NBCSN School Nurse Certification Exam 2025|
Latest Questions and Correct Answers and
Expert Verified Rationales
Who administers the National School Lunch Program?
A. U.S. Department of Agriculture (USDA)
B. Department of Education
C. Centers for Disease Control and Prevention (CDC)
D. Department of Health and Human Services (HHS)
Correct Answer: A. U.S. Department of Agriculture (USDA)
Explanation: The National School Lunch Program (NSLP) is administered by the USDA’s
Food and Nutrition Service, which provides nutritionally balanced, low-cost or free lunches to
eligible students to support health and academic success.
What does the scope of school nursing practice describe?
A. The who, what, where, when, and how of school nursing practice
B. The legal requirements for school nurse certification
C. The funding sources for school health programs
D. The curriculum for student health education
Correct Answer: A. The who, what, where, when, and how of school nursing practice
Explanation: The scope of school nursing practice, as defined by the National Association of
School Nurses (NASN), outlines the roles, responsibilities, settings, timing, and methods of
school nursing to promote student health and academic success.
What are the standards of school nursing?
A. Authoritative statements of duties school nurses are expected to perform competently
B. Guidelines for teacher health education training
C. Federal regulations for school health funding
,D. Protocols for emergency medical services in schools
Correct Answer: A. Authoritative statements of duties school nurses are expected to perform
competently
Explanation: The NASN Standards of School Nursing Practice provide authoritative
guidelines outlining the competent performance expected of school nurses, covering areas like
assessment, planning, and health promotion.
What legal document describes school nurse delegation?
A. State Nurse Practice Act
B. Individuals with Disabilities Education Act (IDEA)
C. Family Educational Rights and Privacy Act (FERPA)
D. Section 504 of the Rehabilitation Act
Correct Answer: A. State Nurse Practice Act
Explanation: The State Nurse Practice Act governs nursing practice, including delegation,
specifying what tasks a school nurse can delegate to unlicensed personnel and under what
conditions, ensuring safe and legal practice.
A school nurse is assessing a student with a suspected skin infection. Which of the following
descriptions is consistent with impetigo?
A. Begins as a single lesion, spreads to secondary lesions with honey-colored crusts
B. Rounded, patchy hair loss with pustules and scales
C. Linear clusters of erythematous papules along a vein
D. Lace-like rash with slapped-cheek appearance
Correct Answer: A. Begins as a single lesion, spreads to secondary lesions with honey-
colored crusts
Explanation: Impetigo, caused by Staphylococcus or Streptococcus, starts as a single lesion
and spreads, forming honey-colored crusts or scales. Option B describes tinea capitis, C
describes bed bug bites, and D describes fifth disease.
A student presents to the school nurse appearing tired, unable to sit still, and complaining of an
itchy bottom. Which condition should the nurse suspect?
,A. Pinworm
B. Scabies
C. Impetigo
D. Fifth disease
Correct Answer: A. Pinworm
Explanation: Pinworm (Enterobius vermicularis) infection commonly causes perianal itching,
restlessness, and fatigue in children due to disrupted sleep from nighttime itching. Scabies causes
intense generalized itching, impetigo involves crusted lesions, and fifth disease presents with a
slapped-cheek rash.
What is the primary objective of the school nurse?
A. To protect and promote student health, facilitate optimal development, and advance academic
success
B. To ensure compliance with state vaccination requirements
C. To provide emergency medical services during school hours
D. To coordinate extracurricular activities for students
Correct Answer: A. To protect and promote student health, facilitate optimal development,
and advance academic success
Explanation: The school nurse’s primary objective, as defined by NASN, is to strengthen the
educational process by improving student health, supporting development, and enhancing
academic outcomes through health promotion and intervention.
A student with sickle cell anemia presents with pain in the hands, feet, or long bones. Which of
the following should the school nurse prioritize?
