National Certification Exam Candidates

Spring 2026 Exam Information

Thinking of testing this Spring? Be sure to review the key dates:

• Spring Testing Window: March 1 – April 5, 2026
• Application Window: November 24, 2025 – February 1, 2026

Visit www.nbcsn.org to begin your application and download the Candidate Handbook.

Not ready to test yet? NBCSN has testing windows three times per year!

• Summer Testing Window: July 9 - August 16, 2026
• Registration Window: April 6 - June 9, 2026
• Fall Testing Window: October 22 - November 22, 2026
• Registration Window: August 17 - September 22, 2026

Exam applications will not be visible/available until the application window opens

Updated Exam Content Outline – Summer 2025 and Beyond

As a result of the 2023 Job Task Analysis (JTA), the NBCSN streamlined and reorganized the Exam Content Outline (ECO) beginning with the Summer 2025 exam. The exam still covers the same essential content, just better organized into four updated domains:

New Exam Content Domains & Number of Questions

Reading Assignments – Week 3

We are digging deeper into Chapter 2 of the Review book. We introduced it last week, but with so much to absorb, we believe that focusing on this Chapter by itself this week will give you all space to review and get used to the pacing of the online study group. We will not be repeating other chapters; it only happens this week to ease you into setting your study time.

School Nursing Certification Review Book – Selekman & Cogan, 2020

• Chapter 4: Health Promotion and Nursing Management
• Complete the self-assessment at the end of Chapter 4

NEW BOOK, COMING SUMMER 2025: School Nursing Certification Review Book – Selekman & Knox, 2025

• Chapter 5: Health Promotion/Disease Prevention/ Infectious Disease
• Complete the self-assessment at the end of Chapter 5

School Nursing: A Comprehensive Text (Selekman, Shannon, & Yonkaitis), Third Edition

• Chapter 19: Students with Acute Illness and Injury
• Chapter 21: Students with Chronic Conditions
• Chapter 22: Students with Allergies
• Chapter 23: Students with Chronic Respiratory Illnesses
• Chapter 24: Students with ADHD and Specific Learning Disorders
• Chapter 25: Students with Diabetes
• Chapter 26: Students with Neurodevelopmental Disorders
• Chapter 27: Students Who Are Overweight
• Chapter 28: Students with Seizures and Epilepsy
• Chapter 29: Students with Other Chronic Conditions

NEW BOOK, COMING SUMMER 2025: School Nursing: A Comprehensive Text (Shannon & Yonkaitis), Fourth Edition

IV. Caring for Students with Episodic Conditions

16. Students With Health Common Complaints
17. Students With Acute Illness and Injury
18. Students with Skin Conditions
19. Students who are Pregnant and Parenting

V. Caring for Students with Special Healthcare Needs

20. Supporting Students With Special Healthcare Needs
21. Students With Allergies
22. Students With Asthma and Cystic Fibrosis
23. Students with Diabetes
24. Students with Select Chronic Conditions
25. Students with Medical Complexity

VI. Caring for Students With Neurologic, Behavioral, and Mental Health Conditions

26. Students With Neurodevelopmental Disorders
27. Students With Seizures and Epilepsy
28. Students With Behavioral/Mental Health Concerns and Conditions
29. Students Engaging in Risk-taking Behaviors

This Week's Assignment - Reflection Prompt

As we all know, vision and hearing screenings can take up a lot of our time!  What are some tips and tricks you use to make the process go a little bit more smoothly at your site?

Even MORE Test Taking Tips:

Here are a few more multiple-choice test-taking strategies taken from 11 Test Taking Tips & Strategies For Nurses * Nurseslabs :

5. Identify Similar Options

When an item contains two or more options that are similar in meaning, the successful test taker knows that all are correct, in which case it is a poor question, or that none is correct, which is more likely to be the case. The correct option usually will either include all the similar options or exclude them entirely. For example:

When teaching newly diagnosed diabetic clients about their condition, it is important for the nurse to focus on:

1. Dietary modifications
2. Use of sugar substitutes
3. Their present understanding of diabetes
4. Use of diabetic nutritional exchange lists

Options 1, 2, and 4 deal only with the diabetic diet, involving no other aspect of diabetic teaching; it is impossible to select the most correct option because each represents equally plausible, though limited, answers to the question. Option 3 is the best choice because it is most complete and allows the other three options to be excluded. As another example:

A child's intelligence is influenced by:

1. A variety of factors
2. Socioeconomic factors
3. Heredity and environment
4. Environment and experience

The most correct answer is option 1. It includes the material covered by the other options, eliminating the need for an impossible choice, since each of the other options is only partially correct.

6. Identify Answer (Option) Components

When an answer contains two or more parts, you can reduce the number of potentially correct answers by identifying one part as incorrect. For example:

After a cholecystectomy the postoperative diet is usually:

• High fat, low calorie
• High fat, low protein
• Low fat, high calorie
• Low fat, high protein

 You know, for instance, that the diet after cholecystectomy is usually low or moderate in fat, you can eliminate options 1 and 2 from consideration. If you know that the cholecystectomy client usually is overweight, you can eliminate option 3 from consideration. Therefore option 4 is correct.

Let's Collaborate

Have a question about the content? Post it in the discussion! Refer to questions by chapter, number, and letter (e.g., Chapter 2, Question 4, Answer C).

Please do not copy questions or answers verbatim due to copyright.

Final Thoughts – You've Got This!

