Deck 5: School Nursing

Question 1

Which of the following nurses convinced the New York Board of Health to place a nurse in the school system, thus establishing school nursing?

A) Dorothea Dix
B) Lillian Wald
C) Esther Lucille Brown
D) Anne Goodrich

Answer 1

Lillian Wald

Question 2

The first school nurse in the United States in 1902 was:

A) Lavinia Dock
B) Mary Adelaide Nutting
C) Lina Rogers
D) Isabelle Hampton Robb

Answer 2

Lina Rogers

Question 3

What major accomplishment occurred as the result of the work of the first school nurse in the United States?

A) The number of children excluded from school dropped significantly.
B) The incidence of whooping cough decreased by 50%.
C) The number of playground accidents dropped significantly.
D) The number of immunized children increased by 50%.

Answer 3

The number of children excluded from school dropped significantly.

Question 4

The original role of the school nurse was:

A) identifying, educating, and following up on communicable diseases
B) developing, teaching, and evaluating a comprehensive health curriculum
C) home health visits to the ill child
D) assisting the classroom teacher with hygiene teaching

Question 5

During the 1920's the school nurse role expanded to include:

A) classroom teaching on how to deal with bomb threats and set up bomb shelters
B) prevention of injury during natural disasters such as tornadoes or hurricanes
C) identification of physical defects in children and making referrals to correct the defects
D) identification of children with alcohol and other drug problems and proper referrals

Question 6

At one point in the history of school nursing, staffing was cut back and tasks were delegated to teachers and other school personnel. This occurred during which time period?

A) the Vietnam War
B) early 1900s
C) the 1890s
D) World War II

Question 7

What minimum educational preparation is recommended for school nurses by both the American Nurses Association and the American School Health Association?

A) licensed practical nurse certificate
B) associate degree in nursing
C) baccalaureate degree
D) master's degree

Question 8

What factor in the 1970s played a major part in the changing role of the school nurse and prompted the need for additional education and expertise for school nurses?

A) passage of the Education for All Handicapped Children Act
B) greater numbers of children entering the school system
C) the fact that teachers stopped teaching the health curriculum
D) changes in the Medicaid laws affecting children

Question 9

What federal act requires that all states provide appropriate education at no cost and in the least- restrictive environment to children with handicaps?

A) Handicapped Persons Environmental Act
B) Individuals with Disabilities Education Act (IDEA)
C) Children's Educational Act (CEA)
D) Handicapped Children's Act

Question 10

Included in the school nurse's role is the provision of direct services and indirect services. Which of the following activities best exemplifies the indirect services that school nurses provide?

A) gastrostomy feedings
B) ventilator care
C) community referrals
D) clean intermittent catheterizations

Question 11

One of the tasks of the school nurse is organizing and performing screening programs. Which one of the following screenings is most often included in a traditional screening program offered by schools?

A) pediculosis
B) dental
C) cardiac
D) neurological

Question 12

Which of the following laws affecting education was based upon the concepts of accountability for results, education based on scientific research, expanded parent options, and local control?

A) Elementary and Secondary Education Act
B) Individuals with Disabilities Education Act (IDEA)
C) No Child Left Behind Act
D) Education for All Handicapped Children Act

Question 13

The school nurse finds a child's hearing at between 70 dB and 90 dB in a hearing screening test. If further testing confirms this hearing level, this child is most likely considered to be:

A) hard of hearing
B) deaf
C) normal
D) near deaf

Question 14

A teacher informs the school nurse that she is concerned about a student who is not responding when called on in class. The student often asks the teacher to repeat questions. When asked by the nurse, the student denies any trouble hearing. Which of the following interventions made by the school nurse would be most appropriate?

A) encourage the student to come to the nursing office if the student has any trouble hearing
B) arrange for the student to have a hearing exam
C) notify the school psychologist that the student is having trouble concentrating in class
D) contact the student's guardian(s) to request assistance with monitoring for potential hearing loss

Question 15

When the school health nurse identifies vision or hearing problems in children while conducting vision and hearing screening programs, he or she realizes that the nurse's role ends with:

A) problem identification
B) notifying caregivers
C) follow-up care
D) documentation

Question 16

Which of the following statements by the school nurse would most help a child make a transition to wearing glasses?

A) "If you don't wear glasses, you could lose your eyesight."
B) "The glasses will help you see really well and will help you make better grades. Let's think about who else has glasses."
C) "Your parents will be really happy if you wear your glasses and so will your teachers."
D) "Glasses are a wonderful invention. Just think what the world would be like if glasses had never been invented."

Question 17

The school nurse's role in communicable disease control is influenced by three factors necessary for the spread of communicable diseases. These three factors are:

A) transmission, susceptibility, and favorable environment
B) virility of the organism, life span of the organism, and resistance of the organism
C) climate, temperature, and wind or water factors
D) availability of a vaccine, methods to inoculate, and population

Question 18

Which of the following conditions or situations would most likely cause a child to be denied admission to a school?

