CSN CSN Emergency Response & First Aid 2 — Questions and Answers
Question 1: When providing first aid for a student with a suspected fracture of the forearm, the school nurse should:
- Attempt to realign the bone before splinting
- Splint the limb in the position found and immobilize joints above and below the injury (Correct answer)
- Apply heat to reduce swelling and pain
- Encourage the student to move the arm to assess range of motion
Correct answer: Splint the limb in the position found and immobilize joints above and below the injury
Splinting in the position found and immobilizing the joints above and below the fracture site prevents further injury and reduces pain.
Question 2: A student is brought to the health office with a 2-inch laceration on the forearm that is bleeding heavily. Which intervention is the FIRST priority?
- Apply a tourniquet proximal to the wound
- Apply direct pressure with a clean cloth or gauze (Correct answer)
- Irrigate the wound with normal saline
- Assess the student's tetanus immunization status
Correct answer: Apply direct pressure with a clean cloth or gauze
Direct pressure is the first-line intervention for controlling hemorrhage from a laceration.
Question 3: During a fire drill, a student with a physical disability cannot evacuate independently. The school nurse's role includes:
- Carrying the student down the stairs immediately
- Ensuring the student is included in the school's individual emergency evacuation plan
- Leaving the student in a safe area and notifying emergency personnel
- Both B and C, per the student's pre-established emergency plan (Correct answer)
Correct answer: Both B and C, per the student's pre-established emergency plan
An individual emergency evacuation plan should pre-identify procedures, including designating a safe area and notifying first responders, tailored to the student's specific needs.
Question 4: A student is found with a nosebleed that has lasted 20 minutes without stopping. The school nurse should:
- Continue nasal pressure and tilt the head back
- Have the student lean forward, pinch the nose, and activate EMS if bleeding continues (Correct answer)
- Pack the nose with gauze and send the student back to class
- Apply ice to the forehead to constrict nasal vessels
Correct answer: Have the student lean forward, pinch the nose, and activate EMS if bleeding continues
Leaning forward prevents blood from going down the throat; a nosebleed not controlled after 20 minutes warrants EMS activation.
Question 5: A student is stung by a bee and states 'I've had reactions before.' The school nurse's FIRST assessment priority is:
- Documenting the time and location of the sting
- Assessing for signs of anaphylaxis including respiratory distress and urticaria (Correct answer)
- Removing the stinger with tweezers
- Calling the parent for medication authorization
Correct answer: Assessing for signs of anaphylaxis including respiratory distress and urticaria
History of prior reactions elevates anaphylaxis risk; immediate assessment of airway and systemic signs is the top priority.
Question 6: The school nurse is training staff on CPR. According to current American Heart Association guidelines for child CPR, the compression-to-ventilation ratio for a single rescuer is:
- 15:2
- 30:2 (Correct answer)
- 15:1
- 30:1
Correct answer: 30:2
Current AHA guidelines recommend a 30:2 compression-to-ventilation ratio for single-rescuer CPR for children and adults.
CSN CSN Emergency Response & First Aid 2
When providing first aid for a student with a suspected fracture of the forearm, the school nurse should: