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Question # 56

A student with asthma uses their rescue inhaler before PE but still develops wheezing and decreased peak flow during class. The school nurse should:

Options:

A.

Allow continued exercise with monitoring.

B.

Remove the student from activity, administer additional bronchodilator per IHP/EAP if indicated, reassess, notify parents, and evaluate environmental triggers.

C.

Recommend the student switch to a different sport.

D.

Document only if symptoms persist after class.

Question # 57

For students participating in school athletics, the school nurse should advocate for:

Options:

A.

Mandatory pre-season physicals only for contact sports.

B.

Comprehensive pre-participation physical evaluations, education on injury prevention, hydration, and recognition of exertional heat illness or concussion.

C.

Allowing athletes to self-certify fitness without medical input.

D.

Focusing solely on cardiac screening.

Question # 58

When a student’s health information is requested by law enforcement, the school nurse should:

Options:

A.

Release all records immediately.

B.

Consult district legal/policy guidelines, verify proper authorization, release only required information, and document the request.

C.

Refuse all requests from law enforcement.

D.

Share verbally without documentation.

Question # 59

A student with migraine history arrives with aura symptoms (visual changes) but no pain yet. The school nurse should:

Options:

A.

Send the student back to class to wait for pain onset.

B.

Provide a quiet, dark space per IHP, offer abortive medication if ordered and appropriate, monitor progression, and notify parents.

C.

Encourage the student to continue normal activities.

D.

Recommend caffeine to prevent full migraine.

Question # 60

A student with hemophilia has a minor bump on the playground and develops a large bruise. The school nurse should:

Options:

A.

Apply heat immediately to the area.

B.

Follow the IHP for RICE (rest, ice, compression, elevation), notify parents, monitor for joint involvement, and document the incident.

C.

Allow the student to continue playing.

D.

Administer aspirin for pain from stock supply.

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NBCSN Overview

Name National Board for Certification of School Nurses
Code NBCSN
Vendor Nursing
Certification National Board for Certification of School Nurses (NBCSN)

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