National Board for Certification of School Nurses Examination
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Exam Code
NCSN-NBCSN
Exam Name
National Board for Certification of School Nurses Examination
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50 Questions Answers With Explanation
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06, 04, 2026
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Nursing NCSN-NBCSN Sample Question Answers
Question # 1
Which protocol applies to student health records?
A. Student records are public records. B. Student health information should be treated with confidentiality. C. Student records must be submitted to the nearest hospital. D. Student records fall under school board policies.
Answer: B Explanation:
Student health records should be treated with confidentiality, subject to the rules
and regulations of HIPAA. Paper records should be locked when unattended, and can only
be shared with the parents of the students. Otherwise, the parents must authorize the
sharing of a student's health records if patient identifiers would be included in that sharing.
These records to not have to be associated with a hospital.
Question # 2
What is the responsibility of the school nurse when reporting a student who has measles?
A. Report it to the principal. B. Report it to the county health department. C. Report it to the school board. D. Report it to the county health department, which will report it to the CDC.
Answer: D Explanation:
The student with measles must be reported to the health department and the health department is responsible for reporting to the CDC. The principal may also be notified in a
secondary manner, to establish a response by the school to minimize the spreading of this
disease.
Question # 3
What selection describes the role of the school nurse if the nurse suspects a student is the victim of
physical or sexual abuse?
A. The nurse would discuss her thoughts with the principal. B. The nurse would continue to observe the student for other signs of abuse and report once this is
confirmed. C. The nurse is responsible to report suspected abuse in a timely manner as soon as the suspicion
arises. D. The nurse has no legal responsibility.
Answer: C Explanation:
The school nurse is legally responsible to report suspected abuse in a timely manner
as soon as even a suspicion is noted. As a mandatory reporter, the nurse is not required to
go through the principal with this concern, or collect additional evidence if the initial
impression instills concerns of abuse. Delaying the report can be dangerous to the student.
Question # 4
The school nurse has educated the secretary about dispensing medications during lunch time if the
nurse is not available. What selection describes this process?
A. The secretary is a volunteer provider. B. The school nurse is supervising and delegating unlicensed personnel. C. The school nurse is supervising a licensed staff member. D. The secretary is acting as licensed personnel.
Answer: B Explanation:
In this case, the school nurse is supervising and delegating unlicensed personnel (the
secretary). This is acceptable if the nurse is using the 5 rights of delegation and the
secretary is comfortable with his/her responsibilities. In this case the school nurse is still
holds the responsibility of dispensing medications.
Question # 5
Which form of parental permission is acceptable for prescribed medication for a student during
school hours?
A. There is no need for parental permission if the bottle is labeled with the physician's name. B. The parent must send in a note and the medication in a bag with the child's name,
along with when the medication should be given. C. The parents must sign a permission note, and the bottle must be labeled from the
pharmacy with the medication, the doctor, the dose, and the time it is to be given. D. The parental note is all that is needed to give a student medication.
Answer: C Explanation:
The bottle of medication must be labeled from the pharmacy with the doctor, the
dose, and the time, and be accompanied by a parental permission slip or note before the
school nurse can legally dispense the medication. Without both of these elements, the
school nurse is not authorized to administer prescribed medications.
Question # 6
When dispensing an over-the-counter medication for headaches, the school nurse should:
A. only provide low dose medications such as aspirin, Tylenol or Advil. B. first obtain parental permission. C. assess vital signs before and after medication administration. D. ensure the student is not allergic to the medication.
Answer: B Explanation:
When dispensing over-the-counter medication for headaches, first and foremost, the
school nurse must get parental permission. Assessing vitals and pain level before and after
administration and assessing medication allergies would be the next step if these OTC
medications were authorized
Question # 7
A student with ADHD has been having a difficult time each morning until after the noon dose of
medication. Which selection indicates what the school nurse should consider next?
A. Notifying the parent to about the student's misbehavior, B. Increasing the noon dose. C. Checking with a parent to see if the morning dose has been given. D. Seeking the help of the principal to manage the situation.
