NBCSN-NCSN Demo and Sample
Note: Answers are below each question.
Samples are taken from full version.
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Nursing
NBCSN-NCSN
NBCSN National Certified School Nurse
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Question: 1
When assessing a pediatric patient with an abdominal injury, which of the following signs would indicate the need for immediate medical intervention?
Mild abdominal tenderness upon palpation.
Slightly elevated temperature.
resence of bruising around the navel.
wer: C
anation: The absence of bowel sounds in a pediatric patient with an minal injury suggests a possible bowel obstruction or perforation, whi res immediate medical intervention. Mild abdominal tenderness, a sli ated temperature, or bruising around the navel may indicate less urgen itions or injuries.
stion: 2
When providing oral health education to students, which of the following ments is accurate?
Using a toothpick is an effective way to remove plaque between your
."
Absence of bowel sounds.
P
Ans Expl
abdo ch
requi ghtly
elev t
cond
Que
state
"
teeth
"Regular dental check-ups are important for maintaining oral health."
"Flossing should be done at least once a week."
"Brushing your teeth immediately after consuming acidic foods helps protect your tooth enamel."
Answer: B
Explanation: "Regular dental check-ups are important for maintaining oral health" is an accurate statement. Toothpicks are not as effective as dental floss for removing plaque between teeth, brushing immediately after consuming acidic foods can damage tooth enamel, and flossing should be done at least once a day, not just once a week.
Question: 3
udent sustains a burn injury involving the entire surface area of their ri nd hand. According to the rule of nines, what percentage of the stude ody surface area is affected?
%.
6%.
7%.
8%.
wer: D
anation: According to the rule of nines, the entire surface area of the r nd hand accounts for approximately 9% of the total body surface are efore, if the injury involves the entire surface area of the right arm an it would affect 9% of the student's total body surface area.
stion: 4
A st ght
arm a nt's
total b
9
3
2
1
Ans
Expl ight
arm a a.
Ther d
hand,
Que
When managing a laceration, which of the following steps is essential to promote wound healing?
Applying antibiotic ointment.
Applying a tight bandage.
Leaving the wound open to air.
Irrigating the wound with sterile saline.
Answer: D
stion: 5
atient with severe hemorrhage, which of the following interventions ld be prioritized?
pplying direct pressure to the bleeding site. levating the lower extremities. dministering intravenous fluids.
ssessing vital signs.
wer: A
anation: Applying direct pressure to the bleeding site is the highest pr vention in a patient with severe hemorrhage. It helps control the bleed revent further blood loss. Elevating the lower extremities, administeri venous fluids, and assessing vital signs are important interventions bu
Explanation: Irrigating the wound with sterile saline is essential to promote wound healing. It helps remove debris, bacteria, and contaminants from the wound, reducing the risk of infection. Applying antibiotic ointment, leaving the wound open to air, and applying a tight bandage may hinder the healing process or increase the risk of infection.
Que
In a p shou
A
E
A
A
Ans
Expl iority
inter ing
and p ng
intra t
should follow direct pressure application.
Question: 6
Which of the following cardiac conditions is characterized by an abnormal heart rhythm originating from the atria?
Ventricular fibrillation.
Atrial fibrillation.
Atrial flutter.
Ventricular tachycardia.
anation: Atrial fibrillation is a cardiac condition characterized by an rmal heart rhythm originating from the atria. It is characterized by rap ular, and chaotic atrial contractions. Ventricular fibrillation, atrial flut entricular tachycardia are different types of abnormal heart rhythms nating from the ventricles.
stion: 7
udent is experiencing difficulty breathing and wheezing. The nurse sus thma exacerbation. Which of the following medications should the nu nister first?
ontelukast (leukotriene receptor antagonist). rednisone (oral corticosteroid).
ratropium (anticholinergic). lbuterol (short-acting beta-agonist).
wer: D
Answer: B Expl
abno id,
irreg ter,
and v origi
Que
A st pects
an as rse
admi
M
P
Ip
A
Ans
Explanation: In the management of an asthma exacerbation, the nurse should administer short-acting beta-agonist medication (such as albuterol) as the first- line treatment to relieve bronchospasm and improve airflow. Prednisone, ipratropium, and montelukast may be included in the treatment plan but are not the initial medication of choice for immediate relief of symptoms.
Question: 8
A student sustains a deep laceration on their forearm. The wound is actively bleeding. Which of the following actions should the nurse take first?
Elevate the student's arm above the level of the heart.
Apply direct pressure to the wound with a clean cloth or gloved hand.
pply a sterile dressing to the wound.
wer: B
anation: The first action the nurse should take for a actively bleeding ation is to apply direct pressure to the wound with a clean cloth or glo This helps control the bleeding by promoting clotting. Elevating the nsing the wound, and applying a sterile dressing can be done after olling the bleeding.
stion: 9
udent presents to the nurse's office with symptoms of overdose, includ ed mental status, pinpoint pupils, and respiratory depression. The nurs ects opioid overdose. Which of the following interventions should the
prioritize?
Cleanse the wound with antiseptic solution.
