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Question # 21

A student with a central venous line needs flushing at school. The school nurse should ensure:

Options:

A.

Any staff can perform the procedure.

B.

Provider orders, sterile technique training for designated personnel, and emergency protocols in the IHP.

C.

The line is not accessed at school.

D.

Delegation without training.

Question # 22

An 8-year-old student with a history of asthma presents with wheezing, cough, and retractions after recess. Peak flow is 60% of personal best. The student has a prescribed rescue inhaler with spacer in the health office per IHP. The nurse’s first action is to:

Options:

A.

Administer the rescue inhaler per protocol, reassess, and call parent/EMS if no improvement.

B.

Have the student rest quietly and recheck peak flow in 15 minutes.

C.

Send the student back to class with instructions to use the inhaler later.

D.

Call the parent first before any treatment.

Question # 23

A new school nurse is struggling with time management. The experienced nurse mentor should recommend:

Options:

A.

Handling every task personally.

B.

Prioritizing based on student safety and needs, delegating appropriately, using data for workload justification, and seeking administrative support.

C.

Working overtime daily without compensation.

D.

Reducing services to fit the schedule.

Question # 24

The school principal asks the school nurse to train and delegate routine medication administration (e.g., daily ADHD medication) to two classroom teachers who volunteered. The nurse’s correct action is to:

Options:

A.

Proceed with training the teachers immediately since they volunteered.

B.

Assess the appropriateness of delegation per state Nurse Practice Act, ensure competency-based training and supervision protocols, verify policies allow it, and document the process while retaining accountability.

C.

Decline any delegation because teachers are not healthcare personnel.

D.

Delegate only to one teacher to limit liability.

Question # 25

A student with a history of heart murmur reports chest pain and dizziness during activity. The school nurse should:

Options:

A.

Encourage the student to push through.

B.

Have the student rest, assess symptoms, notify parents for cardiology follow-up, and restrict activity pending evaluation.

C.

Recommend more exercise to strengthen the heart.

D.

Document and recheck next week.

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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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