to 10 parts water What do risk reduction programs do? - correct answers - identify and correct deficient patterns of health care
- thereby preventing an increase of the spread of disease and a decrease in risk- taking behaviors
- Infection control is one part
- Safety education is one part Goal for risk reduction programs - correct answers - improved students' academic performance
- contribute to their health and productivity outside the school environments Leading cause of death for ages 5- 9 - correct answers unintentional injury/accidents congenital anomalies
