School Nurse Certification Flashcards

Which federal law governs the confidentiality of health records kept by a public school nurse as part of the student's education record?

Answer: FERPA

Health records maintained by a school receiving federal education funds are education records protected under FERPA, not HIPAA.

A student with type 1 diabetes has a blood glucose of 58 mg/dL and is alert. What is the school nurse's FIRST action?

Answer: Give 15 grams of fast-acting carbohydrate

The rule of 15 calls for 15 g of fast-acting carbohydrate for a conscious student, with a recheck in 15 minutes.

Under Section 504 of the Rehabilitation Act, a student qualifies for accommodations if they have:

Answer: A disability that substantially limits a major life activity

Section 504 eligibility rests on a physical or mental impairment that substantially limits one or more major life activities.

Which task can a school nurse LEAST appropriately delegate to unlicensed assistive personnel?

Answer: Assessing a student's new respiratory symptoms

Assessment requires nursing judgment and cannot be delegated to unlicensed personnel.

A document that outlines specific steps school staff should take during a student's health crisis, such as a seizure, is called the:

Answer: Emergency Care Plan (ECP)

An Emergency Care Plan gives non-nursing staff clear, step-by-step directions for a health emergency.

When should a school nurse refer a student for further evaluation after a vision screening using a Snellen chart for a child age 6 or older?

Answer: 20/40 or worse in either eye, or a two-line difference between eyes

Common referral criteria for school-age children are 20/40 or worse in either eye or a two-line difference between eyes.

Which step of the nursing process comes directly after the school nurse identifies a nursing diagnosis?

Answer: Planning

The nursing process goes assessment, diagnosis, planning, implementation, and evaluation.