Free NCSN® Practice Test Questions

A 10-year-old student with a history of eczema visits the school nurse complaining of intense itching and redness on their arms. The nurse notices the student has been scratching the affected areas, leading to broken skin. To provide immediate relief and prevent further complications, what should be the nurse's priority intervention?

A 14-year-old student has been referred to the school nurse due to a significant and rapid weight loss over the past few months. The student often skips meals and displays anxiety when eating in the presence of others. The teacher reports that the student frequently visits the bathroom immediately after meals. The nurse suspects an eating disorder and wants to ensure a supportive environment for the student. What should be the nurse's primary focus in managing and supporting the student within the school setting?

A 17-year-old student approaches the school nurse complaining of a persistent dry cough and mild chest tightness that worsens during the spring season. The student's health records indicate a history of mild allergies, but no previous respiratory conditions. In promoting risk reduction and infection control within the school environment, what should the nurse prioritize to address this student's concerns?

A 16-year-old student with a recent history of head trauma during a school football game is experiencing persistent headaches and difficulty concentrating in class. The student visits the school nurse reporting a sudden worsening of symptoms, including nausea and sensitivity to light. Considering this situation, what is the most appropriate immediate action the school nurse should take?

A 9-year-old student is brought to the school nurse's office after falling off a swing during recess. The child is crying, holding their arm, and a visible deformity is noted at the mid-forearm. Considering potential fractures, what is the nurse's most appropriate initial action in this scenario?

A 12-year-old student presents to the school nurse complaining of frequent nosebleeds that occur during PE class. The student's parent reports that the child often feels fatigued and has been bruising easily. In reviewing the student's health history, the school nurse observes no documented medication allergies but notes the student has a history of consuming a significant number of citrus fruits daily. What is the most appropriate course of action for the school nurse in managing this situation?

A 10-year-old student who recently immigrated to the United States is having difficulty adjusting to the new school environment. The student frequently visits the school nurse with complaints of headaches and stomachaches, which do not have a medical explanation. The student's parents are concerned and believe that the symptoms may be due to stress from cultural adjustment. As the school nurse, what is the most appropriate initial action to support this student's well-being?

A 17-year-old high school student has been experiencing frequent nosebleeds. Upon visiting the school nurse, it is found that the student has recently started using a nasal decongestant spray several times a day due to spring allergies. The student also mentions feeling more fatigued than usual. Which of the following should the nurse prioritize in evaluating the student's Individualized Healthcare Plan for potential changes?

A 12-year-old student with cerebral palsy (CP) uses a wheelchair and attends a mainstream school. The student expresses a desire to participate in physical education (PE) classes but faces challenges with mobility and coordination. Which of the following should be the school nurse's priority in facilitating this student's inclusion in PE activities?

A 6-year-old student with a known peanut allergy rushes into the school nurse's office displaying symptoms of difficulty breathing, wheezing, and swelling around the lips after consuming an unknown snack during a class party. The nurse finds the student's emergency action plan and administers an epinephrine injection. What should be the nurse's next immediate action to ensure the child's safety?

A 17-year-old high school student has been frequently visiting the school nurse for headaches and difficulty staying focused in class. Upon further dialogue, the student admits to using electronic cigarettes as a means to manage stress and improve concentration. The nurse suspects that the student may be experiencing negative effects from nicotine use. What should the nurse's primary action be in addressing this situation?

During a school health promotion event, a 12-year-old student reports difficulty hearing during classroom activities, especially when there is background noise. The student's teacher also notes the student frequently requests instructions to be repeated. The school nurse is developing a plan to address the student's auditory health needs. What should the nurse prioritize to best support the student's learning environment?

A 15-year-old student comes to the school nurse's office complaining of persistent headaches and blurred vision. The school nurse conducts a preliminary vision screening and notes that the student's vision is 20/50 in both eyes. The student also mentions increased difficulty seeing the board in class. Considering this scenario, what should the school nurse's next best step be to address the student's concerns?

A 13-year-old student frequently visits the school nurse with complaints of persistent back pain. The nurse learns that the student often carries a heavy backpack filled with books and personal items. The nurse is concerned about the risk of musculoskeletal strain. What should be the nurse’s primary action to address this issue?

A 15-year-old student has recently confided in the school nurse about their discomfort using the restroom facilities due to their gender identity. The student identifies as non-binary and feels anxious about using gender-segregated restrooms. What is the most appropriate initial step the school nurse should take to support this student?