Free NBCSN Exam Questions MCQs | National Board for Certification of School Nurses

Question # 51

When delegating tasks to unlicensed personnel, the nurse must always:

Options:

Delegate without assessment.

Assess the task, delegatee competency, provide clear instructions, supervise, and retain accountability.

Transfer all liability to the delegatee.

Avoid delegation entirely.

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Question # 52

To advocate for improved school health services, the nurse should use:

Options:

Personal opinion only.

Aggregated data from health office visits, absenteeism, and outcomes, combined with national standards and research, presented to administration and stakeholders.

Anecdotes from a few students.

Comparison only with neighboring districts.

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Question # 53

A teacher refers a student who appears withdrawn, has poor hygiene, and mentions not having eaten since yesterday. The family is experiencing food insecurity. The school nurse’s role includes:

Options:

Providing one-time snacks from the health office and closing the case.

Connecting the family to community resources (e.g., food banks, free/reduced meals, McKinney-Vento if applicable), assessing health impacts, and coordinating with the school team for ongoing support.

Reporting the family for child neglect immediately.

Advising the student to ask neighbors for food.

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Question # 54

When receiving a verbal order from a provider for a student’s medication change, the school nurse should:

Options:

Implement immediately based on the call.

Verify the order, obtain written confirmation per policy, document the process, and update the IHP accordingly.

Refuse all verbal orders.

Accept the order without documentation.

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Question # 55

To demonstrate accountability, the nurse should:

Options:

Avoid self-evaluation.

Maintain records of CE, reflect on practice, and participate in peer review or quality activities.

Focus only on student outcomes.

Rely on external validation only.

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