As we begin this journey together, remember: you're not alone. Whether this is your first time preparing for a certification exam or a return to formal study, know that this process is a powerful step forward in your professional growth.

This isn't just about passing a test-it's about strengthening your ability to support your students, advocate for health equity, and shine in your role as a leader in school nursing.

You've already taken a big step by showing up. Stay curious, stay committed, and lean on each other throughout this journey. I'm here to support you every step of the way.

You are more than capable. Let's do this - together.

Spring 2026 Exam Information

Thinking of testing this Spring? Be sure to review the key dates:

• Spring Testing Window: March 1 – April 5, 2026
• Application Window: November 24, 2025 – February 1, 2026

Visit www.nbcsn.org to begin your application and download the Candidate Handbook.

Not ready to test yet? NBCSN has testing windows three times per year!

• Summer Testing Window: July 9 - August 16, 2026
• Registration Window: April 6 - June 9, 2026
• Fall Testing Window: October 22 - November 22, 2026
• Registration Window: August 17 - September 22, 2026

Exam applications will not be visible/available until the application window opens

Updated Exam Content Outline – Summer 2025 and Beyond

As a result of the 2023 Job Task Analysis (JTA), the NBCSN streamlined and reorganized the Exam Content Outline (ECO) beginning with the Summer 2025 exam. The exam still covers the same essential content, just better organized into four updated domains:

New Exam Content Domains & Number of Questions

Reading Assignments – Week 3

We are digging deeper into Chapter 2 of the Review book. We introduced it last week, but with so much to absorb, we believe that focusing on this Chapter by itself this week will give you all space to review and get used to the pacing of the online study group. We will not be repeating other chapters; it only happens this week to ease you into setting your study time.

School Nursing Certification Review Book – Selekman & Cogan, 2020

• Chapter 4: Health Promotion and Nursing Management
• Complete the self-assessment at the end of Chapter 4

NEW BOOK, COMING SUMMER 2025: School Nursing Certification Review Book – Selekman & Knox, 2025

• Chapter 5: Health Promotion/Disease Prevention/ Infectious Disease
• Complete the self-assessment at the end of Chapter 5

School Nursing: A Comprehensive Text (Selekman, Shannon, & Yonkaitis), Third Edition

• Chapter 19: Students with Acute Illness and Injury
• Chapter 21: Students with Chronic Conditions
• Chapter 22: Students with Allergies
• Chapter 23: Students with Chronic Respiratory Illnesses
• Chapter 24: Students with ADHD and Specific Learning Disorders
• Chapter 25: Students with Diabetes
• Chapter 26: Students with Neurodevelopmental Disorders
• Chapter 27: Students Who Are Overweight
• Chapter 28: Students with Seizures and Epilepsy
• Chapter 29: Students with Other Chronic Conditions

NEW BOOK, COMING SUMMER 2025: School Nursing: A Comprehensive Text (Shannon & Yonkaitis), Fourth Edition

IV. Caring for Students with Episodic Conditions

16. Students With Health Common Complaints
17. Students With Acute Illness and Injury
18. Students with Skin Conditions
19. Students who are Pregnant and Parenting

V. Caring for Students with Special Healthcare Needs

20. Supporting Students With Special Healthcare Needs
21. Students With Allergies
22. Students With Asthma and Cystic Fibrosis
23. Students with Diabetes
24. Students with Select Chronic Conditions
25. Students with Medical Complexity

VI. Caring for Students With Neurologic, Behavioral, and Mental Health Conditions

26. Students With Neurodevelopmental Disorders
27. Students With Seizures and Epilepsy
28. Students With Behavioral/Mental Health Concerns and Conditions
29. Students Engaging in Risk-taking Behaviors

This Week's Assignment - Reflection Prompt

As we all know, vision and hearing screenings can take up a lot of our time!  What are some tips and tricks you use to make the process go a little bit more smoothly at your site?

Even MORE Test Taking Tips:

Here are a few more multiple-choice test-taking strategies taken from 11 Test Taking Tips & Strategies For Nurses * Nurseslabs :

5. Identify Similar Options

When an item contains two or more options that are similar in meaning, the successful test taker knows that all are correct, in which case it is a poor question, or that none is correct, which is more likely to be the case. The correct option usually will either include all the similar options or exclude them entirely. For example:

When teaching newly diagnosed diabetic clients about their condition, it is important for the nurse to focus on:

1. Dietary modifications
2. Use of sugar substitutes
3. Their present understanding of diabetes
4. Use of diabetic nutritional exchange lists

Options 1, 2, and 4 deal only with the diabetic diet, involving no other aspect of diabetic teaching; it is impossible to select the most correct option because each represents equally plausible, though limited, answers to the question. Option 3 is the best choice because it is most complete and allows the other three options to be excluded. As another example:

A child's intelligence is influenced by:

1. A variety of factors
2. Socioeconomic factors
3. Heredity and environment
4. Environment and experience

The most correct answer is option 1. It includes the material covered by the other options, eliminating the need for an impossible choice, since each of the other options is only partially correct.

6. Identify Answer (Option) Components

When an answer contains two or more parts, you can reduce the number of potentially correct answers by identifying one part as incorrect. For example:

After a cholecystectomy the postoperative diet is usually:

• High fat, low calorie
• High fat, low protein
• Low fat, high calorie
• Low fat, high protein

 You know, for instance, that the diet after cholecystectomy is usually low or moderate in fat, you can eliminate options 1 and 2 from consideration. If you know that the cholecystectomy client usually is overweight, you can eliminate option 3 from consideration. Therefore option 4 is correct.

