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

Without specific insulin orders for school, the nurse must follow the student's care plan, which typically directs notification of parents and the provider when glucose exceeds established thresholds.

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

Educating staff helps them distinguish absence seizures from inattention, enabling accurate observation, documentation, and timely communication with parents and healthcare providers.

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

Students with Addison's disease are at risk for life-threatening adrenal crisis during physical or emotional stress because their adrenal glands cannot produce adequate cortisol.

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

After hospitalization, the asthma action plan must reflect any medication changes, and emergency medications must be current and accessible to ensure safe return to 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

Under Section 504 and IDEA, schools must provide necessary health services; the nurse facilitates ACT by establishing a plan, ensuring trained personnel, and documenting the procedure in the IHP.

CSN - Certified School Nurse Practice Test

CSN - Certified School Nurse Practice Test

CSN Chronic Disease Management 3