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

Question # 36

A 14-year-old student reports chest pain and shortness of breath after running during PE. Vital signs show tachycardia and the student appears anxious but has no history of asthma. The school nurse’s first action is to:

Options:

Have the student continue light activity to “work through it.”

Have the student sit quietly, loosen tight clothing, assess further (including lung sounds and history), provide reassurance, and activate emergency response if symptoms worsen or persist.

Administer albuterol from the health office stock.

Call the parent and wait for pick-up without intervention.

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Question # 37

The school nurse is mentoring a student nurse. Priority is to:

Options:

Allow independent practice.

Model professional behaviors, provide structured learning opportunities, and give constructive feedback.

Focus only on technical skills.

Avoid direct supervision.

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Question # 38

To foster a culture of safety in the health office, the nurse should:

Options:

Ignore minor incidents.

Encourage reporting of near-misses, conduct root cause analysis, and implement preventive measures.

Punish staff for errors.

Avoid documentation of incidents.

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Question # 39

A student with a history of emotional abuse shows signs of anxiety during transitions. The school nurse should:

Options:

Force participation in all activities.

Collaborate on trauma-informed accommodations (predictable routines, calming strategies) in the support plan.

Refer for immediate expulsion.

Ignore behaviors as attention-seeking.

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Question # 40

A student with a known seizure disorder has a generalized tonic-clonic seizure lasting 4 minutes in the classroom. The school nurse arrives and the seizure has stopped. The student is post-ictal. The nurse’s immediate actions should include:

Options:

Placing the student in a prone position to prevent aspiration.

Ensuring airway patency, placing in recovery position, monitoring vital signs and recovery, notifying parents, and documenting per the EAP/IHP.

Administering rescue medication immediately even if seizure has stopped.

Allowing the student to sleep in class without further monitoring.

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