A) severe vision or hearing loss
B) lack of proper immunizations
C) developmental disorders
D) medical condition

Question 19

The school nurse keeps a list of enrolled students who have medical or religious objections to immunizations and those who are likely to have decreased immunity. The nurse likely keeps this list to:

A) facilitate exclusion in case of an outbreak of a highly communicable disease in the school
B) reassure the family that the nurse will respect the family's wishes at all times
C) meet state and federal requirements
D) provide statistics for the state health department

Question 20

Before dispensing any medications to a student at school, the nurse must:

A) contact the child's caregivers
B) document the medication
C) get the child's assent
D) know the school district medication policy

Question 21

A child has fallen in gym class and is complaining of pain in one ankle. The child cries out when trying to bear weight. The nurse should complete which of the following immediate actions if there is swelling, bruising, deformities, decreased movement, or decreased circulation and sensation in the deformity?

A) splint the extremity as necessary
B) continue to have the child bear weight
C) apply heat
D) call an ambulance

Question 22

A child suffers a head injury in a tumbling accident in gym class. The nurse's best course of action is to:

A) leave the child and go get help
B) stay with the child, keep assessing, and have someone call the caregivers
C) leave the child in the care of an older child and go get help
D) get the child up walking and make sure he or she stays awake

Question 23

The school health nurse is aware that the most important aspect of caring for an injured child is knowing:

A) there the first aid kit is located
B) who in the school is to be called for backup
C) when to call for help
D) there the oxygen is located

Question 24

The school nurse's quick assessment of a student hurt in a fall on the playground determines that the child has serious injuries and needs to be transported to the hospital by ambulance. To lessen the child's fears, the nurse's best course of action would be to:

A) read the child a story about a boy who went to the hospital in an ambulance
B) tell the child not to be afraid and that the ambulance is needed to get to the hospital fast
C) have a familiar school staff person ride in the ambulance with the injured child if permitted by ambulance personnel
D) wait for a caregiver to come to the school and have him or her ride in the ambulance

Question 25

Since the school nurse may not always be present in the school, the nurse develops Individual Health Plans (IHPs). These plans are best described as:

A) plans written by the caregivers as to what to do in an emergency, such as how to reach the health care practitioner and the caregivers and what can and cannot be done for the child
B) protocols for what needs to be done for each of several types of emergencies for any child
C) documents of health history, assessment, medications, equipment, possible problems, interventions, and emergency plan for each child with a health problem
D) written orders from health care practitioners on each child with a health problem

Question 26

The school nurse works with a number of children who receive medication while they are at school. In order to give medication to a child at school, the nurse must have only:

A) a call from the nurse in the pediatrician's office or health care practitioner's office
B) written permission from the caregivers and a health care practitioner's order
C) verbal permission from the caregivers in case of herbal medicines
D) a printout from the pharmacy in the case of over-the-counter medication

Question 27

Children's medications at school must be stored in:

A) a warm, dry place too high for children to reach
B) in the nurse's office
C) in a locked cabinet
D) in an area not used by the schoolchildren

Question 28

Which of the following questions would be most important for the nurse to ask regarding the content of a health education curriculum before teaching it to a classroom of children?

A) Will this presentation catch the children's attention?
B) Is the information in this content age-appropriate?
C) Does this information reflect the latest research?
D) Have the caregivers already taught this information at home?

Question 29

You notice that a school health nurse is teaching the children to wash their hands using a nontoxic powder that lights up under a black light. The nurse sprinkles the powder on the children's hands and later shows them by using the black light that they have put these "germs" on their faces and everywhere they have touched. The students wash their hands and see if they made the germs disappear. Which of the following reasons best represents the most important rationale for why the school nurse teaches hand washing by this method instead of giving a talk?

A) The glow-powder method is more fun for everyone.
B) This method gets the children more active and provides exercise.
C) Physically involving the children increases their understanding.
D) Most other elementary teachers use the glow-powder method.

Question 30

When the school nurse prepares sex education curricula, the primary goals are to increase knowledge and to:

A) frighten students about the things that can happen to them
B) encourage students to make positive health choices
C) inform students whose caregivers are unlikely to inform them
D) make certain the students know everything about sex

Question 31

When providing education on sexually transmitted diseases (STDs), it is essential to include which of the following?

A) identification of the most life-threatening diseases
B) names of famous teenagers who have died as a result of STDs
C) information on how STDs are spread
D) facts on the rate of transmission and prevalence among young adults

Question 32

Before teaching students about contraception, the nurse most needs to be aware of:

A) what percent of students are sexually active
B) sources of contraceptive materials for the students
C) school district policies and community values
D) local statistics on sexually transmitted diseases

Question 33

The school nurse is planning a health education curriculum. What topics would he or she select to begin the teaching of health education in the intermediate grades (4th, 5th, and 6th)?