Let's Collaborate

Have a question about the content? Post it in the discussion! Refer to questions by chapter, number, and letter (e.g., Chapter 2, Question 4, Answer C).

Please do not copy questions or answers verbatim due to copyright.

Final Thoughts – You've Got This!

As we begin this journey together, remember: you're not alone. Whether this is your first time preparing for a certification exam or a return to formal study, know that this process is a powerful step forward in your professional growth.

This isn't just about passing a test-it's about strengthening your ability to support your students, advocate for health equity, and shine in your role as a leader in school nursing.

You've already taken a big step by showing up. Stay curious, stay committed, and lean on each other throughout this journey. I'm here to support you every step of the way.

You are more than capable. Let's do this - together.

Hi everyone,

I have been a school nurse for 16 years in many different schools K-12.  I am currently at a 6-12 school.  My vision and hearing screenig is light due to not being an elementary school. When I did elementary I just tried to get as much help through the Lions Club.

I'm not going to lie...I'm slightly overwhelmed with all of the material to study and I'm a bit confused of what this weeks assignment is?  Are we to go over Chapter 2(Children & their families) in depth? And Chapter 4 & Chapter 5?( I am using the 4h Edition 2025)

Also...is anyone finding any other resources helpful while studying?

Thank you for your time.

Spring 2026 Exam Information

Thinking of testing this Spring? Be sure to review the key dates:

• Spring Testing Window: March 1 – April 5, 2026
• Application Window: November 24, 2025 – February 1, 2026

Visit www.nbcsn.org to begin your application and download the Candidate Handbook.

Not ready to test yet? NBCSN has testing windows three times per year!

• Summer Testing Window: July 9 - August 16, 2026
• Registration Window: April 6 - June 9, 2026
• Fall Testing Window: October 22 - November 22, 2026
• Registration Window: August 17 - September 22, 2026

Exam applications will not be visible/available until the application window opens

Updated Exam Content Outline – Summer 2025 and Beyond

As a result of the 2023 Job Task Analysis (JTA), the NBCSN streamlined and reorganized the Exam Content Outline (ECO) beginning with the Summer 2025 exam. The exam still covers the same essential content, just better organized into four updated domains:

New Exam Content Domains & Number of Questions

Reading Assignments – Week 3

We are digging deeper into Chapter 2 of the Review book. We introduced it last week, but with so much to absorb, we believe that focusing on this Chapter by itself this week will give you all space to review and get used to the pacing of the online study group. We will not be repeating other chapters; it only happens this week to ease you into setting your study time.

School Nursing Certification Review Book – Selekman & Cogan, 2020

• Chapter 4: Health Promotion and Nursing Management
• Complete the self-assessment at the end of Chapter 4

NEW BOOK, COMING SUMMER 2025: School Nursing Certification Review Book – Selekman & Knox, 2025

• Chapter 5: Health Promotion/Disease Prevention/ Infectious Disease
• Complete the self-assessment at the end of Chapter 5

School Nursing: A Comprehensive Text (Selekman, Shannon, & Yonkaitis), Third Edition

• Chapter 19: Students with Acute Illness and Injury
• Chapter 21: Students with Chronic Conditions
• Chapter 22: Students with Allergies
• Chapter 23: Students with Chronic Respiratory Illnesses
• Chapter 24: Students with ADHD and Specific Learning Disorders
• Chapter 25: Students with Diabetes
• Chapter 26: Students with Neurodevelopmental Disorders
• Chapter 27: Students Who Are Overweight
• Chapter 28: Students with Seizures and Epilepsy
• Chapter 29: Students with Other Chronic Conditions

NEW BOOK, COMING SUMMER 2025: School Nursing: A Comprehensive Text (Shannon & Yonkaitis), Fourth Edition

IV. Caring for Students with Episodic Conditions

16. Students With Health Common Complaints
17. Students With Acute Illness and Injury
18. Students with Skin Conditions
19. Students who are Pregnant and Parenting

V. Caring for Students with Special Healthcare Needs

20. Supporting Students With Special Healthcare Needs
21. Students With Allergies
22. Students With Asthma and Cystic Fibrosis
23. Students with Diabetes
24. Students with Select Chronic Conditions
25. Students with Medical Complexity

VI. Caring for Students With Neurologic, Behavioral, and Mental Health Conditions

26. Students With Neurodevelopmental Disorders
27. Students With Seizures and Epilepsy
28. Students With Behavioral/Mental Health Concerns and Conditions
29. Students Engaging in Risk-taking Behaviors

This Week's Assignment - Reflection Prompt

As we all know, vision and hearing screenings can take up a lot of our time!  What are some tips and tricks you use to make the process go a little bit more smoothly at your site?

Even MORE Test Taking Tips:

Here are a few more multiple-choice test-taking strategies taken from 11 Test Taking Tips & Strategies For Nurses * Nurseslabs :

5. Identify Similar Options

When an item contains two or more options that are similar in meaning, the successful test taker knows that all are correct, in which case it is a poor question, or that none is correct, which is more likely to be the case. The correct option usually will either include all the similar options or exclude them entirely. For example:

When teaching newly diagnosed diabetic clients about their condition, it is important for the nurse to focus on:

1. Dietary modifications
2. Use of sugar substitutes
3. Their present understanding of diabetes
4. Use of diabetic nutritional exchange lists

Options 1, 2, and 4 deal only with the diabetic diet, involving no other aspect of diabetic teaching; it is impossible to select the most correct option because each represents equally plausible, though limited, answers to the question. Option 3 is the best choice because it is most complete and allows the other three options to be excluded. As another example:

A child's intelligence is influenced by:

1. A variety of factors
2. Socioeconomic factors
3. Heredity and environment
4. Environment and experience

The most correct answer is option 1. It includes the material covered by the other options, eliminating the need for an impossible choice, since each of the other options is only partially correct.

