IL236ILTS School Nurse Practice Exam
**Question 1. Which stage of Erikson’s psychosocial theory is most relevant for a
7‑year‑old student who is developing a sense of competence in school?**
A) Trust vs. Mistrust
B) Autonomy vs. Shame/Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
Answer: D
Explanation: Ages 5‑12 correspond to Erikson’s industry vs. inferiority stage,
where children seek competence and achievement in academic and social tasks.
**Question 2. A student’s health record shows a history of recurrent wheezing
episodes triggered by pollen. Which component of an Individualized Healthcare
Plan (IHP) is most appropriate for this student?**
A) Daily peak flow monitoring
B) Immediate administration of albuterol inhaler at symptom onset
C) Seasonal avoidance strategies and an emergency action plan for anaphylaxis
D) Referral for pulmonary function testing only
Answer: B
Explanation: Asthma action plans call for quick‑relief medication (e.g., albuterol)
to be administered at the first sign of bronchospasm.
**Question 3. According to the Illinois Nurse Practice Act, which of the following
tasks may be delegated to a certified nursing assistant (CNA) in a school setting?**
, IL236ILTS School Nurse Practice Exam
A) Assessment of a student’s respiratory status
B) Administration of prescribed inhaled corticosteroids via metered‑dose inhaler
C) Measuring and documenting a student’s temperature and blood pressure
D) Developing a new IHP for a student with diabetes
Answer: C
Explanation: CNAs may perform basic vital sign collection, but they cannot
perform assessments, medication administration, or develop care plans.
**Question 4. Which of the following is a key indicator of an adverse childhood
experience (ACE) that can affect learning?**
A) Frequent school absences due to illness
B) Exposure to domestic violence at home
C) Participation in extracurricular activities
D) Receiving a balanced school lunch
Answer: B
Explanation: ACEs such as exposure to violence are linked to neurodevelopmental
changes that can impair concentration and academic performance.
**Question 5. A student with a documented severe peanut allergy requires an
emergency care plan. Which medication must be readily available in the school
nurse’s office?**
A) Epinephrine autoinjector (EpiPen)
B) Diphenhydramine oral suspension
, IL236ILTS School Nurse Practice Exam
C) Albuterol inhaler
D) Nitroglycerin tablet
Answer: A
Explanation: Epinephrine is the first‑line treatment for anaphylaxis and must be
accessible for rapid administration.
**Question 6. When communicating with a parent who has limited English
proficiency, the school nurse should: **
A) Speak slowly and use medical jargon to sound professional
B) Require the parent to bring a translator at every visit
C) Use plain language, visual aids, and professional interpreter services when
needed
D) Send all communications only via email to allow translation software use
Answer: C
Explanation: Plain language, visual aids, and certified interpreters improve
understanding while respecting cultural and linguistic needs.
**Question 7. Which of the following best describes the purpose of a Section 504
Plan for a student with asthma?**
A) To provide a free appropriate public education (FAPE) through special
education services
B) To outline accommodations that ensure the student’s health needs do not
impede access to the general curriculum
C) To replace the student’s Individualized Education Program (IEP)
, IL236ILTS School Nurse Practice Exam
D) To document the student’s academic performance only
Answer: B
Explanation: Section 504 addresses health‑related barriers by providing
reasonable accommodations to ensure FAPE.
**Question 8. A school nurse is reviewing a student’s health history for an IEP
meeting. Which piece of information is most critical for determining eligibility for
a health‑related accommodation?**
A) Student’s favorite sport
B) Date of last dental exam
C) Frequency and severity of seizure episodes
D) Number of siblings in the household
Answer: C
Explanation: Detailed seizure data inform whether the student requires specific
accommodations (e.g., seizure action plan, classroom modifications).
