CSN Chronic Disease Management 3

Question 1

A student with Type 2 diabetes has a blood glucose reading of 312 mg/dL at lunchtime and reports feeling fatigued and thirsty.
No insulin is ordered for school administration.
What is the nurse's BEST action?

Accepted Answer

Notify the parent/guardian and healthcare provider per the student's care plan and document the event

Answer

Administer insulin from the school's general supply

Answer

Give the student a snack and recheck glucose in one hour

Answer

Send the student back to class and document at end of day

Question 2

A student with a history of absence seizures frequently stares blankly during class and does not respond. Teachers believe the student is daydreaming. What is the school nurse's BEST role?

Accepted Answer

Educate teachers about absence seizure characteristics and develop a classroom observation plan

Answer

Discipline the student for inattentiveness

Answer

Advise teachers to seat the student in the back of the room

Answer

Recommend the student change schools

Question 3

Which chronic condition requires the school nurse to monitor for signs of adrenal crisis, including sudden hypotension, vomiting, and extreme fatigue?

Accepted Answer

Addison's disease (primary adrenal insufficiency)

Answer

Cystic fibrosis

Answer

Juvenile idiopathic arthritis

Answer

Tourette syndrome

Question 4

A student returns to school after hospitalization for a severe asthma exacerbation. What is the MOST important nursing action before the student's return?

Accepted Answer

Update the asthma action plan with the student's current medication regimen and confirm emergency medication is available

Answer

Schedule the student to retake all missed exams immediately

Answer

Place the student on permanent indoor recess restriction

Answer

Require weekly physician visits before allowing the student to attend school

Question 5

A student with cystic fibrosis needs to perform airway clearance therapy (ACT) at school. How should the school nurse facilitate this need?

Accepted Answer

Coordinate a private space, train designated staff, and incorporate ACT into the student's IHP

Answer

Deny the request because medical procedures cannot be performed at school

Answer

Allow the therapy only if a parent is present during every session

Answer

Recommend the student complete ACT exclusively at home before and after school

Question 6

A school nurse is screening students and identifies a 10-year-old with a BMI at the 97th percentile. What is the nurse's BEST initial response?

Accepted Answer

Conduct a holistic assessment, communicate confidentially with the family, and refer to the healthcare provider

Answer

Immediately place the student on a calorie-restricted diet at school

Answer

Announce results to the student's teacher for classroom monitoring

Answer

Advise the student to exercise more and eat less

Question 7

Which of the following BEST describes the school nurse's role in transitioning a student with a complex chronic condition from elementary to middle school?

Accepted Answer

Collaborate with the student, family, new school nurse, and healthcare team to update the IHP and ECP and orient new staff

Answer

Transfer all records and assume the new school will handle everything independently

Answer

Withhold health information until the parent formally requests a transfer

Answer

Advise the family to seek a private school with more resources