Challenge the School Nurse: Archived Questions

2024 CTSN Questions

March 2024

A student or family who are not residing in their own domicile, are considered homeless and eligible for services under the McKinney Vento Act. Entry into school requires proof of vaccination status. What is the most appropriate response to their statement that they do not have their immunizations with them. *

A. If your child has at least one each of the required series, you can start.
B. Your child cannot start unless we have them in hand.
C. Your child will be allowed immediate entry and we will refer you to get catch-up vaccines.
D. You are homeless so we do not need anything.

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February 2024

 The 21st Century Framework for School Nursing Practice is a model that wraps around students using the standards of school nursing practice. Using the Framework as a guideline, planning the development of a data collection process for the universal data set would fall into which category? *

A. Care coordination
B. Leadership
C. Improvement
D. Community and Public Health

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January 2024

A sixteen-year-old field hockey player presents with concerns about not having a regular menstrual cycle. She denies sexual activity and is also on contraception for a skin condition. She suffered a metatarsal fracture last year. What condition might she be suffering from? *

A. Osteopenia/osteoporosis
B. Overuse injuries
C. Amenorrhea
D. Female Triad

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2023 CTSN Questions

December 2023

The ability to influence decision making in the professional practice environment aligns most closely with which Standard of Practice? *

A. Standard 5 Quality of Practice
B. Standard 8 Advocacy
C. Standard 11 Collaboration
D. Standard 12 Leadership

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November 2023

Which of the following is a characteristic of tinea capitis? *

A. It remains contagious for 72 hours after treatment.
B. It cannot cause loss of hair on the scalp.
C. It does flouresce under ultraviolet light.
D. It responds to treatment with an anti-seborrheic shampoo.

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October 2023

Given the risk of transmission with MRSA, when a student presents with a pustulous wound, which of the following should be your first step? *

A. Notify the public health department.
B. Make arrangements for dismissal ASAP.
C. Apply a warm soak to promote drainage.
D. Cover completely and refer to PCP.

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September 2023

Your school was given a single patient use glucometer for use in emeergency situations for any student by the parent of a student with diabetes. You approach your principal to discuss the matter. *

A. You tell them you think it is a great idea and wiil work on a Policy and Procedure for its use.
B. You explain to them that because it is a single patient use instrument, once the meter has been used for a student, it cannot be used for another student and another will need to be purchased.
C. You explain how to clean the glucometer between users so that it can be used for multiple students.
D. You tell them you will figure out a way to do it safely.

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April 2023

One of the many roles a school nurse has, is to lead and support the school efforts in emergency planning. While the nursing process aligns with all four phases, which phase does the development of an individual health care plan, for a student who utilizes a wheelchair, most closely align with? *

A. Prevention/Mitigation
B. Preparedness
C. Response
D. Recovery

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March 2023

A female student with a neurogenic bladder needs routine clean intermittent catheterization (CIC) during the day. Which process will benefit the student the least? *

A. Set up a private space in the health office bathroom.
B. Utilizing the IHP and MD orders, assess student ability to self-catheterize and teach the process.
C. Encourage the parent to ask the MD for an indwelling catheter.
D. Set up a schedule that best meets the student's needs.

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February 2023

What should the school nurse recognize as the primary goal for health screenings? *

A. Screenings are state mandates which are part of the school nurses role.
B. Screenings are a requirement of standard school nurse employment for all schools.
C. Screenings are a normal part of school nurse practice as required by board of educations.
D. Screenings identify student illnesses early enough to prevent or minimize further morbidity.

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January 2023

A soccer player presents with lower right quadrant pain with movement. They just started preseason and has not been active this summer. Their physical exam is negative for rebound tenderness and the psoas sign. What is the likely cause of their pain? *

A. Acute Appendicitis
B. Constipation
C. Adenitis
D. Inguinal hernia

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2022 CTSN Questions

December 2022

Another name for Parvovirus B19 is *

Shingles.
Hand, Foot and Mouth Disease.
Erythema Infectiosum.
Molluscum Contagiosum.

