The Role of the School Nurse Case Study Exam 2023 with
complete solution
Sarah spends the first portion of her morning conducting an inservice for some
of the teachers on early recognition of communicable diseases. When she arrives
at her office, there are four children waiting to be seen. In what order should the
nurse assess these children?
1. 10-year-old boy who thinks he has a fever
2. 6-year-old girl complaining of a headache
3. 5-year-old boy reporting a stomachache
4. 9-year-old girl with an abrasion to the knee
When assessing the 10-year-old student, which action should the RN take first?
Take the child's temperature.
Sarah takes the child's temperature, which is 101.2. She then completes a brief
head-to-toe assessment. Which assessment finding if of most concern to the
nurse?
A red rash on the cheek and trunk.
Which other individuals are most at risk for contracting fifth disease?
The children who were the child during the 2 weeks before the symptoms appeared.
Sarah then evaluates the little girl who has a complaint of a headache. She takes
her temperature tympanically and it is 97.8 F. Sarah determines through her
assessment and questioning, that the little girl was up late last night and did not
get enough sleep. Which is appropriate action for the school nurse to take?
Send the child back to class with a note allowing her to rest her head on the desk.
The school nurse then assesses the 5-year-old with the complaint of a
stomachache. Which assessment questions would be appropriate to ask the 5-
year-old?
- When was the last time he had a bowel movement?
- Where does it hurt?
- When and what did he last eat?
When auditing a student record, which finding requires intervention by the
nurse?
A 9-year-old boy who had one dose of the measles, mumps, rubella vaccine (MMR).
Which resource provides the best information to the school health nurse on
recommended childhood immunization schedules?
The website for the Centers for Disease Control (CDC).
The RN prepares to give scheduled prescription medications to 20 different
students. Which method for medication administration by the nurse is safest?
Keep each student's medication in the original bottle until the student arrives, then verify
the five rights prior to administration.
Sarah prepares to administer medications using the five rights of medication
administration. Which child's medication should Sarah administer first?
complete solution
Sarah spends the first portion of her morning conducting an inservice for some
of the teachers on early recognition of communicable diseases. When she arrives
at her office, there are four children waiting to be seen. In what order should the
nurse assess these children?
1. 10-year-old boy who thinks he has a fever
2. 6-year-old girl complaining of a headache
3. 5-year-old boy reporting a stomachache
4. 9-year-old girl with an abrasion to the knee
When assessing the 10-year-old student, which action should the RN take first?
Take the child's temperature.
Sarah takes the child's temperature, which is 101.2. She then completes a brief
head-to-toe assessment. Which assessment finding if of most concern to the
nurse?
A red rash on the cheek and trunk.
Which other individuals are most at risk for contracting fifth disease?
The children who were the child during the 2 weeks before the symptoms appeared.
Sarah then evaluates the little girl who has a complaint of a headache. She takes
her temperature tympanically and it is 97.8 F. Sarah determines through her
assessment and questioning, that the little girl was up late last night and did not
get enough sleep. Which is appropriate action for the school nurse to take?
Send the child back to class with a note allowing her to rest her head on the desk.
The school nurse then assesses the 5-year-old with the complaint of a
stomachache. Which assessment questions would be appropriate to ask the 5-
year-old?
- When was the last time he had a bowel movement?
- Where does it hurt?
- When and what did he last eat?
When auditing a student record, which finding requires intervention by the
nurse?
A 9-year-old boy who had one dose of the measles, mumps, rubella vaccine (MMR).
Which resource provides the best information to the school health nurse on
recommended childhood immunization schedules?
The website for the Centers for Disease Control (CDC).
The RN prepares to give scheduled prescription medications to 20 different
students. Which method for medication administration by the nurse is safest?
Keep each student's medication in the original bottle until the student arrives, then verify
the five rights prior to administration.
Sarah prepares to administer medications using the five rights of medication
administration. Which child's medication should Sarah administer first?
