Health Assessment & Care Management Flashcards

A school nurse performing a scoliosis screening asks the student to bend forward at the waist with arms hanging. What is this test called?

Answer: Adams forward bend test

The Adams forward bend test reveals rib or lumbar asymmetry suggestive of structural scoliosis.

During a forward bend screening, which scoliometer reading is commonly used as the referral threshold?

Answer: 7 degrees

An angle of trunk rotation of 7 degrees or more is the widely accepted referral criterion.

A 10-year-old reads the 20/40 line with the right eye and 20/20 with the left on a Snellen chart. What is the most appropriate action?

Answer: Refer for a comprehensive eye exam

A two-line difference between eyes or acuity worse than 20/32 at this age warrants referral to an eye care professional.

Which finding on a pure-tone hearing screening typically requires a rescreen and possible referral?

Answer: Failure to respond at 25 dB at one or more frequencies in either ear

Failing to respond at the screening level (commonly 20–25 dB) at any frequency in either ear is a screening fail requiring rescreen.

A student's BMI-for-age falls at the 96th percentile. How is this classified per CDC growth charts?

Answer: Obesity

BMI at or above the 95th percentile for age and sex is classified as obesity in children.

Which component of the nursing process involves writing measurable student outcomes for an individualized healthcare plan (IHP)?

Answer: Planning

Measurable goals and expected outcomes are established during the planning phase.

Who is primarily responsible for developing an Emergency Care Plan (ECP) for a student with a seizure disorder?

Answer: The school nurse

The registered school nurse develops the ECP from provider orders and nursing assessment and shares it with relevant staff.