NBCSN - School Nurse Certification Exam
NBCSN - SCHOOL NURSE CERTIFICATION EXAM NEWEST 2025/2026
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |BRAND NEW VERSION!!
A 17-year-old female has second degree burns she received as a result of spilling
boiling water on her arm in a science experiment. The wound looks moist and
blisters have developed. She says that the pain is "awful." The blisters are
approximately 3-4 cm in size. What would be the next step in the treatment of the
student?
a. consult with a burn specialist
b. leave the blisters intact
c. clean and remove blisters with debridement
d. cover affected area with burn ointment - Correct Answer-c. clean and remove
blisters with debridement
If blisters are large, over approximately 2 cm, they should be cleaned and
removed with debridement. If a minor burn or small blister, it is best to leave it
intact to promote healing. Larger blisters, bullae, contain larger amounts of fluid
which worsen inflammation and can worsen the damage to the underlying skin.
Which of the following statements about associated disorders of mental
retardation is least accurate?
a. The more severe the intellectual disability, the greater the likelihood of other
abnormalities being present.
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, NBCSN - School Nurse Certification Exam
b. The prevalence of mental disorders is at least three or four times higher than in
the general population.
c. In Down syndrome, social skills are much lower than could be expected for the
level of intellectual disability.
d. One of the most common associated disorders is ADHD. - Correct Answer-c. In
Down syndrome, social skills are much lower than could be expected for the level
of intellectual disability.
In Down syndrome, social skills are much higher than could be expected for the
level of intellectual disability. Down syndrome is a genetic chromosome 21
disorder causing developmental and intellectual delays.
The START triage uses the RPM method. This method includes which of the
following?
a. respirations, perfusion, and muscle tone
b. response, perfusion, and mental status
c. response, performance, and mental status
d. respirations, perfusion, and mental status - Correct Answer-d. respirations,
perfusion, and mental status
The RPM method uses respirations, perfusion, and mental status. These steps
are used in the order listed. Patients with special needs, such as children, who
cannot be triaged effectively with START should be moved as soon as possible to
a treatment area for secondary triage.
2|Page
, NBCSN - School Nurse Certification Exam
Which of the following is true of systemic reactions to bee stings?
a. symptoms occur immediately and resolve within 1-2 hr
b. symptoms occur within 15-20 minutes and last ≥ 72 hr
c. symptoms peak at 48 hr and can last several weeks
d. symptoms have a delayed reaction from days to weeks after sting - Correct
Answer-b. symptoms occur within 15-20 minutes and last ≥ 72 hr
Systemic reactions to bee stings include anaphylaxis and can be fatal (usually
owing to respiratory failure). There are respiratory, GI, cardiovascular, and other
symptoms. Symptoms occur within 15-20 minutes and last ≥ 72 hr.
Any physical or mental conditions that require long-term monitoring and/or
management to control symptoms and to shape the course of the disease is which
of the following?
a. comorbid condition
b. acute condition
c. chronic condition
d. acute disorder - Correct Answer-C. chronic condition
Any physical or mental conditions that require long-term monitoring and/or
management to control symptoms and to shape the course of the disease is
considered a chronic condition. Children with chronic conditions make up a
significant proportion of today's school population.
3|Page
, NBCSN - School Nurse Certification Exam
A deficiency in which of the following nutrients is most likely to cause poor
cognition?
a. copper
b. vitamin K
c. iron
d. magnesium - Correct Answer-C. iron
Iron deficiency causes lower cognitive, motor, attentional, and developmental
scores in children. In adults, iron deficiency limits maximal physical
performance, endurance, and spontaneous activity. Deficiency in copper is
related to a decrease in dopamine causing low metabolic activity, fatigue, and
poor concentration. Low Vitamin K can cause excessive bleeding, and a
deficiency of magnesium may result in muscle weakness, fatigue, cramps,
hypertension, and anxiety.
Which of the following types of seizures affects both sides of the brain or groups
of cells on both sides of the brain at the same time?
a. focal aware seizure
b. generalized seizure
c. focal impaired seizure
d. unknown onset seizure - Correct Answer-B. generalized seizure
4|Page
NBCSN - SCHOOL NURSE CERTIFICATION EXAM NEWEST 2025/2026
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |BRAND NEW VERSION!!