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October 2022

A student comes to your health office complaining of a unilateral red, itchy, watery eye of three day’s duration. They have had cold symptioms previously. From which of the following is likely what the student is suffering? *

allergic conjunctivitis
bacterial conjunctivitis
injury to the eye during sleep
viral conjunctivitis

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September 2022

Nursing documentation should be accurate, complete, timely, sequential, auditable, readable, retrievable and reflective of nursing practice. In order for an entry to be considered timely, the documentation should be done *

after the school day.
contemporaneously.
in the next 24 hours.
by the end of the school day.

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April 2022

Individualized Healthcare Plans are primarily written to *

clarify to students the goals and treatment plan.
specify to families the goals and treatment plan.
document special health issues and plan of management.
communicate to school personnel necessary procedures.

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March 2022

Individualized Healthcare Plans are primarily written to *

clarify to students the goals and treatment plan.
specify to families the goals and treatment plan.
document special health issues and plan of management.
communicate to school personnel necessary procedures.

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February 2022

In the event of a mass causality incident, emergency care should be initiated first to which of the following? *

Hypovolemic shock
Cardiac arrest
Respiratory failure
Respiratory distress

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January 2022

After removal of a stinger from a wasp sting, which of the following is the most appropriate initial nursing intervention? *

Apply ice to the sting site and observe.
Apply heat to the sting site and observe.
Apply ice to the sting site and return to class.
Apply heat to sting site and return to class.

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2021 CTSN Questions

December 2021

A 6-year-old has taken three puffs of their inhaler for an asthma attack. The student is scheduled for a spelling test the next class period but wants to stay in the health office because they are shaky, dizzy, and has a headache. The student's wheezing has stopped. Which of the following is most likely? *

They are having test anxiety and should go back to the classroom.
They are having expected effects of the Albuterol and should return to class.
They are having an adverse reaction to the Albuterol and should be seen by a healthcare provider.
They are having side effects from the Albuterol and should be monitored in the health office until his symptoms subside.

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November 2021

Growth failure (generally if a child is below the third percentile in height) may be due to chromosomal disorders, such as Turner syndrome, but there may be other reasons. A 6 year-old child who shows no growth in a year or who is below the third percentile in height should be seen by *

a dietition.
a hematologist.
an orthopedist.
an endocrinologist.

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October 2021

Which of the following is a sign of serious respiratory distress in a student with asthma? *

Coughing
Warm dry skin
Substernal retractions
Decreased rate of respiration

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September 2021

A student who was assigned male at birth visits your office. You understand that this student is transgender or gender non-conforming and their pronouns are she/her. This student would be considered: *

a transgender girl
a transgender boy
gay
lesbian

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June 2021

If a child with normal vital signs and no apparent distress complains of chest pain, the nurse should consider *

pneumonia
pneumothorax
anxiety attack
costochondritis

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May 2021

A school nurse suggests meeting with the mother of a second-grader with diaIbetes and the child's teacher to discuss the teacher's role in monitoring the child. In this meeting the school nurse should plan to discuss *

maintenance of glucometers.
physical activity restrictions.
signs and symptoms of hypoglycemia.
techniques of insulin administration.

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April 2021

All students with disabilities are guaranteed certain rights under which federal law? *

The Individuals with Disabilities Education Act (IDEA/IDEIA)
The Rehabilitation Act of 1973 (Section 504)
The Americans with Disabilities Act (ADA)
The Family Educational Rights and Privacy Act (FERPA)

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March 2021

Which of the following is a vector for lyme disease? *

Spiders
Mosquitoes
Deer ticks
Wood ticks

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February 2021

A 15-year-old boy recovering from an upper respiratory infection complains of sharp chest pain that worsens when he breathes deeply. He feels better sitting upright and slightly forward. He is afebrile and his breath sounds are difficult to auscultate. Which of the following should be suspected? *

Pericarditis
Pneumothorax
Esophageal reflux
Ischemic heart disease

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January 2021

Accommodation as related to the eye is best described as *

blindness caused by disuse.
ability to focus at different distances.
a difference in the refractive index of each eye.
an inward deviation from point of fixation.

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2020 CTSN Questions

December 2020

The authoritative guide for collecting health data for the school nurse is the *

state Nurse Practice Act.
student's healthcare provider.
student's physical assessment data.
NASN/ANA School Nursing Scope and Standards of Practice.

