Ch. 30 School Health

The school nurse assesses for athlete's triad when examining a female student who is a gymnast. Which question will the nurse ask to further assess symptoms of athlete's triad? A. "When was your last menstrual period?" B. "Have you had all of your required immunizations?" C. "Do you include fruits and vegetables in your diet?" D. "When did you last see your primary healthcare provider?"

A. "When was your last menstrual period?"

Which should the school nurse include in policies and procedures for medication administration to students? A. Proper labeling and storage B. Teacher instruction on administration C. Restrictions on using herbal supplements D. Documentation of medication administration E. Education for teachers on hypoglycemic effects F. Administration of psychotropic and controlled substances

A. Proper labeling and storage D. Documentation of medication administration F. Administration of psychotropic and controlled substances

Which duties will a school district include in a job description for a school nurse? A. Provide first aid for injuries B. Plan healthy cafeteria meals C. Administer required vaccinations D. Dispense prescribed medications E. Implement health promotion activities for staff

A. Provide first aid for injuries D. Dispense prescribed medications E. Implement health promotion activities for staff

A student is brought to the school nurse's office after passing out in the classroom. Which assessment findings would cause the nurse to suspect this is related to an eating disorder? A. Tooth decay B. Dehydration C. Underweight D. Poor food choices E. Socially withdrawn

A. Tooth decay B. Dehydration C. Underweight

The Centers for Disease Control and Prevention has made 10 recommendations for promoting lifelong physical activity in school-aged children. For which recommendation is the school nurse responsible? A. Improving nutrition in school lunches B. Instructing on how activity affects health C. Increasing participation in physical education class D. Initiating staff development classes on exercise and nutrition

B. Instructing on how activity affects health

Which activities will the school nurse include when preparing for flu season? A. Teaching to reuse tissues B. Providing hand sanitizers C. Instructing on handwashing D. Staying at home when febrile E. Administering flu vaccinations

B. Providing hand sanitizers C. Instructing on handwashing D. Staying at home when febrile

Which ensure that students have access to nutritious foods during school hours? A. State Board of Nursing B. School Breakfast Program C. National School Lunch Program D. Youth Risk Behavior Surveillance System E. U.S. Department of Health and Human Services

B. School Breakfast Program C. National School Lunch Program

The nurse is preparing a lecture on school nursing. Which roles does the nurse include that apply to the school nurse? A. Clinician B. Educator C. Manager D. Advocate E. Researcher

A. Clinician B. Educator D. Advocate

Which should the school nurse review before an accreditation site visit? A. Current immunization records B. Breakfast and lunch programs C. Sexually transmitted infection reports D. Physical education participation records

A. Current immunization records

Which are components of a school emergency plan? A. Fire safety B. Student illnesses C. Natural disaster response D. Medication administration E. Protocols for active shooter F. Cardiopulmonary resuscitation training

A. Fire safety C. Natural disaster response E. Protocols for active shooter F. Cardiopulmonary resuscitation training

Which will the school nurse communicate as benefits of health promotion activities for staff? A. Reduced stress B. Improved morale C. Promotion of reading D. Decreased absenteeism E. More interest in health promotion in class

A. Reduced stress B. Improved morale D. Decreased absenteeism E. More interest in health promotion in class

Which information will the school nurse include about the warning signs of stress in teenagers? A. Stealing food and money B. Erratic school attendance C. Persistent anger or hostility D. Appearing dirty or disheveled E. Difficulty with eating or sleeping

B. Erratic school attendance C. Persistent anger or hostility E. Difficulty with eating or sleeping

Which will the school nurse include in sessions on primary health prevention? A. Scheduling screenings for scoliosis B. Providing sex education programs C. Follow-up on work-related injuries D. Administering prescribed medications

B. Providing sex education programs

Which are new and future issues that could affect school nursing? A. Bullying B. Telehealth C. Bioterrorism D. Active school shooters E. Antibiotic resistant diseases

B. Telehealth C. Bioterrorism E. Antibiotic resistant diseases

The school nurse and the physical education department develop an after-school activity to increase middle school students' physical activity. Which are appropriate mental health outcomes for the program? A. Decreased obesity B. Lower stress levels C. Increased self-esteem D. Improved physical fitness E. Improved self-confidence

B. Lower stress levels C. Increased self-esteem E. Improved self-confidence

Which people should be included in planning a school-based health center? A. Principal B. Physician C. Psychologist D. Social worker E. Nurse assistant

B. Physician C. Psychologist D. Social worker

The nurse at a preschool is developing a plan of care for a new student with type 1 diabetes mellitus. Which tasks should the nurse expect the child to perform independently? A. Choosing injection site B. Self-administering insulin C. Treating hypoglycemic reactions D. Determining which finger to prick E. Performing self-glucose monitoring

A. Choosing injection site D. Determining which finger to prick

The school nurse is revising the program for a high school to meet the goals of Healthy People 2020. Which projects will the nurse institute? A. Educating students about the dangers of drug and alcohol use B. Maintaining vaccination coverage levels for children in high school C. Integrating 50% of students with disabilities into regular education D. Increasing the number of healthy beverages and nutritious snacks available E. Incorporating health education to improve physical fitness and decrease obesity

A. Educating students about the dangers of drug and alcohol use D. Increasing the number of healthy beverages and nutritious snacks available E. Incorporating health education to improve physical fitness and decrease obesity

The school nurse has noticed an increase in obesity among children in elementary school. Which interventions would be most appropriate for the nurse to implement? A. Implementing physical fitness programs B. Working with nutrition services for menus C. Providing nutritional education for support staff D. Discussing appropriate food choices with students E. Initiating weight loss challenges in the school community

A. Implementing physical fitness programs B. Working with nutrition services for menus D. Discussing appropriate food choices with students

Which were among the first school nurse services offered? A. Inspecting children B. Educating families C. Ensuring follow-up treatment D. Monitoring communicable diseases E. Screening for required immunizations

A. Inspecting children B. Educating families C. Ensuring follow-up treatment

The school nurse is educating high school faculty and staff about risk factors and warning signs of possible school shootings. Which factors should the nurse include in the presentation? A. Male students B. Teens who bully others C. History of discipline problems D. Teens with antisocial behaviors E. Teens who have been ostracized

A. Male students C. History of discipline problems D. Teens with antisocial behaviors E. Teens who have been ostracized

Which complications of a sedentary lifestyle will the school nurse include in a presentation on the importance of participating in exercise on a regular basis? A. Obesity B. Dental caries C. Hypotension D. Heart disease E. Diabetes mellitus

A. Obesity D. Heart disease E. Diabetes mellitus

The school nurse is assessing playground equipment for safety issues. Which type of prevention is the nurse providing? A. Primary B. Tertiary C. Secondary D. Quaternary

A. Primary

The school nurse is educating a group of teachers about adolescent suicide. Which student is at highest risk for suicide? A. Adolescent who is gay and being bullied B. Female athlete who binges and purges food C. Female student with difficulty walking or sitting D. Male student with unexplained bruises and fractures

A. Adolescent who is gay and being bullied

Which outside influences can lead to children making poor food choices? A. Celebrities B. Social media C. Commercials D. Family choices E. Financial constraints

A. Celebrities B. Social media C. Commercials