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

Question # 6

A student from a refugee family with limited English proficiency has complex health needs. The school nurse should:

Options:

Use family members as interpreters.

Arrange professional interpretation services, culturally sensitive education, and linkage to community health resources while developing an accessible IHP.

Delay services until language improves.

Rely on written English materials only.

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Question # 7

A student with a 504 Plan for a chronic illness requests homebound instruction during a prolonged medical absence. The school nurse should:

Options:

Approve homebound services independently.

Provide medical input to the 504 team regarding the condition’s impact on attendance and learning, and facilitate coordination of services and transition back to school.

Recommend full-time home schooling instead.

Delay input until the absence exceeds 30 days.

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Question # 8

A student with cystic fibrosis reports increased cough and fatigue during the school day. The nurse notes the student has not completed chest physiotherapy as scheduled. The priority action is to:

Options:

Send the student back to class with instructions to rest.

Facilitate airway clearance per IHP, assess respiratory status, notify parents/provider, and reinforce daily management routines.

Recommend increasing physical activity to clear secretions.

Document the symptoms without intervention.

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Question # 9

A student with a tracheostomy needs routine care at school. The school nurse should:

Options:

Perform all care personally without training others.

Develop an IHP with trained staff, emergency supplies, and protocols for dislodgement or obstruction.

Limit the student’s school day to avoid care needs.

Delegate without competency checks.

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Question # 10

When delegating vision screening to trained volunteers, the school nurse must:

Options:

Provide no oversight after initial training.

Ensure volunteers are trained, supervised as needed, follow standardized protocols, and review results for accuracy and appropriate referrals.

Allow volunteers to interpret and refer independently.

Perform all screenings personally.

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