CSN Chronic Disease Management

Question 1

A student with asthma arrives at the school nurse's office with mild wheezing and an oxygen saturation of 95%. What is the most appropriate first action?

Accepted Answer

Administer the student's prescribed short-acting bronchodilator (rescue inhaler)

Answer

Call 911 immediately

Answer

Have the student rest and monitor for 30 minutes without medication

Answer

Notify the teacher and send the student back to class

Question 2

When developing an Individualized Healthcare Plan (IHP) for a student with Type 1 diabetes, which component is MOST critical to include?

Accepted Answer

Blood glucose monitoring parameters and hypoglycemia/hyperglycemia action steps

Answer

A schedule of all school field trips for the year

Answer

The student's full medical history since birth

Answer

A list of all classmates who should be aware of the condition

Question 3

A student with a known seizure disorder has a generalized tonic-clonic seizure lasting 2 minutes and then stops. The student is postictal and breathing normally. What should the school nurse do next?

Accepted Answer

Place the student in the recovery position and monitor airway, breathing, and circulation

Answer

Restrain the student to prevent injury during the postictal phase

Answer

Administer emergency anti-seizure medication immediately

Answer

Begin CPR because the student is unresponsive

Question 4

A school nurse is reviewing an asthma action plan for a student. The green zone indicates peak flow readings of 80-100% of personal best. What does this mean for daily management?

Accepted Answer

The student can proceed with normal activities and does not need rescue medication

Answer

The student should use their rescue inhaler every 4 hours prophylactically

Answer

The student must stay in the nurse's office all day

Answer

The student should be sent home as a precaution

Question 5

A student with peanut allergy begins showing signs of anaphylaxis including hives, throat tightening, and difficulty breathing. What is the nurse's immediate priority intervention?

Accepted Answer

Administer epinephrine via auto-injector and call 911

Answer

Administer an oral antihistamine and observe

Answer

Give the student water to drink and have them sit down

Answer

Apply a cool compress and wait for symptoms to resolve

Question 6

Which sign is MOST consistent with hypoglycemia in a student with Type 1 diabetes?

Accepted Answer

Shakiness, diaphoresis, and confusion

Answer

Fruity breath, polyuria, and Kussmaul respirations

Answer

Flushed skin, dry mucous membranes, and abdominal pain

Answer

Hypertension, bradycardia, and widened pulse pressure

Question 7

A student with sickle cell disease reports sudden severe pain in their chest and arms and is having difficulty breathing. What condition should the school nurse suspect and how should they respond?

Accepted Answer

Acute chest syndrome; activate EMS and notify parents immediately

Answer

Anxiety attack; administer calm reassurance and deep breathing exercises

Answer

Asthma exacerbation; administer rescue inhaler and monitor

Answer

Musculoskeletal strain; apply ice and rest the student