A
Ans Expl
lacer ved
hand. arm,
clea contr
Que
A st ing
alter e
susp nurse
Administer naloxone (Narcan).
Perform rescue breathing.
Monitor vital signs.
Call emergency medical services (EMS). Answer: D
Explanation: In a suspected opioid overdose, the nurse should prioritize calling emergency medical services (EMS) for immediate medical intervention. While administering naloxone, performing rescue breathing, and monitoring vital signs are important interventions, they should be done after seeking emergency medical assistance.
Question: 10
ch of the following respiratory conditions is characterized by the mmation and narrowing of the airways?
hronic obstructive pulmonary disease (COPD). neumonia.
sthma.
ulmonary embolism.
wer: C
anation: Asthma is a respiratory condition characterized by the mmation and narrowing of the airways. It leads to symptoms such as ezing, shortness of breath, coughing, and chest tightness. Pneumonia i tion of the lungs, COPD is a chronic lung disease primarily caused b king, and a pulmonary embolism is a blockage of the pulmonary arter
Whi infla
C
P
A
P
Ans Expl
infla
whe s an
infec y
smo y.
Question: 11
In the case of a suspected drug overdose, which of the following should the school nurse do first?
Administer activated charcoal.
Gather information about the ingested substance.
Assess the student's vital signs.
Call emergency medical services (EMS). Answer: D
ering information about the ingested substance are important steps but ld be done after contacting EMS.
stion: 12
udent presents to the school nurse's office with severe abdominal pain erness. Which of the following conditions should the nurse suspect?
ppendicitis. astroenteritis.
rinary tract infection (UTI). ancreatitis.
wer: A
anation: Severe abdominal pain and tenderness are common symptom ndicitis. Appendicitis is an inflammation of the appendix and requires
Explanation: When a drug overdose is suspected, the first action should be to call emergency medical services (EMS) for immediate professional intervention. Administering activated charcoal, assessing vital signs, and gath
shou
Que
A st and
tend
A
G
U
P
Ans
Expl s of
appe
immediate medical attention. Gastroenteritis typically presents with symptoms such as diarrhea and vomiting. A UTI may cause lower abdominal pain and urinary symptoms. Pancreatitis is characterized by upper abdominal pain and can be severe.
Question: 13
In the management of anaphylaxis, which of the following is the first-line medication for immediate administration?
Albuterol.
Diphenhydramine.
Epinephrine.
wer: C
anation: Epinephrine is the first-line medication for the immediate ment of anaphylaxis. It acts quickly to reverse the severe allergic react hould be administered promptly. Diphenhydramine, albuterol, and costeroids may be used as adjunctive therapies but are not the primary
treatment.
stion: 14
When caring for a patient with a burn injury, which of the following ventions is the highest priority?
ssessing the patient's pain level. pplying a sterile dressing. itiating fluid resuscitation. dministering analgesics.
Corticosteroids.
Ans Expl
treat ion
and s corti initial
Que
inter
A
A
In
A
Answer: C
Explanation: Initiating fluid resuscitation is the highest priority when caring for a patient with a burn injury. Burns can cause significant fluid loss and hypovolemia, which can lead to shock. Assessing pain, applying a sterile
dressing, and administering analgesics are important interventions but are of lower priority compared to fluid resuscitation.
Question: 15
During an anaphylactic reaction, which of the following is the primary cause of airway obstruction?
ronchoconstriction. aryngeal edema. ucus production. asal congestion.
wer: B
anation: Laryngeal edema, or swelling of the larynx, is the primary ca rway obstruction during anaphylactic reactions. While bronchoconstri us production, and nasal congestion can contribute to airway narrowin geal edema poses the greatest risk to the patency of the airway.
stion: 16
udent presents to the school nurse with a head injury after falling from cle. Which of the following signs would indicate the need for immedia cal evaluation?
B
L
M
N
Ans
Expl use
of ai ction,
muc g,
laryn
Que
A st a
bicy te
medi
Mild headache.
Complaint of dizziness.
Small abrasion on the forehead.
Brief loss of consciousness. Answer: D
Explanation: A brief loss of consciousness following a head injury indicates a potentially more serious injury and should prompt immediate medical evaluation. Mild headache, a small abrasion on the forehead, and complaints of dizziness may be common symptoms following a head injury but do not necessarily require immediate medical evaluation.
udent is brought to the school nurse's office with a head injury after fa a bicycle. The student is conscious but complains of a severe headac izziness. Which of the following actions should the nurse prioritize?
dminister pain medication.
erform a neurological examination. pply ice to the injured area.
ssess the student's level of consciousness using the Glasgow Coma Sc wer: D
anation: When assessing a head injury, the nurse should prioritize uating the student's level of consciousness using the Glasgow Coma S
ssessment helps determine the severity of the injury and guides furth agement. Administering pain medication, applying ice, and performin ological examination may be appropriate interventions but should be d assessing the student's level of consciousness.
Question: 17
A st lling
from he
and d
A
P
A
A ale.
Ans Expl
eval cale.
This a er
man g a
neur one
after
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