**Question 9. In the nursing process, the “implementation” step in a school
setting most commonly includes which activity?**
A) Collecting data on a student’s blood glucose level
B) Developing a health promotion curriculum for the entire school
C) Administering prescribed medication to a student with type 1 diabetes
D) Evaluating the effectiveness of a new asthma protocol after a semester
Answer: C
**Question 1. Which stage of Erikson’s psychosocial theory is most relevant for a
7‑year‑old student who is developing a sense of competence in school?**
A) Trust vs. Mistrust
B) Autonomy vs. Shame/Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
Answer: D
Explanation: Ages 5‑12 correspond to Erikson’s industry vs. inferiority stage,
where children seek competence and achievement in academic and social tasks.
**Question 2. A student’s health record shows a history of recurrent wheezing
episodes triggered by pollen. Which component of an Individualized Healthcare
Plan (IHP) is most appropriate for this student?**
A) Daily peak flow monitoring
B) Immediate administration of albuterol inhaler at symptom onset
C) Seasonal avoidance strategies and an emergency action plan for anaphylaxis
D) Referral for pulmonary function testing only
Answer: B
Explanation: Asthma action plans call for quick‑relief medication (e.g., albuterol)
to be administered at the first sign of bronchospasm.
**Question 3. According to the Illinois Nurse Practice Act, which of the following
tasks may be delegated to a certified nursing assistant (CNA) in a school setting?**
, IL236ILTS School Nurse Practice Exam
A) Assessment of a student’s respiratory status
B) Administration of prescribed inhaled corticosteroids via metered‑dose inhaler
C) Measuring and documenting a student’s temperature and blood pressure
D) Developing a new IHP for a student with diabetes
Answer: C
Explanation: CNAs may perform basic vital sign collection, but they cannot
perform assessments, medication administration, or develop care plans.
**Question 4. Which of the following is a key indicator of an adverse childhood
experience (ACE) that can affect learning?**
A) Frequent school absences due to illness
B) Exposure to domestic violence at home
C) Participation in extracurricular activities
D) Receiving a balanced school lunch
Answer: B
Explanation: ACEs such as exposure to violence are linked to neurodevelopmental
changes that can impair concentration and academic performance.
**Question 5. A student with a documented severe peanut allergy requires an
emergency care plan. Which medication must be readily available in the school
nurse’s office?**
A) Epinephrine autoinjector (EpiPen)
B) Diphenhydramine oral suspension
, IL236ILTS School Nurse Practice Exam
C) Albuterol inhaler
D) Nitroglycerin tablet
Answer: A
Explanation: Epinephrine is the first‑line treatment for anaphylaxis and must be
accessible for rapid administration.
**Question 6. When communicating with a parent who has limited English
proficiency, the school nurse should: **
A) Speak slowly and use medical jargon to sound professional
B) Require the parent to bring a translator at every visit
C) Use plain language, visual aids, and professional interpreter services when
needed
D) Send all communications only via email to allow translation software use
Answer: C
Explanation: Plain language, visual aids, and certified interpreters improve
understanding while respecting cultural and linguistic needs.
**Question 7. Which of the following best describes the purpose of a Section 504
Plan for a student with asthma?**
A) To provide a free appropriate public education (FAPE) through special
education services
B) To outline accommodations that ensure the student’s health needs do not
impede access to the general curriculum
C) To replace the student’s Individualized Education Program (IEP)
, IL236ILTS School Nurse Practice Exam
D) To document the student’s academic performance only
Answer: B
Explanation: Section 504 addresses health‑related barriers by providing
reasonable accommodations to ensure FAPE.
**Question 8. A school nurse is reviewing a student’s health history for an IEP
meeting. Which piece of information is most critical for determining eligibility for
a health‑related accommodation?**
A) Student’s favorite sport
B) Date of last dental exam
C) Frequency and severity of seizure episodes
D) Number of siblings in the household
Answer: C
Explanation: Detailed seizure data inform whether the student requires specific
accommodations (e.g., seizure action plan, classroom modifications).
**Question 9. In the nursing process, the “implementation” step in a school
setting most commonly includes which activity?**
A) Collecting data on a student’s blood glucose level
B) Developing a health promotion curriculum for the entire school
C) Administering prescribed medication to a student with type 1 diabetes
D) Evaluating the effectiveness of a new asthma protocol after a semester
Answer: C
