Challenge the School Nurse Archive | National Board for Certification of School Nurses (NBCSN)

May 2025

A student or family who is not residing in their own domicile and is considered homeless presents at school for enrollment. What is the most appropriate response to their statement that they do not have documentation of immunizations?

1. If your child has at least one of each of the required series, they may be enrolled.

2. Your child will be allowed immediate entry and we will refer you to get catch-up vaccines.

3. Your child cannot start unless you provide documentation of immunizations.

4. Since you are homeless, you do not need to have immunizations.

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NCSN

Non-NCSN
April 2025

In Piaget's theory of cognitive development, this stage is characterized by egocentrism, i.e., being unable to perceive that others can think differently than themselves, and everything links to the self. Which Piaget stage does this statement describe?

1. Concrete operational

2. Formal operational

3. Preoperational

4. Sensorimotor intelligence

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NCSN

Non-NCSN
March 2025

A 10-year-old student presents in the nurse’s office, visibly upset, stating that they are being bullied by another student. The nurse’s FIRST action should be:

1. Ask the student to describe exactly what happened to determine if the incident meets the district’s definition of bullying.

2. Ask the student to identify the student who bullied them and request to have that student sent to nurse’s office to question them about the incident.

3. Contact the parents of the bullied student and advise them to contact the school administrator.

4. Send the student to the administrator’s office to report the incident.

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NCSN

Non-NCSN
February 2025

Per ACIP, MMRV vaccine should be given:

1. Once only at age 12 months

2. At age 6 months,18 months and 4-6 years

3. At 18 months only after a titer indicates lack of immunity

4. At age 12-15 months and at age 4-6 years

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NCSN

Non-NCSN
January 2025

Which of the following statements is true about Norovirus?

1. Norovirus can’t survive in temperatures greater than 100 degrees Fahrenheit.

2. Cleaning hands with hand sanitizer is the most effective way to prevent the spread of Norovirus.

3. Norovirus is highly contagious and spreads quickly and easily.

4. Food contaminated with norovirus will have a distinct odor.

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NCSN

Non-NCSN
December 2024

Which of the following is the most likely cause of amblyopia in a pre-school student?

Strabismus

Ptosis

Hyperopia

Presbyopia

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NCSN

Non-NCSN
November 2024

What are the crieria used to rapidly assess a student using the AVPU scale?

Alert, Vomiting, Responds to painful stimuli, Unresponsive to light

Alert, Responds to verbal stimuli, Responds to painful stimuli, Unresponsive to noxious stimuli

Active, Verbal, Responds to touch, Unresponsive to verbal commands

Anxious, Responds to verbal stimuli, Pupils unresponsive, Unresponsive to noxious stimuli

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NCSN

Non-NCSN