Question 1. Students may have a grief reaction as the result of experiencing loss of a family member, friend, significant person in their life or as the result of divorce, relocation or a natural disaster. Students exhibit many different types of grief reactions. Which reaction includes symptoms that worsen or persist for more than six months and often leads to depression?
A. Traumatic grief
B. Masked grief
C. Prolonged grief
D. Disenfranchised grief
Correct Answer: C. Prolonged grief
Rationale: Symptoms of grief are overwhelming and do not lessen over time in prolonged grief disorder. It may cause disabling impairments in daily activities and may require intensive treatment. Symptoms may include identity disruption, a sense of disbelief, avoidance, anger, difficulty reintegrating with friends and intense loneliness.
Domain: 2. Health Promotion And Disease Prevention.
Reference: Shannon, R. A., & Yonkaitis, C. F. (Eds.). (2025). School nursing: A Comprehensive Text (4th edition.). F. A. Davis Company. P.695-696.
Question 2. Upon recommendation of the American Academy of Pediatrics, a student entering 4th grade would be recommended to have received which of the following vaccine series:
A. Tdap, Polio, MMR, Hepatitis A & B, Hib, HPV
B. Hepatitis B, Dtap, Polio, MMR, Varicella, Hepatitis A
C. MMR, Varicella, Dtap, Hepatitis A & B, PCV
D. Hepatitis B, Varicella, Influenza and Covid-19
Correct Answer: B. Hepatitis B, Dtap, Polio, MMR, Varicella, Hepatitis A.
Rationale: B includes the series required/recommended for school in the 4th grade. Always be sure to check with your State Department of Health Services as some states require different vaccines, ie hepatitis A. Best practice would be to suggest those not required but recommended including influenza, HPV and Covid.
Domain: 2. Health Promotion And Disease Prevention.
Reference: Selekman, J. & Knox, E. (Eds.). (2025). School Nursing Certification Review. (4th edition). National Board for Certification of School Nurses. P. 186-198.
Shannon, R. A., & Yonkaitis, C. F. (Eds.). (2025). School nursing: A Comprehensive Text (4th edition.). F. A. Davis Company. P. 300-313.
AAP Immunization Schedule, https://downloads.aap.org/AAP/PDF/AAP-Immunization-Schedule.pdf
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Alana Parker MSN-Ed, BSN, RN, NCSN
Mesa, AZ United States
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