Explanation:
Checking with a parent to see if morning medications have been given would be
appropriate. In this case, it appears that the child responds well to medication, therefore
suspecting a missed dose in the morning is appropriate. Ifthe parents are giving the
student their morning dose of medication, recommend the parents discuss changing
medication dosage or type with their physician at the next appointment. Increasing the
noon dose is not indicated, as the student's behavior seems to improve after the noon dose.
Seeking the help of the principal is not indicated until the other steps have been taken to identify the problem.
Question # 8
Which selection indicates the school nurse understands the growth and development of a student
who has seizures?
A. Seizures do not affect the rate of growth and development. B. A child with seizures may have an altered self-image. C. Seizures generally are a manifestation of a more serious condition. D. A child with seizures should not be identified to teachers due to patient confidentiality.
Answer: B Explanation:
A child with seizures may have an altered self-image. Seizures, depending on
severity, can indeed affect the rate of growth and development, emotional development,
and self-esteem, therefore treating and educating students with seizures should address all
of these areas of development. While seizures can be a manifestation of nervous system
disorders, they can also exist independently. Teachers should be aware of students with
seizure disorders, and trained on how to properly manage the patient when seizing occurs.
Question # 9
What would the school nurse include in educating classroom teachers about the care of a student
with seizures?
A. Restrain the student when a seizure occurs to prevent injury. B. Utilize a towel or other soft object to prevent the child from biting their tongue and keep the
airway open. C. Keep the student safe, protect the airway, and call for help. D. Document activities before and after seizure activity.
Answer: C Explanation:
Keeping the student safe, protecting the airway, and calling for help is appropriate for the care by the teacher of a student with seizures. Also place the student on their side if
possible, and time the duration of the seizure. Restraining a student during a seizure is now
contraindicated. Placing something in the student's mouth while they are seizing is no
longer recommended. Documentation of activities before and after the seizure can be
completed by the school nurse after collecting this data from the teacher post-seizure.
Question # 10
The school nurse would be responsible for initiating and implementing which of the following plans?
A. An individual education plan. B. Individual health care plans. C. School educational resources for all students. D. Health care plans for students with seizures and asthma only.
Answer: B Explanation:
It is the responsibility of the school nurse to initiate individual health care plans for
all students. Individualized education plans are the responsibility of the teacher. School
educational resources are usually delegated by the principle, though the school nurse may
request certain health-related resources.
Question # 11
What is NOT a consideration for a school nurse who recognizes a student has had 3 broken bones in
a 4 month period of time?
A. Consider recommending a bone density test to parents. B. Consider if the student may be in an abusive situation. C. Consider if the student is diabetic which often leads to broken bones. D. Discuss diet and increasing calcium intake with student and parents.
Answer: C Explanation:
Diabetes does not lead to broken bones, therefore a student with 3 broken bones in a
4-month period does not need to be considered for diabetes. They do need to be assessed
with a bone density test, considered for possible abuse, and educated on increasing calcium
intake in the diet.
Question # 12
The school nurse suspects a student has a case of chicken pox. What is the most important
consideration?
A. Notify the public health nurse. B. Spray down the health clinic. C. It is a normal childhood illness and requires no intervention. D. Send the student home and consider any other student who may be immune compromised.
Answer: D Explanation:
A student suspected to have a case of the chicken pox should be sent home and the
school nurse should consider any other students who may be immune compromised. While
chicken pox is a common communicable disease for a child to acquire, it can be very
dangerous to those students with weak immune systems and will quickly spread from one
student to another.
Question # 13
What playground accident would need outside emergency management from EMS?
A. Scrapes and abrasions to an extremity. B. Bleeding from a small head laceration. C. Sudden collapse in gym class with an irregular heart rate, D. A swollen lip from an elbow to the face during gym class.
Answer: C Explanation:
A sudden collapse in gym class with a nonresponsive reaction or an irregular heart
rate should be evaluated immediately. The nurse should immediately gauge the student's
level of consciousness, call for help, and initiate CPR if no breathing or pulses is present.
CPR should be initiated as soon as possible to maximize the chances for recovery while
EMS is on the way.
Question # 14
Which would be considered a dental emergency for a school nurse?