6. Identify Answer (Option) Components

When an answer contains two or more parts, you can reduce the number of potentially correct answers by identifying one part as incorrect. For example:

After a cholecystectomy the postoperative diet is usually:

• High fat, low calorie
• High fat, low protein
• Low fat, high calorie
• Low fat, high protein

 You know, for instance, that the diet after cholecystectomy is usually low or moderate in fat, you can eliminate options 1 and 2 from consideration. If you know that the cholecystectomy client usually is overweight, you can eliminate option 3 from consideration. Therefore option 4 is correct.

Let's Collaborate

Have a question about the content? Post it in the discussion! Refer to questions by chapter, number, and letter (e.g., Chapter 2, Question 4, Answer C).

Please do not copy questions or answers verbatim due to copyright.

Final Thoughts – You've Got This!

As we begin this journey together, remember: you're not alone. Whether this is your first time preparing for a certification exam or a return to formal study, know that this process is a powerful step forward in your professional growth.

This isn't just about passing a test-it's about strengthening your ability to support your students, advocate for health equity, and shine in your role as a leader in school nursing.

You've already taken a big step by showing up. Stay curious, stay committed, and lean on each other throughout this journey. I'm here to support you every step of the way.

You are more than capable. Let's do this - together.

Hey Jennifer,

I am using this course: https://extension.missouri.edu/courses/comprehensive-school-nursing

For me this is taking place of reading the Comprehensive text. I also have the 4th edition review book and read the chapter after completing the corresponding modules of the course. 

Hi everyone,

I have been a school nurse for 16 years in many different schools K-12.  I am currently at a 6-12 school.  My vision and hearing screenig is light due to not being an elementary school. When I did elementary I just tried to get as much help through the Lions Club.

I'm not going to lie...I'm slightly overwhelmed with all of the material to study and I'm a bit confused of what this weeks assignment is?  Are we to go over Chapter 2(Children & their families) in depth? And Chapter 4 & Chapter 5?( I am using the 4h Edition 2025)

Also...is anyone finding any other resources helpful while studying?

Thank you for your time.

Spring 2026 Exam Information

Thinking of testing this Spring? Be sure to review the key dates:

• Spring Testing Window: March 1 – April 5, 2026
• Application Window: November 24, 2025 – February 1, 2026

Visit www.nbcsn.org to begin your application and download the Candidate Handbook.

Not ready to test yet? NBCSN has testing windows three times per year!

• Summer Testing Window: July 9 - August 16, 2026
• Registration Window: April 6 - June 9, 2026
• Fall Testing Window: October 22 - November 22, 2026
• Registration Window: August 17 - September 22, 2026

Exam applications will not be visible/available until the application window opens

Updated Exam Content Outline – Summer 2025 and Beyond

As a result of the 2023 Job Task Analysis (JTA), the NBCSN streamlined and reorganized the Exam Content Outline (ECO) beginning with the Summer 2025 exam. The exam still covers the same essential content, just better organized into four updated domains:

New Exam Content Domains & Number of Questions

Reading Assignments – Week 3

We are digging deeper into Chapter 2 of the Review book. We introduced it last week, but with so much to absorb, we believe that focusing on this Chapter by itself this week will give you all space to review and get used to the pacing of the online study group. We will not be repeating other chapters; it only happens this week to ease you into setting your study time.

School Nursing Certification Review Book – Selekman & Cogan, 2020

• Chapter 4: Health Promotion and Nursing Management
• Complete the self-assessment at the end of Chapter 4

NEW BOOK, COMING SUMMER 2025: School Nursing Certification Review Book – Selekman & Knox, 2025

• Chapter 5: Health Promotion/Disease Prevention/ Infectious Disease
• Complete the self-assessment at the end of Chapter 5

School Nursing: A Comprehensive Text (Selekman, Shannon, & Yonkaitis), Third Edition

• Chapter 19: Students with Acute Illness and Injury
• Chapter 21: Students with Chronic Conditions
• Chapter 22: Students with Allergies
• Chapter 23: Students with Chronic Respiratory Illnesses
• Chapter 24: Students with ADHD and Specific Learning Disorders
• Chapter 25: Students with Diabetes
• Chapter 26: Students with Neurodevelopmental Disorders
• Chapter 27: Students Who Are Overweight
• Chapter 28: Students with Seizures and Epilepsy
• Chapter 29: Students with Other Chronic Conditions

NEW BOOK, COMING SUMMER 2025: School Nursing: A Comprehensive Text (Shannon & Yonkaitis), Fourth Edition

IV. Caring for Students with Episodic Conditions

16. Students With Health Common Complaints
17. Students With Acute Illness and Injury
18. Students with Skin Conditions
19. Students who are Pregnant and Parenting

V. Caring for Students with Special Healthcare Needs

20. Supporting Students With Special Healthcare Needs
21. Students With Allergies
22. Students With Asthma and Cystic Fibrosis
23. Students with Diabetes
24. Students with Select Chronic Conditions
25. Students with Medical Complexity

VI. Caring for Students With Neurologic, Behavioral, and Mental Health Conditions

26. Students With Neurodevelopmental Disorders
27. Students With Seizures and Epilepsy
28. Students With Behavioral/Mental Health Concerns and Conditions
29. Students Engaging in Risk-taking Behaviors

This Week's Assignment - Reflection Prompt

As we all know, vision and hearing screenings can take up a lot of our time!  What are some tips and tricks you use to make the process go a little bit more smoothly at your site?

