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

A short-acting bronchodilator (e.g., albuterol) is the first-line treatment for acute asthma symptoms per the student's asthma action plan.

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

The IHP must include specific blood glucose target ranges and clear action steps for both hypoglycemia and hyperglycemia to ensure safe management during the school day.

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

After a self-resolving seizure, placing the student in the recovery position protects the airway and allows monitoring while the student recovers from the postictal state.

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 green zone (80-100% of personal best) indicates good asthma control, allowing normal activity without the need for rescue medication.

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

Epinephrine is the only effective first-line treatment for anaphylaxis; antihistamines alone are insufficient for a life-threatening allergic reaction, and 911 must be called for emergency transport.

CSN - Certified School Nurse Practice Test

CSN - Certified School Nurse Practice Test

CSN Chronic Disease Management