A) sex education and contraception
B) the dangers of alcohol and drugs
C) personal hygiene and self-esteem building
D) hormonal changes that occur in the teens

Question 34

The school nurse is working with several teenage girls who are pregnant but remaining in school. The nurse must be prepared in case one of these students goes into labor at school. Which of the following actions is the most important for the nurse to take, in addition to making sure there is an emergency delivery kit in the school?

A) Let the teachers know how to contact the nurse 24 hours a day.
B) Make home health visits to the student and the student's family.
C) Provide information on how to include the father in the birth.
D) Write an Individual Health Plan for each pregnant student.

Question 35

In teaching students about the risks of smoking, which of the following methods would be most effective for the school nurse to use?

A) lecture
B) teacher-facilitated, student-led small group discussions
C) animated video cartoons with popular cartoon characters
D) role-play

Question 36

Antismoking education needs to be included into health promotion and wellness classes beginning in what grade and continuing through high school?

A) kindergarten
B) 4th
C) 7th
D) 9th

Question 37

To be effective, antismoking education needs to be done before children:

A) tries the first cigarette
B) have a job and earn enough money to buy cigarettes
C) reach adolescence and adolescent rebellion
D) have too much stress from school and home to quit

Question 38

Which of the following descriptions best describes TAR WARS?

A) a Star Wars movie in which smoking is declared as evil
B) an antitobbaco program designed for 5th-grade students
C) a campaign against students' use of black tar heroin
D) an effort to get students to influence caregivers to stop smoking

Question 39

What effect does alcohol and drug use by students have on school performance?

A) little or none, as students attempt to cover use
B) grades that drop somewhat but not significantly
C) poor academic performance and often dropping out
D) increased school performance in those who need to medicate

Question 40

Which of the following drugs have become the most used or abused by students below the eighth grade?

A) marijuana
B) methamphetamine
C) inhalants
D) LSD

Question 41

In teaching violence prevention, the school nurse knows that this needs to begin in grades:

A) kindergarten to 3rd
B) 4th to 6th
C) 7th to 9th
D) 10th to 12th

Question 42

For violence prevention teaching to be effective, the school needs to train and use as a role model(s):

A) a small team of interested teachers
B) all teachers, nurses, and other staff
C) only the nurse
D) the nurse and administrative staff

Question 43

In addition to a violence prevention curriculum, the school most needs to do which of the following things in order to prevent or keep school violence incidences low?

A) Increase the punishment for aggressive acts.
B) Talk with the caregivers about their responsibility to keep their children nonaggressive.
C) Formalize a working agreement with the local police force.
D) Have formal policies on how violence will be dealt with on the school grounds.

Question 44

The school nurse is working in a culturally and ethnically diverse school in which there have been a large number of documented incidences of violence. Which of the following ideas would the nurse stress early in the health class before proceeding to training in such subjects as anger management?

A) We are all unique in some way, and uniqueness is wonderful.
B) You are going to end up hurt someday when you pick on the wrong person.
C) Every child deserves courtesy and respect no matter what background the child has come from.
D) Aggression is a bad way to interact with others and will be punished.

Question 45

Who is in the best position to teach anger management skills to schoolchildren?

A) a school administrator
B) the school nurse
C) an outside contracted facilitator
D) the classroom teacher

Question 46

The school nurse's main focus in child abuse or neglect issues is:

A) running an abuse and neglect group
B) doing psychological testing
C) awareness: recognizing signs and symptoms and reporting to authorities
D) working with the caregivers to change their behavior to less pathological behavior

Question 47

Many schools have established protocols on specific instances when children should be sent home. Which of the following symptoms would likely be included in this protocol? Select all that apply.

A) a temperature of 38.1 degrees C (100.6 degrees F)
B) a red, nonraised rash on the chest and legs
C) an occasional dry cough
D) history of asthma

Question 48

A student has sustained a fracture while playing on the swings during recess. The school nurse is required to document the event using a standardized injury form. Which of the following best describes the rationale for using this form? Select all that apply.

A) serves as legal protection for the school district in the event the guardian files charges
B) provides necessary documentation for insurance purposes for the student
C) allows for the examination of patterns
D) provides a standard format for examining data on injuries

Question 49

A school nurse is preparing individualized health plans (IHPs) for students. Which of the following items would likely be included in the plans? Select all that apply.

A) academic needs of the student
B) goals and interventions to enhance health status
C) outcomes that will allow the student to remain in school
D) dietary considerations or restrictions

Question 50

A student has been the recipient of significant bullying at school. The school nurse is aware that a student being bullied can present as having which of the following signs and symptoms? Select all that apply.

A) complaints of loneliness or isolation
B) signs of depression
C) frequent reports of generalized discomfort
D) chronic absenteeism from school