Even MORE Test Taking Tips:

Here are a few more multiple-choice test-taking strategies taken from 11 Test Taking Tips & Strategies For Nurses * Nurseslabs :

5. Identify Similar Options

When an item contains two or more options that are similar in meaning, the successful test taker knows that all are correct, in which case it is a poor question, or that none is correct, which is more likely to be the case. The correct option usually will either include all the similar options or exclude them entirely. For example:

When teaching newly diagnosed diabetic clients about their condition, it is important for the nurse to focus on:

1. Dietary modifications
2. Use of sugar substitutes
3. Their present understanding of diabetes
4. Use of diabetic nutritional exchange lists

Options 1, 2, and 4 deal only with the diabetic diet, involving no other aspect of diabetic teaching; it is impossible to select the most correct option because each represents equally plausible, though limited, answers to the question. Option 3 is the best choice because it is most complete and allows the other three options to be excluded. As another example:

A child's intelligence is influenced by:

1. A variety of factors
2. Socioeconomic factors
3. Heredity and environment
4. Environment and experience

The most correct answer is option 1. It includes the material covered by the other options, eliminating the need for an impossible choice, since each of the other options is only partially correct.

6. Identify Answer (Option) Components

When an answer contains two or more parts, you can reduce the number of potentially correct answers by identifying one part as incorrect. For example:

After a cholecystectomy the postoperative diet is usually:

• High fat, low calorie
• High fat, low protein
• Low fat, high calorie
• Low fat, high protein

 You know, for instance, that the diet after cholecystectomy is usually low or moderate in fat, you can eliminate options 1 and 2 from consideration. If you know that the cholecystectomy client usually is overweight, you can eliminate option 3 from consideration. Therefore option 4 is correct.

Let's Collaborate

Have a question about the content? Post it in the discussion! Refer to questions by chapter, number, and letter (e.g., Chapter 2, Question 4, Answer C).

Please do not copy questions or answers verbatim due to copyright.

Final Thoughts – You've Got This!

As we begin this journey together, remember: you're not alone. Whether this is your first time preparing for a certification exam or a return to formal study, know that this process is a powerful step forward in your professional growth.

This isn't just about passing a test-it's about strengthening your ability to support your students, advocate for health equity, and shine in your role as a leader in school nursing.

You've already taken a big step by showing up. Stay curious, stay committed, and lean on each other throughout this journey. I'm here to support you every step of the way.

You are more than capable. Let's do this - together.

Hey Jennifer,

I am using this course: https://extension.missouri.edu/courses/comprehensive-school-nursing

For me this is taking place of reading the Comprehensive text. I also have the 4th edition review book and read the chapter after completing the corresponding modules of the course. 

Hi everyone,

I have been a school nurse for 16 years in many different schools K-12.  I am currently at a 6-12 school.  My vision and hearing screenig is light due to not being an elementary school. When I did elementary I just tried to get as much help through the Lions Club.

I'm not going to lie...I'm slightly overwhelmed with all of the material to study and I'm a bit confused of what this weeks assignment is?  Are we to go over Chapter 2(Children & their families) in depth? And Chapter 4 & Chapter 5?( I am using the 4h Edition 2025)

Also...is anyone finding any other resources helpful while studying?

Thank you for your time.

Spring 2026 Exam Information

Thinking of testing this Spring? Be sure to review the key dates:

• Spring Testing Window: March 1 – April 5, 2026
• Application Window: November 24, 2025 – February 1, 2026

Visit www.nbcsn.org to begin your application and download the Candidate Handbook.

Not ready to test yet? NBCSN has testing windows three times per year!

• Summer Testing Window: July 9 - August 16, 2026
• Registration Window: April 6 - June 9, 2026
• Fall Testing Window: October 22 - November 22, 2026
• Registration Window: August 17 - September 22, 2026

Exam applications will not be visible/available until the application window opens

Updated Exam Content Outline – Summer 2025 and Beyond

As a result of the 2023 Job Task Analysis (JTA), the NBCSN streamlined and reorganized the Exam Content Outline (ECO) beginning with the Summer 2025 exam. The exam still covers the same essential content, just better organized into four updated domains:

New Exam Content Domains & Number of Questions

Reading Assignments – Week 3

We are digging deeper into Chapter 2 of the Review book. We introduced it last week, but with so much to absorb, we believe that focusing on this Chapter by itself this week will give you all space to review and get used to the pacing of the online study group. We will not be repeating other chapters; it only happens this week to ease you into setting your study time.

