NBCSN - SCHOOL NURSE CERTIFICATION EXAM, Exams of Nursing

Download NBCSN - SCHOOL NURSE CERTIFICATION EXAM and more Exams Nursing in PDF only on Docsity! NBCSN - SCHOOL NURSE CERTIFICATION EXAM Who administers the National School Lunch Program? - Answers -USDA (US dept of agriculture) What does the scope of school nursing practice describe? - Answers -The who, what, where when and how of school nursing practice What are the standards of school nursing? - Answers -The authoritative statements of the duties school nurses are expected to perform competently What legal document describes school nurse delegation? - Answers -State Nurse Practice Act Impetigo - Answers -Begins as a single lesion which spreads to secondary lesions that crust or scale. Staph bacteria skin infection. Honey colored crust Pinworm - Answers -A student who is tired, can't sit still, itching bottom Describe the primary objective of the school nurse - Answers -to protect and promote student health, facilitate optimal development and advance academic success. Goal is to strengthen the educational process through improvement of the health status and learning of students Does BCG vaccine prevent TB? - Answers -No but may decrease incidence of sever disease When is an adolescent with active TB no longer infections? - Answers -Beyond 2 weeks of medication therapy What happens if BP cuff too small - Answers -Will give a high reading. Opposite also true. Should have a bladder length 80% of the arm circumference, length to width 2:1, How long can Hepatitis B Virus survive on surfaces? - Answers -1 week Signs of MDMA intoxication - Answers -jaw clenching, teeth grinding, N&V, muscle cramping, blurred vision, inc HR what does snorting drugs cause - Answers -nose bleeds and nasal lesions Osgood-Schlatter disease - Answers -inflammation or irritation of the tibia at its point of attachment with the patellar tendon. Can cause a painful, bony bump on shinbone below knee. Occurs in children and adolescent experiencing growth spurt during puberty. Swelling over ANTERIOR tibial tuberosity Contraindications of second pertussis dose - Answers -encephalopathy within 7 days of first dose or anaphylaxis Guanfacine (Intuniv, Tenex) - Answers -non stimulant ADHD med (antihypertensive) BP should be taken for student Kehr's sign - Answers -Referred pain down the left shoulder; indicative of a ruptured spleen. Wilms tumor - Answers -malignant tumor of the kidney occurring in childhood. One of the cancers more common to children prior to school age Shoulder tenderness and inability to shrug shoulder against resistance most likely due to which nerve affected - Answers -Accessory (spinal accessory) nerve tongue piercing - Answers -Piercing any oral structure presents a risk of local post procedural infection because of the presence of pathogens in the oral cavity. Tongue piercing poses greatest risk to damage to tooth structure. Who approves AED - Answers -FDA A diabetic in PE class with HA, diaphoretic, confused, unable to swallow - Answers - admin glucagon bed bugs - Answers -small, flat, reddish-brown insects that may live around or near areas where people sleep and that feed on the blood of people and animals. Linear clusters of reactions, generally nocturnal, use heat to treat. Often 3 erythematous papules along a vein. They are active at night. peak flow meter - Answers -if 80% or above best average no action needed Goal during mass casualty event - Answers -Greatest good for the greatest number through triage. Level 1 immediate, correctable, life threatening. Level 2 - serious but not life threatening. Level 3 - non emergent, walking wounded, minimal care. Level 4 dead or mortally wounded. For example would prioritized long bone fracture with compromise over cardiac arrest Sect. 504 Rehabilitation Act of 1973 - Answers -assures student has equal right to participate in educational and extra curricular activities as their non disabled peers IDEA - Answers -Federal law that mandates IEP>. Individuals with Disabilities Education Act. Requires LEAST restrictive environment with in class support to the max extent possible Skin sign of meningitis - Answers -petechia 5ths Disease/ Erythema Infectiosum - Answers --sx-Parvovirus B19): SLAPPED CHEEK (erythema of check), lace like rash When do kids first lose teeth - Answers -age 6. Perm teeth in by 12 earliest normal puberty - Answers -8 years old When does puberty start for boys - Answers -age 11. Sperm devp around age 13 before growth spurt and pub hair Apical pulse location - Answers -Mid-clavicular Over 7 yo Fifth intercostal space and it is called PMI- point of maximum impulse (4th intercostal space under 7yo) What to document for murmur - Answers -rhythm, rate quality of sound Normal HR - Answers -Up to 8 75-115 8-11 70-110 teens 60-100 Book says 