CSN Professional Practice & Ethics 2

Question 1

A principal asks the school nurse to share a student's HIV status with the student's teachers "for safety." What is the nurse's most appropriate response?

Accepted Answer

Decline, because disclosure requires written parental consent and is not needed for standard precautions

Answer

HIV status is highly protected under FERPA and state law, and standard precautions make disclosure unnecessary without consent.

Question 2

Which federal law primarily governs the privacy of health records kept by a school nurse employed by a public school district?

Accepted Answer

FERPA

Answer

Health records maintained by a public school are education records protected under FERPA, not HIPAA.

Question 3

Under the five rights of delegation, which task is LEAST appropriate for a school nurse to delegate to unlicensed assistive personnel?

Accepted Answer

Performing an initial assessment of a student with new-onset chest pain

Answer

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

Question 4

Which document defines the legal scope of practice for a registered school nurse in a given state?

Accepted Answer

The state Nurse Practice Act

Answer

Each state's Nurse Practice Act legally defines RN scope of practice; other documents cannot expand it.

Question 5

A school nurse discovers she administered a medication dose 90 minutes late. What should she do first?

Accepted Answer

Notify the parent and complete an incident report per policy after assessing the student

Answer

Assess the student, notify appropriate parties, and document honestly per district medication error policy.

CSN - Certified School Nurse Practice Test

CSN - Certified School Nurse Practice Test

CSN Professional Practice & Ethics 2