National Certification Exam Candidates

Susan, thanks for that clarification. I would also say that the correct answer is C. None of the other answers could be correct at all. Unfortunately our account manager is on vacation this week. But I will have her check the questions when she returns.  I don't see how the answers could be different in the tests because there is only one version of each practice test.

Regards,

Pat

Pat Krin, MSN, RN, FNP-BC-Retired, NCSN, FNASN

Executive Director

NBCSN

nbcsnexec@nbcsn.org

www.nbcsn.org

Jamie, as mentioned yesterday I am away and don't have access to my reference materials.  We will be checking on your concern about the answer to  questions #45. The correct answer is definitely C, so we will make sure that that is the case in the practice exam.  If you get a question incorrect you should get a rationale with the correct answer at the end of the test. Did that not occur? Please let me know if you are not getting rationale with the incorrect answers.

Again, I don't have my references but doing a check on line I think you will find that while there is wheezing in CHF, none of the other choices have wheezing as a symptom,

The best online reference I could find was the Mayo Clinic, which is a reasonable reference.

Cardiac asthma: What causes it? - Mayo Clinic

https://www.mayoclinic.org/diseases-conditions/heart-failure/expert.../faq-20058447

1.      

It's a type of coughing or wheezing that occurs with left heart failure. ... Heart failure can cause fluid to build up in your lungs (pulmonary edema) and in and around your airways. The latter causes signs and symptoms - such as shortness of breath, coughing and wheezing - that may mimic asthma.

Here is another reference that discusses causes other than asthma for wheezing.

https://www.uptodate.com/contents/evaluation-of-wheezing-illnesses-other-than-asthma-in-adults

Regards,

Pat

Pat Krin, MSN, RN, FNP-BC-Retired, NCSN, FNASN

Executive Director

NBCSN

nbcsnexec@nbcsn.org

www.nbcsn.org

Group members, please heed Robin Cogan's friendly reminders about copying questions either from the practice test or the review book into posts on the forum.  These questions are intellectual property and are copyrighted by the authors and/or owners. You can describe the info in the question but please don't write out the questions and answers.  We will always try to give you the best answers that we can, but we may need to contact you offline to get more information.

In the question about the student with the black eye.  I think I would say to you that your statement about having so little information is exactly what you want to focus on.  When a student comes into the office with any complaint we always ask for subjective information.  When answering test questions you only work with the information that is presented.  This question does not tell you how the student answered when you asked what happened.  We never want to assume information into a test question.  A 16 year old boy may very well have had an altercation, so without any other info, calling the parent is the best answer based on the information that you have.  If the student had any other type of injury you would probably call the parent.  Don't ask yourself what if, work with the information that the question gives you.

In answer to your question about the Special Ed/504 question:

Regarding the practice exam question about the parents being required to go on the field trip.

Here is a good reference. https://www2.ed.gov/about/offices/list/ocr/504faq.html

I think the easiest way to explain this, is that IDEA (special education) covers students requiring with 13 specific disabilities, listed here. https://iris.peabody.vanderbilt.edu/module/dll/cresource/q1/p01/13-disability-categories/

In order for a student to be eligible for special education they must require individualized instruction.

504 covers any student with a disability which impacts a major life activity or function whether or not they require specialized instruction.  Section 504 covers all students with a disability, including special education (IDEA). In other words the umbrella of 504 covers students with special education needs also. 504 says that you cannot discriminate against a person (student or otherwise) on the basis of their disability, and by saying that the parent must accompany the student on a field trip you are discriminating  against that child because no other parent is required to go. Regardless of whether the student was a special education student or not, it is 504 that says you cannot require a parent of a student with a disability to attend a field trip.

Regards,

Pat

Pat Krin, MSN, RN, FNP-BC-Retired, NCSN, FNASN

Executive Director

NBCSN

nbcsnexec@nbcsn.org

www.nbcsn.org