6-10 yo 65-125. Just remember higher for younger child Respiratory Rate - Answers -3-7yo 20-25 8-11 yo. 14-22 over 12 12-20 Or remember average 15-20 Which arm for BP - Answers -1. Dominant first 2. other arm 3. Use highest BP arm next time Blood Pressure - Answers -3yo 90/40 7yo 97/57 11 104/61 teens 113/64 Retake BP how often if abnormal with HA, flushing, weak pulse, bounding pulse, pallor, dizziness - Answers -5 min Bell of stethoscope is used for - Answers -soft, low-pitched sounds McKinney-Vento Act - Answers -the nation's first law to provide assistance to homeless persons, including free public education for children. School stability (can remain in school for duration of academic year), transportation is required. Homeless = children, youth who lack a fixed regular and adequate nighttime residence including sharing a residence, motel or campgrounds Freud's stages of development - Answers -oral stage, anal stage, phallic stage, latency stage, genital stage Maslow's Hierarchy of Needs - Answers -(level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization 6 steps of nursing process (ADOPIE) - Answers -Assessment, diagnosis (nursing), outcome identification, planning, implementation, evaluation. FIRST step ASSESSMENT ALWAYS. Hib - Answers -Haemophilus influenzae type B - Not given after 5yo HBV - Answers -hepatitis B vaccine TIPS for head injury - Answers -Time of Injury, Impact position, Positional assessment, Saw it? Federal Car Seat Regulations - Answers -Booster seat until 4'9" and 8-12 years old, under 13 back seat MMR first dose - Answers -after 12months Tdap - Answers -11-12 years old Meningococcal - Answers -11-12 years - Menactra Live viruses - Answers -MMR and Varicella (weakened/attenuated form of virus). Small risk of causing weak case of disease Killed/inactivated vaccines - Answers -made from protein or other small piece taken from virus Vision Screening - Answers -Chart with lines, numbers and symbols at eye level, arch of foot on line, passing 20/40 for K, 20/30 for 1st and up. Screens for Visual acuity, color discrimination and extraoccular movememnt Refractive errors - Answers -Most common vision problem in children Greatest cause of death for children 5-9 years old - Answers -1)accidents/unintentional injury 2) cancer 3) congenital malformations 4) homocide Greatest cause of death for children 10-14 years old - Answers -1)accident 2) cancer 3) suicide 4) homicide Greatest cause of death for children 15-19 years old - Answers -1) accident 2) homicide 3) suicide 4) Cancer hearing screening pass - Answers -1000, 2000, 4000 (Hertz/pitch) pass at 20/25db (loudness). Can be affected by cerumen impacted Prevention (primary, secondary, tertiary) - Answers -Primary - for everyone! immunizations, info on health promotion, health fair. Secondary for those at risk to a condition (vision screening, referring to dr). Tertiary - prevent additional disability, maximize capabilities (devp IHP for seizures, transition back to school, staff training) Insulin types - Answers -Novolog - fast acting, to cover for meals. Lantus - long acting - all day control Calcium needs for kids - Answers -4-8 yo 1000mg, 9-18 1300mg. also needs sunlight, weigh bearing exercises, broccoli, cheese, yogurt. When fractures occur bone density screening recommended pneumothorax - Answers -air in the pleural cavity caused by a puncture of the lung or chest wall S/s liver laceration - Answers -Rt upper quad tenderness, guarding signs of blood loss, shock s/sx of bowl perforation - Answers -abd pain, N&V Treatment of abd injuries - Answers -bend knees and hips, place pillow or blanket, treat for shock When do you need stitches - Answers -when wound 1 inch, edges don't fall together State Board of Nursing develops state Nurse Practice Act - Answers -LAW. Denotes what a nurse can and cannot do, intent to protect public ANA (American Nurses Association) - Answers -- professional organization for RNs in the US - deals with professional scope and standards of practice - addresses ethics, public policy, and economic/general welfare of nurses - mission = advance profession of nursing NBCSN - Answers -provides cert exam voluntary Primary Assessment - Answers -ABCDE (Airway, breathing, circulation, disability and exposure) Romberg test - Answers --ask client to stand with feet at comfortable distance apart, arms at sides, and eyes closed -expected finding: client should be able to stand with minimal swaying for at least 5 seconds Backpack should weigh less - Answers -than 10-15% body weight Immunization exemptions - Answers -seizure, life threatening allergy, pregnant, immunosuppressed, religious or philosophical, Tinea Capitis (Scalp Ringworm) - Answers -Rounded, patchy hair loss on scalp, leaving broken-off hairs, pustules, and scales on skin. Caused by fungal