School Nursing Certification Review Book – Selekman & Cogan, 2020

• Chapter 4: Health Promotion and Nursing Management
• Complete the self-assessment at the end of Chapter 4

NEW BOOK, COMING SUMMER 2025: School Nursing Certification Review Book – Selekman & Knox, 2025

• Chapter 5: Health Promotion/Disease Prevention/ Infectious Disease
• Complete the self-assessment at the end of Chapter 5

School Nursing: A Comprehensive Text (Selekman, Shannon, & Yonkaitis), Third Edition

• Chapter 19: Students with Acute Illness and Injury
• Chapter 21: Students with Chronic Conditions
• Chapter 22: Students with Allergies
• Chapter 23: Students with Chronic Respiratory Illnesses
• Chapter 24: Students with ADHD and Specific Learning Disorders
• Chapter 25: Students with Diabetes
• Chapter 26: Students with Neurodevelopmental Disorders
• Chapter 27: Students Who Are Overweight
• Chapter 28: Students with Seizures and Epilepsy
• Chapter 29: Students with Other Chronic Conditions

NEW BOOK, COMING SUMMER 2025: School Nursing: A Comprehensive Text (Shannon & Yonkaitis), Fourth Edition

IV. Caring for Students with Episodic Conditions

16. Students With Health Common Complaints
17. Students With Acute Illness and Injury
18. Students with Skin Conditions
19. Students who are Pregnant and Parenting

V. Caring for Students with Special Healthcare Needs

20. Supporting Students With Special Healthcare Needs
21. Students With Allergies
22. Students With Asthma and Cystic Fibrosis
23. Students with Diabetes
24. Students with Select Chronic Conditions
25. Students with Medical Complexity

VI. Caring for Students With Neurologic, Behavioral, and Mental Health Conditions

26. Students With Neurodevelopmental Disorders
27. Students With Seizures and Epilepsy
28. Students With Behavioral/Mental Health Concerns and Conditions
29. Students Engaging in Risk-taking Behaviors

This Week's Assignment - Reflection Prompt

As we all know, vision and hearing screenings can take up a lot of our time!  What are some tips and tricks you use to make the process go a little bit more smoothly at your site?

Even MORE Test Taking Tips:

Here are a few more multiple-choice test-taking strategies taken from 11 Test Taking Tips & Strategies For Nurses * Nurseslabs :

5. Identify Similar Options

When an item contains two or more options that are similar in meaning, the successful test taker knows that all are correct, in which case it is a poor question, or that none is correct, which is more likely to be the case. The correct option usually will either include all the similar options or exclude them entirely. For example:

When teaching newly diagnosed diabetic clients about their condition, it is important for the nurse to focus on:

1. Dietary modifications
2. Use of sugar substitutes
3. Their present understanding of diabetes
4. Use of diabetic nutritional exchange lists

Options 1, 2, and 4 deal only with the diabetic diet, involving no other aspect of diabetic teaching; it is impossible to select the most correct option because each represents equally plausible, though limited, answers to the question. Option 3 is the best choice because it is most complete and allows the other three options to be excluded. As another example:

A child's intelligence is influenced by:

1. A variety of factors
2. Socioeconomic factors
3. Heredity and environment
4. Environment and experience

The most correct answer is option 1. It includes the material covered by the other options, eliminating the need for an impossible choice, since each of the other options is only partially correct.

6. Identify Answer (Option) Components

When an answer contains two or more parts, you can reduce the number of potentially correct answers by identifying one part as incorrect. For example:

After a cholecystectomy the postoperative diet is usually:

• High fat, low calorie
• High fat, low protein
• Low fat, high calorie
• Low fat, high protein

 You know, for instance, that the diet after cholecystectomy is usually low or moderate in fat, you can eliminate options 1 and 2 from consideration. If you know that the cholecystectomy client usually is overweight, you can eliminate option 3 from consideration. Therefore option 4 is correct.

Let's Collaborate

Have a question about the content? Post it in the discussion! Refer to questions by chapter, number, and letter (e.g., Chapter 2, Question 4, Answer C).

Please do not copy questions or answers verbatim due to copyright.

Final Thoughts – You've Got This!

As we begin this journey together, remember: you're not alone. Whether this is your first time preparing for a certification exam or a return to formal study, know that this process is a powerful step forward in your professional growth.

This isn't just about passing a test-it's about strengthening your ability to support your students, advocate for health equity, and shine in your role as a leader in school nursing.

You've already taken a big step by showing up. Stay curious, stay committed, and lean on each other throughout this journey. I'm here to support you every step of the way.

You are more than capable. Let's do this - together.

Never mind! I figured out how to use an alternative Canvas log in that isn't credentialled through MU and I think I have it. Thanks for sharing this resource!

Hey Jennifer,

I am using this course: https://extension.missouri.edu/courses/comprehensive-school-nursing

For me this is taking place of reading the Comprehensive text. I also have the 4th edition review book and read the chapter after completing the corresponding modules of the course. 

Hi everyone,

I have been a school nurse for 16 years in many different schools K-12.  I am currently at a 6-12 school.  My vision and hearing screenig is light due to not being an elementary school. When I did elementary I just tried to get as much help through the Lions Club.

I'm not going to lie...I'm slightly overwhelmed with all of the material to study and I'm a bit confused of what this weeks assignment is?  Are we to go over Chapter 2(Children & their families) in depth? And Chapter 4 & Chapter 5?( I am using the 4h Edition 2025)

Also...is anyone finding any other resources helpful while studying?

Thank you for your time.

Spring 2026 Exam Information

Thinking of testing this Spring? Be sure to review the key dates:

• Spring Testing Window: March 1 – April 5, 2026
• Application Window: November 24, 2025 – February 1, 2026

Visit www.nbcsn.org to begin your application and download the Candidate Handbook.

Not ready to test yet? NBCSN has testing windows three times per year!