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November 2020

A 5-year-old student is brought to the school nurse by a teacher. The teacher states the student fell off of the monkey bars and landed on the right arm. The child is crying and complaining of pain around the right elbow. The nurse notes swelling at the site. The nurse should *

put ice on the site, put the arm in a sling, and notify parent.
put ice on the site, notify the parent and send the child back to class.
put ice on the site, notify parent and recommend immediate follow up with primary care provider.
put ice on the site, notify parent and recommend follow up with primary care provider at the end of the day.

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October 2020

Which of the following observation indicates a normal tympanic membrane? *

Bulging
Air bubbles
Translucence
Thickness without luster

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September 2020

A middle school student is noted to have an inordinate amount of eye blinking and seems to clear his throat a lot. Guttural sounds and facial tics are commonly seen in students with *

autism spectrum disorder.
schizophrenia.
bipolar disorder.
Tourette's syndrome.

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June 2020

The Scope and Standards of School Nursing Practice provide a mechanism of accountability of the specialty of school nursing to the public. They are a joint project of which two organizations. *

The American Nurses Association and the National Board for Certification of School Nurses
The American Nurses Association and the National Association of School Nurses
The National Association of School Nurses and the National Board for Certification of School Nurses
The National Board for Certification of School Nurses and the Pediatric Nurses Certification Board

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May 2020

The use of e-cigarettes, or vaping as it is commonly called, has surpassed that of cigarettes. The use of e-cigarettes has grown by 900% between 2011 and 3015. What percent of high school students have ever used electronic vaping products? *

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April 2020

Untestable students 6 years of age and older who fail vision screening should be rescreened within *

one week
one month
three months
six months

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March 2020

According to McKinsey’s Consumer Social Determinants of Health Survey the most commonly reported unmet social need is *

community safety
housing
food environment
transportation

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February 2020

Acute Flaccid Myelitis (AFM) is a neurologic condition characterized by flaccid limb weakness. It began to surface in the U.S. in 2014. In most cases, the onset of limb weakness occurred starting during *

late winter-early spring
late spring-early summer
late summer-early fall
late fall-early winter

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January 2020

Using a trauma-informed approach to start assessing a student, the school nurse asks *

Why are you here?
What's wrong with you?
Don't you feel well?
What's happened to you?

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2019 CTSN Questions

December 2019

The NASN Framework for 21st Century School Nursing Practice is aligned with which public health model. *

Whole School, Whole Community, Whole Child
Coordinated School Health
The Health Belief Model
Social Cognitive Theory

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November 2019

Epilepsy is a common neurological disorder (3.4 million cases in the United States). The International League Against Epilepsy (ILAE) introduced the following seizure classifications in 2017. Seizures are classified as focal (originating in one area of the brain) generalized (crossing both hemispheres of the brain) unknown (onset of seizure can’t be determined) or unclassified (inadequate information or inability to place in other categories). Which type of seizure is often confused with behavior problems or illicit drug use by bystanders and first responders? *

Unclassified
Unknown onset
Generalized onset
Focal onset

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October 2019

According to the American Heart Association normal blood pressure readings for children ≥ 13 years of age are the same as those for adults. The categories are listed as normal, elevated, hypertension stage 1, hypertension stage 2, and hypertensive crisis. A male student who is a high school freshman enters your office with some vague complaints of nausea, dizziness, fatigue, and some other somatic complaints. During your assessment, you take his vital signs, which are as follows. T 97.4, P 85, BP 124/78. Under which category does his blood pressure fall? *

Normal
Elevated
Hypertension stage 1
Hypertension stage 2

Name

September 2019

Periodically we hear on the news that a physician was arrested for ordering excessive doses of medication and patients have died. When a school nurse receives an order for a medication s/he has a responsibility to know or research the parameters for giving that medication. When a school nurse receives an order that is outside the parameters of accepted dosage, timing, or other parameters her first response should be to: *

Contact the parent for a release to speak to the prescriber.
Contact the physician to verify the order.
Refuse to give the medication.
Give the medication as ordered.

Name

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