A. A student's permanent tooth knocked out with bleeding. B. A student's baby tooth is loose and bleeding. C. A cavity causing pain. D. A student complains that a filling fell out during lunch.
Answer: A Explanation:
A student's permanent tooth knocked out with bleeding would be a dental
emergency and a parent should be contacted to take the child to the dentist. Loose or lost
baby teeth and cavity pain are normal occurrences that can be managed by the school
nurse and addressed with a dentist appointment at the next available appointment. If a filling falls out during lunch, the parents should be notified but this can also be addressed
at the next available dentist appointment in a non-emergent basis.
Question # 15
Which selection is NOT an emergency?
A. Anaphylaxis . B. Burns. C. Shallow abrasions. D. Hemorrhage.
Answer: C Explanation:
Shallow abrasions are generally not classified as an emergency and require basic
first aid treatment. The other selections require emergency interventions outside of the
school clinic setting, including Pediatric Advanced Life Support (PALS) for anaphylaxis,
massive blood transfusion for a hemorrhage, and fluid resuscitation and wound care for
burns.
Question # 16
Which procedure would be appropriate for the school nurse to perform without parental
permission?
A. Giving first-aid treatment for minor abrasions. B. Casting a fractured arm. C. Cutting a wire to orthodontic braces. D. Pulling a loose tooth.
Answer: A Explanation:
It would be appropriate to give basic first aid to minor abrasions using basic cleaning
techniques (with soap and water) and dressing (band aid or gauze). This basic first aid
would not involve medication. School nurses do not cast fractures or cut wires for braces. A
school nurse should contact a parent before attempting to pull a loose tooth.
Question # 17
What governs the scope of practice for a school nurse?
A. The state licensing board. B. The school board. C. The local hospital board. D. The medical director.
Answer: A Explanation:
The state board of licensing is the governing board for all licensed registered nurses.
The school board, local hospital board and medical director are not regulating bodies over
the scope of practice for the school nurse.
Question # 18
What state and health information regulations apply to school nurses?
A. Paperless charting. B. Computers on wheels for mobile patient documentation. C. HIPAA regulations regarding confidentiality. D. State school board regulations are what dictate the nurse's scope.
Answer: C Explanation:
HIPAA regulates laws about confidentiality in all areas of health care, including the
school nurse, therefore HIPAA regulations regarding confidentiality also apply to school
nurses. Paperless charting and computers on wheels are not often available to school
nurses, therefore these may not be a part of the school nurse's process. School nurses are
subject to state and health information regulations along with school board regulations,
therefore the state school board is not the sole regulating body overseeing school nurses.
Question # 19
What positive influence could the school nurse have on the nutrition of students?
A. Offer cookies or snacks with every clinic visit. B. Educate the students on healthy food choices by example. C. None, as the school dietitian is in control of this aspect of education. D. Participate school policy changes that control the foods being served or brought into the building.
Answers: B Explanation:
Educating the student on healthy food choices by example is a good way to make a
positive influence on students. Schools may not have a dietitian to educate the students on
proper nutrition, and the school nurse is often the expert in health and wellness within
school walls. Offering cookies may be thought of as creating an inviting environment, but
would be better done using healthy snacks or stickers. Implementing policy changes to mandate the
foods allowed to be eaten in school would be considered intrusive an
Question # 20
What piece of health information should a classroom teacher be aware of that would not violate
confidentiality laws?
A. A heart-shaped mole on the student's back. B. A student's allergy to peanuts. C. A parent's HIV status. D. A grandparent's history of alcoholism.
Answer: B Explanation:
A student's allergy to peanuts would need to be shared with any school employee
who might be in contact with the student or be around the student who might have a
reaction. It is common for snacks to be shared in the classroom, and the classroom teacher
must be sure to assist the student in avoiding foods that contain peanuts. Because some
peanut allergies are so strong that just being near food with peanut elements can trigger a
reaction, the classroom teacher must collaborate with the school nurse to help manage the
patient with this condition.
Feedback That Matters: Reviews of Our Nursing NCSN-NBCSN Dumps
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