CSN Chronic Disease Management 2

Question 1

When educating a student on proper metered-dose inhaler (MDI) technique, which instruction is MOST important to prevent ineffective drug delivery?

Accepted Answer

Shake the inhaler, exhale fully, then inhale slowly and steadily while actuating

Answer

Shaking distributes propellant, exhaling empties the lungs, and slow steady inhalation during actuation ensures optimal medication deposition in the lower airways.

Question 2

A student with epilepsy is prescribed diazepam rectal gel for prolonged seizures. Under what circumstance is the school nurse authorized to administer this medication?

Accepted Answer

Only when a seizure lasts longer than the duration specified in the student's emergency action plan

Answer

Emergency rescue medications like diazepam rectal gel are administered per the student's physician-authorized emergency action plan, which specifies seizure duration thresholds for administration.

Question 3

A student with asthma reports that symptoms worsen every time they go to gym class. What is the BEST nursing action to address exercise-induced bronchoconstriction (EIB)?

Accepted Answer

Collaborate with the provider to update the asthma action plan and consider pre-exercise bronchodilator use

Answer

Updating the asthma action plan to include pre-exercise use of a short-acting bronchodilator 15-20 minutes before activity is the evidence-based approach for managing EIB.

Question 4

Which of the following is the recommended blood glucose range for managing a student with Type 1 diabetes during the school day according to standard guidelines?

Accepted Answer

70-180 mg/dL

Answer

A blood glucose range of 70-180 mg/dL is generally considered a safe target range during school hours to prevent both hypoglycemia and hyperglycemia.

Question 5

A parent requests that their child with ADHD receive methylphenidate at lunch in the school nurse's office. What is the school nurse's primary responsibility before administering this medication?

Accepted Answer

Verify a current signed physician's order and signed parental consent form are on file

Answer

A valid physician's written order and signed parental consent are mandatory legal and safety requirements before a school nurse may administer any prescription medication.

CSN - Certified School Nurse Practice Test

CSN - Certified School Nurse Practice Test

CSN Chronic Disease Management 2