infection. Fragile X Syndrome - Answers -a disorder produced by injury to a gene on the X chromosome, producing mild to moderate mental retardation, autism, prominent jaw, forehead, ears. In males rheumatic fever - Answers -after strep pharyngitis. Symptoms include joint pain with redness and swelling, rash, low fever Myopia - Answers -nearsightedness Nystagmus - Answers -repetitive rhythmic movements of one or both eyes Spinal screenings take place - Answers -Twice between 5th and 9th grades Spine disorders - Answers -scoliosis (curve), lordosis (swayback - spine sucked forward, anterior convexity of spine), kyphosis (humpback - upper back, posterior convexity) CPR: single rescuer compression/ventilation ratio - Answers -30:2 CPR second rescuer - Answers -15 compressions to 2 breaths If pulse but no breathing - Answers -give breaths every 3 seconds and check pulse every 2 min Use AED immediately - Answers -if you saw the child go down. Otherwise use it after 5 cycles of CPR CPR switch with second rescuer - Answers -Every 5 min if possible How long until epi pen effects are gone? - Answers -20 minutes Lead is toxic at blood levels abover - Answers -10mcg/dl symptoms of pneumothorax - Answers -dyspnea (pain with respiration), dec lung sounds on affected side, anxiety, movement of trachea to one side of the midline of the throat, any open chest wound sucking air. hypergylcemia symptoms - Answers -thirst, urination, fruity breath, flushing, irritability, drowsiness, unconsciousness (call EMS if unconscious) Hypoglycemia symptoms - Answers -hunger, fatigue, weakness, sweating, headache, dizziness, low bp, cold or clammy skin If unconscious give glucagon most common childhood cancer - Answers -leukemia muscular dystrophy - Answers -group of hereditary diseases characterized by degeneration of muscle and weakness. Most are in wheel chair by late teens and dies in 20's Achondroplasia - Answers -dwarfism., bowed legs, spine is curved osteogenesis imperfecta - Answers -brittle bone disease Juvenille Rheumatoid Arthritis - Answers -peak ages onset of 2-5 and 9-12 years old usually occurs in girls cerebral palsy - Answers -paralysis caused by damage to the area of the brain responsible for movement. May be seizures, intellectual disability or attention deficit disorders Tourette's syndrome - Answers -effects boys 4x's as much as girls, associated with OCD, ADHD, Impulse control, anxiety and depression febrile seizures - Answers -Seizures that result from sudden high fevers, particularly in children. Usually less than 7 yo status epilepticus - Answers -A condition in which seizures recur every few minutes or last more than 30 minutes. Up to 75% of children having first seizure will have status epilepticus. Infection and metabolic disorders usually trigger. Call EMS if first seizure over 5 min or known epileptic over 10 min signs of shunt malfunction (hydrocephalus) - Answers --Irritability -Headache -Diplopia -Nausea/vomiting -Lethargy -Loss of milestones -Change in seizure pattern -Decreased level of consciousness -They also will sometimes show signs of infection and not a blockage Mantoux test - Answers -TB test, read 48-72 hours. 15mm positive w/o risk factors, 10mm positive with risk factors. Common Cold - Answers -Symptoms 2-8 days after exposure and last up to 10 days Chicken pox - Answers -rash develops 10-21 days after exposure and person is infective 24-48 hours before rash until they scab over viral meningitis - Answers -usually self limiting within 7-10 days and is less severe than bacterial meningitis Disaster Preparedness should prepare to care for students for - Answers -3 days How much time in between doses of same live vaccine? - Answers -4 weeks Can a student get all vaccines needed to start school in one sitting? - Answers -Yes and then attend school the next day. Youth Risk Behavior Surveillance System (YRBSS) - Answers -National Youth Behavior Survey conducted by the CDC. Given by states every 2 years to a selection of students in 9-12 grade. It elicits info about tobacco, alcohol, drug use, risky behaviors School Health Index (SHI) - Answers -made by CDC to improve health promotion programs Most effective hand hygiene? - Answers -antibacterial soap for 30 seconds, paper towels. Alcohol foams, gels must have 60-95% alcohol Fungal infections - Answers -should be treated for 24 hours then covered well during sports match treatment of avulsed tooth - Answers -handle by crown, put in Hanks balanced salt solution or milk, normal saline, water and student and tooth transported to dentist Dietary requirements for children - Answers -4-8 years old kids need 1400-1600 cal. Goes up from there. Teen girls 2000 boys 2400-2800 Underweight BMI - Answers -less than 5 percentile. Normal 5-84% What governs staff health information? - Answers -HIPPA