A. Administer oxygen and fluids, monitor for fever, cough, or rapid heartbeat
B. Encourage immediate physical activity to reduce pain
C. Apply heat to the affected areas
D. Administer over-the-counter pain medication
Correct Answer: A. Administer oxygen and fluids, monitor for fever, cough, or rapid
heartbeat
, Explanation: Sickle cell crisis causes painful vaso-occlusive events, requiring oxygen and
hydration to improve circulation. Monitoring for fever, cough, or rapid heartbeat is critical to
detect acute chest syndrome, a serious complication. Heat, physical activity, or OTC medications
may worsen the condition or delay treatment.
Which vitamins are adolescents commonly deficient in?
A. Calcium, Iron, Vitamin D
B. Vitamin C, Vitamin B12, Folate
C. Vitamin A, Vitamin K, Magnesium
D. Zinc, Vitamin E, Thiamine
Correct Answer: A. Calcium, Iron, Vitamin D
Explanation: Adolescents are prone to deficiencies in calcium, iron, and vitamin D due to
rapid growth, poor dietary choices, and limited sun exposure. These nutrients are critical for
bone health, oxygen transport, and immune function during puberty (Identity vs. Role Confusion,
Erikson).
A school nurse is using the Conners Rating Scale to assess a student for ADHD. Which of the
following best describes this tool?
A. A short-form tool for ADHD, similar to Vanderbilt Assessment Scales, requiring purchase of
rights
B. A free screening tool for developmental delays in children
C. A parent-reported survey for autism spectrum disorders
D. A teacher-administered test for academic performance
Correct Answer: A. A short-form tool for ADHD, similar to Vanderbilt Assessment Scales,
requiring purchase of rights
Explanation: The Conners Rating Scale is a standardized, copyrighted tool used to assess
ADHD symptoms, similar to the Vanderbilt Scales, requiring practitioners to purchase usage
rights. It is not for developmental delays, autism, or academic performance.
A school nurse is explaining Tanner staging to a parent. What does Tanner staging describe?
A. Stages of sexual maturity
B. Cognitive development milestones
Latest Questions and Correct Answers and
Expert Verified Rationales
Who administers the National School Lunch Program?
A. U.S. Department of Agriculture (USDA)
B. Department of Education
C. Centers for Disease Control and Prevention (CDC)
D. Department of Health and Human Services (HHS)
Correct Answer: A. U.S. Department of Agriculture (USDA)
Explanation: The National School Lunch Program (NSLP) is administered by the USDA’s
Food and Nutrition Service, which provides nutritionally balanced, low-cost or free lunches to
eligible students to support health and academic success.
What does the scope of school nursing practice describe?
A. The who, what, where, when, and how of school nursing practice
B. The legal requirements for school nurse certification
C. The funding sources for school health programs
D. The curriculum for student health education
Correct Answer: A. The who, what, where, when, and how of school nursing practice
Explanation: The scope of school nursing practice, as defined by the National Association of
School Nurses (NASN), outlines the roles, responsibilities, settings, timing, and methods of
school nursing to promote student health and academic success.
What are the standards of school nursing?
A. Authoritative statements of duties school nurses are expected to perform competently
B. Guidelines for teacher health education training
C. Federal regulations for school health funding
,D. Protocols for emergency medical services in schools
Correct Answer: A. Authoritative statements of duties school nurses are expected to perform
competently
Explanation: The NASN Standards of School Nursing Practice provide authoritative
guidelines outlining the competent performance expected of school nurses, covering areas like
assessment, planning, and health promotion.
What legal document describes school nurse delegation?
A. State Nurse Practice Act
B. Individuals with Disabilities Education Act (IDEA)
C. Family Educational Rights and Privacy Act (FERPA)
D. Section 504 of the Rehabilitation Act
Correct Answer: A. State Nurse Practice Act
Explanation: The State Nurse Practice Act governs nursing practice, including delegation,
specifying what tasks a school nurse can delegate to unlicensed personnel and under what
conditions, ensuring safe and legal practice.
