Prepare your Nursing NCSN-NBCSN Certification Exam
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Nursing NCSN-NBCSN Sample Question Answers
Question # 1
When assessing a kindergarten class for growth and development milestones, which would be
important?
A. The nurse understands that kindergarteners tend to break rules and rebel at this age. B. The nurse understands that this age group can run and do simple skills independently. C. The nurse understands that most kindergarteners still require assistance when using the toilet. D. The nurse understands that cultural differences do not influence growth and development.
Answer: B Explanation:
It is important to understand what a kindergarten student who is healthy and well
developed can do independently when assessing and comparing with other students that
age. According to the CDC, kindergarteners are rule followers and desire to please, can run
and do simple skills independently, and are able to use the toilet on their own.
Understanding the impact of culture on growth and development (genetics, diet, exercise,
etc.) is also an important part of the school nurse's understanding of kindergarteners.
Question # 2
The nurse is called to the classroom for a student who has his head resting on his desk. What would
be an appropriate initial response?
A. Palpate the abdomen and pulse, B. Administer an EpiPen. C. Ask the student what is wrong while assessing his breathing and color. D. Call for help while slowly lowering the student to the floor,
Answer: C Explanation: The first step in responding to a potentially unresponsive student is to attempt to get
the student's attention and assess vitals. Palpation prior to assessing student's
responsiveness and letting him know you will be touching his abdomen is inappropriate.
Administering epinephrine prior to establishing status is inappropriate and dangerous.
Calling for help prior to establishing status may be preemptive and cause additional stress
and fear.
Question # 3
The school nurse is assessing an active, happy third-grade student who fell on the playground. The
nurse notes a single bruise on the student's shin. What would the next action of the school nurse
be?
A. Call Child Protective Services. B. Ask the student how he bruised his shin. C. Report it to the principal. D. Provide basic pain medication such as aspirin or Tylenol.
Answer: B Explanation:
The initial action on the part of the nurse would be to ask the student how he bruised his shin. In this case abuse is not suspected if the incident of the child falling in the
playground was witnessed. Bruising on the shin is a common bruising pattern in this age
group. The nurse should not administer pain medication without authorization, including
over the counter medications. Reporting the injury to the principal is not indicated unless
the injury was the result of another student's or a teacher's actions.
Question # 4
What would be an appropriate expectation of a healthy first-grade student?
A. To have bowel and bladder control. B. To make healthy diet choices. C. To understand safety rules. D. To have all of their adult teeth.
Answer: A Explanation:
A healthy student should have bowel and bladder control by first grade. Students at
this range that demonstrate multiple instances of incontinence should be assessed further.
First graders cannot be expected to make healthy diet choices consistently, and may break
safety rules by nature. Students generally have a complete set of adult teeth by their
teenage years. First graders will be in the process of starting to lose baby teeth.
Question # 5
What is the normal respiratory rate for an 8-year-old child?
A. 60 to 70 breaths per minute. B. 8 to 10 breaths per minute. C. 12 to 20 breaths per minute. D. 40 to 50 breaths per minute.
Answer: C Explanation:
The normal rate of respirations for an 8-year-old child is 12 to 20 breaths per
minute, the same as an adult. An increase in rate could indicate an increase in activity, such as in
gym class or recess, a fever, or anxiety. Respiratory distress may start as an increased
respiratory rate and then a rapid decrease in rate, which must always be considered when
evaluating a child for respiratory distress. A decrease in respiratory rate can reflect serious
damage to the student's brain (that initiates spontaneous breathing), drug over dose, or
other complications that could lead to respiratory failure and should not be ignored.
Question # 6
Which immunization(s) would NOT be required for students going into kindergarten?
A. Hepatitis B. B. Tetanus, diphtheria, and pertussis. C. MMR D. HINI vaccine.
Answer: D Explanation:
The HI NI vaccine is recommended but not mandatory for students entering
kindergarten. Hepatitis B, Tetanus, diphtheria, pertussis and MMR are generally required
immunizations for students entering kindergarten. Parents have the right to waive vaccines
that are required but must sign a release and the health department must also have a list of
those students that have not had recommended vaccines.
Question # 7
A student knocks out his tooth on the slide. What would the school nurse do with the tooth to
preserve it?
A. Place it in a sterile bag to preserve. B. Place the tooth in milk to preserve. C. Place the tooth in an envelope for the parent because it cannot be saved. D. Call the parent to determine what they request.
Answer: B Explanation:
The tooth should be preserved in milk (or in a prepackaged tooth-saving kit). It may
be possible to reimplant the tooth and these options will properly preserve the tooth to
possible reimplantation. Placing in an envelope or sterile bag would diminish the
preservability of the tooth. While calling the parents is appropriate, it is still important to
first place the tooth in milk for preservation in the case that the parents would like it
preserved or were not aware of the possibility of reimplantation
Question # 8
Which is NOT an appropriate action for the school nurse when caring for an open abrasion?
A. Cleansing the wound with warm soap and water. B. Practicing "universal precautions." C. Applying bacitracin ointment to the abrasion. D. Assessing size, depth, exudate and location of abrasion.
Answer: C Explanation:
While bacitracin is an appropriate ointment in treating abrasions, it cannot be
applied to all abrasions without first assessing for allergies to this ointment and gaining
parent authorization. Bacitracin is a common allergy that can cause a range of allergic
responses, from contact dermatitis to anaphylaxis; therefore, it must be handled with care.
Cleansing the wound with soap and water, utilizing universal precautions, and assessing
the wound's size, depth and exudate are all appropriate interventions in the treatment of
an abrasion
Question # 9
Which is NOT a piece of equipment a school nurse would anticipate using in the school setting?
A. Glucometer. B. Nebulizer. C. Peak flow meter. D. Bovie cauterizing machine.
Answer: D Explanation:
A Bovie cauterizing machine is used to stop bleeding in a surgical setting, therefore
is outside of the scope and requirements of a school nurse. A glucometer is used to measure
blood glucose levels, particularly in diabetic patients. A nebulizer is used to treat asthmatic
patients. A peak flow meter is also a useful tool in measuring pulmonary function in
students with respiratory conditions.
Question # 10
Which is an important health assessment skill needed to monitor a student with asthma?
A. To understand steroid medications. B. To assess for edema. C. To recognize the signs of respiratory distress and compromise. D. To know the age-appropriate stages of growth and development.
Answer: C Explanation:
Recognizing the signs of respiratory distress will help the school nurse to determine
the severity of the asthma attack and act accordingly. A full respiratory assessment is also a
critical element of the pre- and post-treatment assessment in the administration of albuterol and other interventions in the case of an asthma attack The school nurse must be
able to rapidly recognize and respond to respiratory distress to minimize dangerous
complications from this condition.