CSN Clinical Procedures 4

Question 1

A child of about 6 years is unresponsive and not breathing, and two trained rescuers are present. What is the correct compression-to-ventilation ratio?

Accepted Answer

15:2

Answer

For pediatric CPR with two rescuers, AHA guidelines use a 15:2 ratio.

Question 2

The school's AED has only adult pads, and a 5-year-old is in cardiac arrest. What should the nurse do?

Accepted Answer

Use the adult pads, placing them anterior-posterior if needed so they do not touch or overlap

Answer

Adult pads are acceptable when pediatric pads are unavailable, as long as the pads do not overlap.

Question 3

A student with a ventriculoperitoneal shunt arrives with a headache, vomiting, and unusual lethargy. What should the nurse suspect?

Accepted Answer

Possible shunt malfunction with increased intracranial pressure, requiring urgent notification and medical evaluation

Answer

Headache, vomiting, and a change in alertness are classic signs of shunt obstruction and need emergency evaluation.

Question 4

A student's eyes are splashed with a cleaning chemical in a science lab. What is the priority intervention?

Accepted Answer

Irrigate immediately with lukewarm water or saline for at least 15–20 minutes

Answer

Immediate, prolonged irrigation limits corneal injury from chemical exposure.

Question 5

A student with a seizure action plan for intranasal midazolam has a generalized tonic-clonic seizure. When is the rescue medication typically given?

Accepted Answer

When the seizure lasts 5 minutes or as specified in the seizure action plan

Answer

Seizures lasting 5 minutes or more are treated as status epilepticus, and rescue medication is given per the provider's plan.

CSN - Certified School Nurse Practice Test

CSN - Certified School Nurse Practice Test

CSN Clinical Procedures 4