CSN Clinical Procedures 5

Question 1

A 12-year-old weighing 45 kg needs an epinephrine auto-injector. What is the standard dose?

Accepted Answer

0.3 mg

Answer

The 0.3 mg auto-injector is used for children weighing about 30 kg or more.

Question 2

A conscious student with diabetes has a blood glucose of 58 mg/dL. Following the 'Rule of 15', what should the nurse do?

Accepted Answer

Give 15 g of fast-acting carbohydrate and recheck blood glucose in 15 minutes

Answer

Fifteen grams of fast-acting glucose followed by a recheck in 15 minutes is the standard treatment for mild hypoglycemia.

Question 3

Which approach is correct for a student with a suspected forearm fracture before EMS or parent transport?

Accepted Answer

Splint in the position found, immobilizing the joints above and below, and check circulation, sensation, and movement before and after

Answer

Splinting as found and checking neurovascular status prevents further injury and detects compromise.

Question 4

A student has a nosebleed. Which positioning and technique is correct?

Accepted Answer

Sit upright, lean forward, and pinch the soft part of the nose continuously for 10–15 minutes

Answer

Leaning forward prevents swallowing blood, and steady pressure on the soft nasal tissue controls most anterior bleeds.

Question 5

During a GI outbreak, which hand hygiene method should the nurse use after caring for a student with suspected norovirus?

Accepted Answer

Soap and water handwashing

Answer

Alcohol-based sanitizers are less effective against norovirus and C. difficile spores, so washing with soap and water is preferred.

CSN - Certified School Nurse Practice Test