A school nurse is assessing a student with a suspected skin infection. Which of the following
descriptions is consistent with impetigo?
A. Begins as a single lesion, spreads to secondary lesions with honey-colored crusts
B. Rounded, patchy hair loss with pustules and scales
C. Linear clusters of erythematous papules along a vein
D. Lace-like rash with slapped-cheek appearance
Correct Answer: A. Begins as a single lesion, spreads to secondary lesions with honey-
colored crusts
Explanation: Impetigo, caused by Staphylococcus or Streptococcus, starts as a single lesion
and spreads, forming honey-colored crusts or scales. Option B describes tinea capitis, C
describes bed bug bites, and D describes fifth disease.
A student presents to the school nurse appearing tired, unable to sit still, and complaining of an
itchy bottom. Which condition should the nurse suspect?
,A. Pinworm
B. Scabies
C. Impetigo
D. Fifth disease
Correct Answer: A. Pinworm
Explanation: Pinworm (Enterobius vermicularis) infection commonly causes perianal itching,
restlessness, and fatigue in children due to disrupted sleep from nighttime itching. Scabies causes
intense generalized itching, impetigo involves crusted lesions, and fifth disease presents with a
slapped-cheek rash.
What is the primary objective of the school nurse?
A. To protect and promote student health, facilitate optimal development, and advance academic
success
B. To ensure compliance with state vaccination requirements
C. To provide emergency medical services during school hours
D. To coordinate extracurricular activities for students
Correct Answer: A. To protect and promote student health, facilitate optimal development,
and advance academic success
Explanation: The school nurse’s primary objective, as defined by NASN, is to strengthen the
educational process by improving student health, supporting development, and enhancing
academic outcomes through health promotion and intervention.
A student with sickle cell anemia presents with pain in the hands, feet, or long bones. Which of
the following should the school nurse prioritize?
A. Administer oxygen and fluids, monitor for fever, cough, or rapid heartbeat
B. Encourage immediate physical activity to reduce pain
C. Apply heat to the affected areas
D. Administer over-the-counter pain medication
Correct Answer: A. Administer oxygen and fluids, monitor for fever, cough, or rapid
heartbeat
, Explanation: Sickle cell crisis causes painful vaso-occlusive events, requiring oxygen and
hydration to improve circulation. Monitoring for fever, cough, or rapid heartbeat is critical to
detect acute chest syndrome, a serious complication. Heat, physical activity, or OTC medications
may worsen the condition or delay treatment.
Which vitamins are adolescents commonly deficient in?
A. Calcium, Iron, Vitamin D
B. Vitamin C, Vitamin B12, Folate
C. Vitamin A, Vitamin K, Magnesium
D. Zinc, Vitamin E, Thiamine
Correct Answer: A. Calcium, Iron, Vitamin D
Explanation: Adolescents are prone to deficiencies in calcium, iron, and vitamin D due to
rapid growth, poor dietary choices, and limited sun exposure. These nutrients are critical for
bone health, oxygen transport, and immune function during puberty (Identity vs. Role Confusion,
Erikson).
A school nurse is using the Conners Rating Scale to assess a student for ADHD. Which of the
following best describes this tool?
A. A short-form tool for ADHD, similar to Vanderbilt Assessment Scales, requiring purchase of
rights
B. A free screening tool for developmental delays in children
C. A parent-reported survey for autism spectrum disorders
D. A teacher-administered test for academic performance
Correct Answer: A. A short-form tool for ADHD, similar to Vanderbilt Assessment Scales,
requiring purchase of rights
Explanation: The Conners Rating Scale is a standardized, copyrighted tool used to assess
ADHD symptoms, similar to the Vanderbilt Scales, requiring practitioners to purchase usage
rights. It is not for developmental delays, autism, or academic performance.
A school nurse is explaining Tanner staging to a parent. What does Tanner staging describe?
A. Stages of sexual maturity
B. Cognitive development milestones