• Summer Testing Window: July 9 - August 16, 2026
• Registration Window: April 6 - June 9, 2026
• Fall Testing Window: October 22 - November 22, 2026
• Registration Window: August 17 - September 22, 2026

Exam applications will not be visible/available until the application window opens

Updated Exam Content Outline – Summer 2025 and Beyond

As a result of the 2023 Job Task Analysis (JTA), the NBCSN streamlined and reorganized the Exam Content Outline (ECO) beginning with the Summer 2025 exam. The exam still covers the same essential content, just better organized into four updated domains:

New Exam Content Domains & Number of Questions

Reading Assignments – Week 3

We are digging deeper into Chapter 2 of the Review book. We introduced it last week, but with so much to absorb, we believe that focusing on this Chapter by itself this week will give you all space to review and get used to the pacing of the online study group. We will not be repeating other chapters; it only happens this week to ease you into setting your study time.

School Nursing Certification Review Book – Selekman & Cogan, 2020

• Chapter 4: Health Promotion and Nursing Management
• Complete the self-assessment at the end of Chapter 4

NEW BOOK, COMING SUMMER 2025: School Nursing Certification Review Book – Selekman & Knox, 2025

• Chapter 5: Health Promotion/Disease Prevention/ Infectious Disease
• Complete the self-assessment at the end of Chapter 5

School Nursing: A Comprehensive Text (Selekman, Shannon, & Yonkaitis), Third Edition

• Chapter 19: Students with Acute Illness and Injury
• Chapter 21: Students with Chronic Conditions
• Chapter 22: Students with Allergies
• Chapter 23: Students with Chronic Respiratory Illnesses
• Chapter 24: Students with ADHD and Specific Learning Disorders
• Chapter 25: Students with Diabetes
• Chapter 26: Students with Neurodevelopmental Disorders
• Chapter 27: Students Who Are Overweight
• Chapter 28: Students with Seizures and Epilepsy
• Chapter 29: Students with Other Chronic Conditions

NEW BOOK, COMING SUMMER 2025: School Nursing: A Comprehensive Text (Shannon & Yonkaitis), Fourth Edition

IV. Caring for Students with Episodic Conditions

16. Students With Health Common Complaints
17. Students With Acute Illness and Injury
18. Students with Skin Conditions
19. Students who are Pregnant and Parenting

V. Caring for Students with Special Healthcare Needs

20. Supporting Students With Special Healthcare Needs
21. Students With Allergies
22. Students With Asthma and Cystic Fibrosis
23. Students with Diabetes
24. Students with Select Chronic Conditions
25. Students with Medical Complexity

VI. Caring for Students With Neurologic, Behavioral, and Mental Health Conditions

26. Students With Neurodevelopmental Disorders
27. Students With Seizures and Epilepsy
28. Students With Behavioral/Mental Health Concerns and Conditions
29. Students Engaging in Risk-taking Behaviors

This Week's Assignment - Reflection Prompt

As we all know, vision and hearing screenings can take up a lot of our time!  What are some tips and tricks you use to make the process go a little bit more smoothly at your site?

Even MORE Test Taking Tips:

Here are a few more multiple-choice test-taking strategies taken from 11 Test Taking Tips & Strategies For Nurses * Nurseslabs :

5. Identify Similar Options

When an item contains two or more options that are similar in meaning, the successful test taker knows that all are correct, in which case it is a poor question, or that none is correct, which is more likely to be the case. The correct option usually will either include all the similar options or exclude them entirely. For example:

When teaching newly diagnosed diabetic clients about their condition, it is important for the nurse to focus on:

1. Dietary modifications
2. Use of sugar substitutes
3. Their present understanding of diabetes
4. Use of diabetic nutritional exchange lists

Options 1, 2, and 4 deal only with the diabetic diet, involving no other aspect of diabetic teaching; it is impossible to select the most correct option because each represents equally plausible, though limited, answers to the question. Option 3 is the best choice because it is most complete and allows the other three options to be excluded. As another example:

A child's intelligence is influenced by:

1. A variety of factors
2. Socioeconomic factors
3. Heredity and environment
4. Environment and experience

The most correct answer is option 1. It includes the material covered by the other options, eliminating the need for an impossible choice, since each of the other options is only partially correct.

6. Identify Answer (Option) Components

When an answer contains two or more parts, you can reduce the number of potentially correct answers by identifying one part as incorrect. For example:

After a cholecystectomy the postoperative diet is usually:

• High fat, low calorie
• High fat, low protein
• Low fat, high calorie
• Low fat, high protein

 You know, for instance, that the diet after cholecystectomy is usually low or moderate in fat, you can eliminate options 1 and 2 from consideration. If you know that the cholecystectomy client usually is overweight, you can eliminate option 3 from consideration. Therefore option 4 is correct.

Let's Collaborate

Have a question about the content? Post it in the discussion! Refer to questions by chapter, number, and letter (e.g., Chapter 2, Question 4, Answer C).

Please do not copy questions or answers verbatim due to copyright.

Final Thoughts – You've Got This!

As we begin this journey together, remember: you're not alone. Whether this is your first time preparing for a certification exam or a return to formal study, know that this process is a powerful step forward in your professional growth.

This isn't just about passing a test-it's about strengthening your ability to support your students, advocate for health equity, and shine in your role as a leader in school nursing.

You've already taken a big step by showing up. Stay curious, stay committed, and lean on each other throughout this journey. I'm here to support you every step of the way.

You are more than capable. Let's do this - together.