A 17-year-old female has second degree burns she received as a result of spilling
boiling water on her arm in a science experiment. The wound looks moist and
blisters have developed. She says that the pain is "awful." The blisters are
approximately 3-4 cm in size. What would be the next step in the treatment of the
student?
a. consult with a burn specialist
b. leave the blisters intact
c. clean and remove blisters with debridement
d. cover affected area with burn ointment - Correct Answer-c. clean and remove
blisters with debridement
If blisters are large, over approximately 2 cm, they should be cleaned and
removed with debridement. If a minor burn or small blister, it is best to leave it
intact to promote healing. Larger blisters, bullae, contain larger amounts of fluid
which worsen inflammation and can worsen the damage to the underlying skin.
Which of the following statements about associated disorders of mental
retardation is least accurate?
a. The more severe the intellectual disability, the greater the likelihood of other
abnormalities being present.
1|Page
, NBCSN - School Nurse Certification Exam
b. The prevalence of mental disorders is at least three or four times higher than in
the general population.
c. In Down syndrome, social skills are much lower than could be expected for the
level of intellectual disability.
d. One of the most common associated disorders is ADHD. - Correct Answer-c. In
Down syndrome, social skills are much lower than could be expected for the level
of intellectual disability.
In Down syndrome, social skills are much higher than could be expected for the
level of intellectual disability. Down syndrome is a genetic chromosome 21
disorder causing developmental and intellectual delays.
The START triage uses the RPM method. This method includes which of the
following?
a. respirations, perfusion, and muscle tone
b. response, perfusion, and mental status
c. response, performance, and mental status
d. respirations, perfusion, and mental status - Correct Answer-d. respirations,
perfusion, and mental status
The RPM method uses respirations, perfusion, and mental status. These steps
are used in the order listed. Patients with special needs, such as children, who
cannot be triaged effectively with START should be moved as soon as possible to
a treatment area for secondary triage.
2|Page
, NBCSN - School Nurse Certification Exam
Which of the following is true of systemic reactions to bee stings?
a. symptoms occur immediately and resolve within 1-2 hr
b. symptoms occur within 15-20 minutes and last ≥ 72 hr
c. symptoms peak at 48 hr and can last several weeks
d. symptoms have a delayed reaction from days to weeks after sting - Correct
Answer-b. symptoms occur within 15-20 minutes and last ≥ 72 hr
Systemic reactions to bee stings include anaphylaxis and can be fatal (usually
owing to respiratory failure). There are respiratory, GI, cardiovascular, and other
symptoms. Symptoms occur within 15-20 minutes and last ≥ 72 hr.
Any physical or mental conditions that require long-term monitoring and/or
management to control symptoms and to shape the course of the disease is which
of the following?
a. comorbid condition
b. acute condition
c. chronic condition
d. acute disorder - Correct Answer-C. chronic condition
Any physical or mental conditions that require long-term monitoring and/or
management to control symptoms and to shape the course of the disease is
considered a chronic condition. Children with chronic conditions make up a
significant proportion of today's school population.
3|Page
, NBCSN - School Nurse Certification Exam
A deficiency in which of the following nutrients is most likely to cause poor
cognition?
a. copper
b. vitamin K
c. iron
d. magnesium - Correct Answer-C. iron
Iron deficiency causes lower cognitive, motor, attentional, and developmental
scores in children. In adults, iron deficiency limits maximal physical
performance, endurance, and spontaneous activity. Deficiency in copper is
related to a decrease in dopamine causing low metabolic activity, fatigue, and
poor concentration. Low Vitamin K can cause excessive bleeding, and a
deficiency of magnesium may result in muscle weakness, fatigue, cramps,
hypertension, and anxiety.
Which of the following types of seizures affects both sides of the brain or groups
of cells on both sides of the brain at the same time?
a. focal aware seizure
b. generalized seizure
c. focal impaired seizure
d. unknown onset seizure - Correct Answer-B. generalized seizure
4|Page
