ILTS School Nurse (236) Exam Secrets Study Guide With Questions
And Correct Answers With Rationales.
1. What is the PRIMARY role of a school nurse?
A. Diagnose medical conditions
B. Provide emergency care only
C. Promote student health and support learning
D. Replace parental care
Correct Answer: C
Rationale:
The school nurse’s primary role is to promote health, prevent illness, and support academic success
by addressing health barriers to learning.
2. Which law MOST directly governs special health services in schools?
A. HIPAA
B. IDEA
C. FERPA
D. EMTALA
Correct Answer: B
Rationale:
IDEA ensures students with disabilities receive related services, including nursing services when
required for educational access.
3. A student with diabetes requires insulin during school hours. Which document outlines this
service?
A. IEP or 504 Plan
B. Attendance record
C. Emergency card
D. Teacher lesson plan
Correct Answer: A
Rationale:
Health-related services are documented in an IEP or Section 504 Plan to ensure legal compliance and
consistency.
4. Which condition requires the MOST immediate nursing intervention?
A. Mild headache
B. Asthma attack with wheezing
,C. Seasonal allergies
D. Minor abrasion
Correct Answer: B
Rationale:
An asthma attack can rapidly become life-threatening and requires immediate intervention.
5. What is the FIRST action when a student experiences an anaphylactic reaction?
A. Call parents
B. Administer epinephrine
C. Provide oral fluids
D. Complete documentation
Correct Answer: B
Rationale:
Epinephrine must be administered immediately during anaphylaxis to prevent airway compromise.
6. Which vital sign BEST reflects respiratory status?
A. Pulse
B. Blood pressure
C. Respiratory rate
D. Temperature
Correct Answer: C
Rationale:
Respiratory rate directly reflects breathing effectiveness and oxygenation.
7. Which communicable disease requires exclusion from school until treated?
A. Head lice
B. Strep throat
C. Common cold
D. Seasonal flu (without fever)
Correct Answer: B
Rationale:
Untreated strep throat is highly contagious and requires antibiotic treatment before return.
8. What is the MOST appropriate action for suspected child abuse?
A. Investigate independently
B. Report to child protective services
, C. Call parents first
D. Document only
Correct Answer: B
Rationale:
School nurses are mandated reporters and must report suspected abuse immediately.
9. Which student requires an Individualized Healthcare Plan (IHP)?
A. Student with mild seasonal allergies
B. Student with epilepsy
C. Student with occasional headaches
D. Student with motion sickness
Correct Answer: B
Rationale:
Chronic conditions like epilepsy require planned health management during school hours.
10. Which action BEST supports medication safety in schools?
A. Allow students to self-administer all medications
B. Store medications in a locked area
C. Delegate medication administration without training
D. Skip documentation
Correct Answer: B
Rationale:
Medications must be secured, properly labeled, and documented to ensure safety.
11. Which assessment finding indicates dehydration?
A. Moist mucous membranes
B. Decreased urine output
C. Normal skin turgor
D. Stable weight
Correct Answer: B
Rationale:
Decreased urine output is a key sign of dehydration, especially in children.
12. Which condition requires a seizure action plan?
A. ADHD
B. Epilepsy
And Correct Answers With Rationales.
1. What is the PRIMARY role of a school nurse?
A. Diagnose medical conditions
B. Provide emergency care only
C. Promote student health and support learning
D. Replace parental care
Correct Answer: C
Rationale:
The school nurse’s primary role is to promote health, prevent illness, and support academic success
by addressing health barriers to learning.
2. Which law MOST directly governs special health services in schools?
A. HIPAA
B. IDEA
C. FERPA
D. EMTALA
Correct Answer: B
Rationale:
IDEA ensures students with disabilities receive related services, including nursing services when
required for educational access.
3. A student with diabetes requires insulin during school hours. Which document outlines this
service?
A. IEP or 504 Plan
B. Attendance record
C. Emergency card
D. Teacher lesson plan
Correct Answer: A
Rationale:
Health-related services are documented in an IEP or Section 504 Plan to ensure legal compliance and
consistency.
4. Which condition requires the MOST immediate nursing intervention?
A. Mild headache
B. Asthma attack with wheezing
,C. Seasonal allergies
D. Minor abrasion
Correct Answer: B
Rationale:
An asthma attack can rapidly become life-threatening and requires immediate intervention.
5. What is the FIRST action when a student experiences an anaphylactic reaction?
A. Call parents
B. Administer epinephrine
C. Provide oral fluids
D. Complete documentation
Correct Answer: B
Rationale:
Epinephrine must be administered immediately during anaphylaxis to prevent airway compromise.
6. Which vital sign BEST reflects respiratory status?
A. Pulse
B. Blood pressure
C. Respiratory rate
D. Temperature
Correct Answer: C
Rationale:
Respiratory rate directly reflects breathing effectiveness and oxygenation.
7. Which communicable disease requires exclusion from school until treated?
A. Head lice
B. Strep throat
C. Common cold
D. Seasonal flu (without fever)
Correct Answer: B
Rationale:
Untreated strep throat is highly contagious and requires antibiotic treatment before return.
8. What is the MOST appropriate action for suspected child abuse?
A. Investigate independently
B. Report to child protective services
, C. Call parents first
D. Document only
Correct Answer: B
Rationale:
School nurses are mandated reporters and must report suspected abuse immediately.
9. Which student requires an Individualized Healthcare Plan (IHP)?
A. Student with mild seasonal allergies
B. Student with epilepsy
C. Student with occasional headaches
D. Student with motion sickness
Correct Answer: B
Rationale:
Chronic conditions like epilepsy require planned health management during school hours.
10. Which action BEST supports medication safety in schools?
A. Allow students to self-administer all medications
B. Store medications in a locked area
C. Delegate medication administration without training
D. Skip documentation
Correct Answer: B
Rationale:
Medications must be secured, properly labeled, and documented to ensure safety.
11. Which assessment finding indicates dehydration?
A. Moist mucous membranes
B. Decreased urine output
C. Normal skin turgor
D. Stable weight
Correct Answer: B
Rationale:
Decreased urine output is a key sign of dehydration, especially in children.
12. Which condition requires a seizure action plan?
A. ADHD
B. Epilepsy
