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Question # 76

During a head lice check prompted by parent report, the school nurse identifies live lice on a student. The most appropriate immediate response is to:

Options:

A.

Exclude the student until after treatment and nit-free.

B.

Follow district policy (often allowing return after treatment with parent notification and education on home management and prevention).

C.

Treat the student in the health office with school-supplied product.

D.

Notify all parents in the class immediately.

Question # 77

A group of parents requests information on head lice management for an upcoming school notice. The school nurse’s evidence-based recommendation should include:

Options:

A.

Routine school-wide pesticide treatment.

B.

Education on wet combing, over-the-counter treatments when indicated, no exclusion for nits alone in most cases, and prevention through avoiding head-to-head contact.

C.

Requiring all students to shave their heads during outbreaks.

D.

Daily visual checks by parents and teachers for every child.

Question # 78

A kindergarten student is referred for frequent nosebleeds. During assessment, the nurse notes dry nasal mucosa and recent cold symptoms. The most appropriate initial management and education is:

Options:

A.

Refer immediately to an ENT specialist.

B.

Teach proper nosebleed first aid (pinch nostrils, lean forward), recommend humidification and saline spray, and monitor frequency for possible referral.

C.

Advise the student to blow the nose forcefully.

D.

Apply petroleum jelly inside the nostrils without parent consent.

Question # 79

A student with a history of self-harm discloses new ideation. The school nurse should:

Options:

A.

Promise secrecy to build trust.

B.

Assess immediate safety, follow suicide prevention protocol, notify appropriate personnel/parents, and connect to crisis resources.

C.

Advise the student to journal feelings instead.

D.

End the conversation to avoid escalation.

Question # 80

A student with a history of bullying due to a visible medical device requests support. The school nurse should:

Options:

A.

Advise the student to hide the device.

B.

Collaborate on anti-bullying strategies, provide emotional support, educate staff/peers on acceptance, and ensure safety accommodations.

C.

Refer the student to a different school.

D.

Ignore as typical peer behavior.

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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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