Hi Brooke,

Could you please share how you use an alternative Canvas login? I tried but wasn't successful.

Thank you,

Val

Never mind! I figured out how to use an alternative Canvas log in that isn't credentialled through MU and I think I have it. Thanks for sharing this resource!

Hey Jennifer,

I am using this course: https://extension.missouri.edu/courses/comprehensive-school-nursing

For me this is taking place of reading the Comprehensive text. I also have the 4th edition review book and read the chapter after completing the corresponding modules of the course. 

Hi everyone,

I have been a school nurse for 16 years in many different schools K-12.  I am currently at a 6-12 school.  My vision and hearing screenig is light due to not being an elementary school. When I did elementary I just tried to get as much help through the Lions Club.

I'm not going to lie...I'm slightly overwhelmed with all of the material to study and I'm a bit confused of what this weeks assignment is?  Are we to go over Chapter 2(Children & their families) in depth? And Chapter 4 & Chapter 5?( I am using the 4h Edition 2025)

Also...is anyone finding any other resources helpful while studying?

Thank you for your time.

Spring 2026 Exam Information

Thinking of testing this Spring? Be sure to review the key dates:

• Spring Testing Window: March 1 – April 5, 2026
• Application Window: November 24, 2025 – February 1, 2026

Visit www.nbcsn.org to begin your application and download the Candidate Handbook.

Not ready to test yet? NBCSN has testing windows three times per year!

• Summer Testing Window: July 9 - August 16, 2026
• Registration Window: April 6 - June 9, 2026
• Fall Testing Window: October 22 - November 22, 2026
• Registration Window: August 17 - September 22, 2026

Exam applications will not be visible/available until the application window opens

Updated Exam Content Outline – Summer 2025 and Beyond

As a result of the 2023 Job Task Analysis (JTA), the NBCSN streamlined and reorganized the Exam Content Outline (ECO) beginning with the Summer 2025 exam. The exam still covers the same essential content, just better organized into four updated domains:

New Exam Content Domains & Number of Questions

Reading Assignments – Week 3

We are digging deeper into Chapter 2 of the Review book. We introduced it last week, but with so much to absorb, we believe that focusing on this Chapter by itself this week will give you all space to review and get used to the pacing of the online study group. We will not be repeating other chapters; it only happens this week to ease you into setting your study time.

School Nursing Certification Review Book – Selekman & Cogan, 2020

• Chapter 4: Health Promotion and Nursing Management
• Complete the self-assessment at the end of Chapter 4

NEW BOOK, COMING SUMMER 2025: School Nursing Certification Review Book – Selekman & Knox, 2025

• Chapter 5: Health Promotion/Disease Prevention/ Infectious Disease
• Complete the self-assessment at the end of Chapter 5

School Nursing: A Comprehensive Text (Selekman, Shannon, & Yonkaitis), Third Edition

• Chapter 19: Students with Acute Illness and Injury
• Chapter 21: Students with Chronic Conditions
• Chapter 22: Students with Allergies
• Chapter 23: Students with Chronic Respiratory Illnesses
• Chapter 24: Students with ADHD and Specific Learning Disorders
• Chapter 25: Students with Diabetes
• Chapter 26: Students with Neurodevelopmental Disorders
• Chapter 27: Students Who Are Overweight
• Chapter 28: Students with Seizures and Epilepsy
• Chapter 29: Students with Other Chronic Conditions

NEW BOOK, COMING SUMMER 2025: School Nursing: A Comprehensive Text (Shannon & Yonkaitis), Fourth Edition

IV. Caring for Students with Episodic Conditions

16. Students With Health Common Complaints
17. Students With Acute Illness and Injury
18. Students with Skin Conditions
19. Students who are Pregnant and Parenting

V. Caring for Students with Special Healthcare Needs

20. Supporting Students With Special Healthcare Needs
21. Students With Allergies
22. Students With Asthma and Cystic Fibrosis
23. Students with Diabetes
24. Students with Select Chronic Conditions
25. Students with Medical Complexity

VI. Caring for Students With Neurologic, Behavioral, and Mental Health Conditions

26. Students With Neurodevelopmental Disorders
27. Students With Seizures and Epilepsy
28. Students With Behavioral/Mental Health Concerns and Conditions
29. Students Engaging in Risk-taking Behaviors

This Week's Assignment - Reflection Prompt

As we all know, vision and hearing screenings can take up a lot of our time!  What are some tips and tricks you use to make the process go a little bit more smoothly at your site?

Even MORE Test Taking Tips:

Here are a few more multiple-choice test-taking strategies taken from 11 Test Taking Tips & Strategies For Nurses * Nurseslabs :

5. Identify Similar Options

When an item contains two or more options that are similar in meaning, the successful test taker knows that all are correct, in which case it is a poor question, or that none is correct, which is more likely to be the case. The correct option usually will either include all the similar options or exclude them entirely. For example:

When teaching newly diagnosed diabetic clients about their condition, it is important for the nurse to focus on:

1. Dietary modifications
2. Use of sugar substitutes
3. Their present understanding of diabetes
4. Use of diabetic nutritional exchange lists

Options 1, 2, and 4 deal only with the diabetic diet, involving no other aspect of diabetic teaching; it is impossible to select the most correct option because each represents equally plausible, though limited, answers to the question. Option 3 is the best choice because it is most complete and allows the other three options to be excluded. As another example:

A child's intelligence is influenced by:

1. A variety of factors
2. Socioeconomic factors
3. Heredity and environment
4. Environment and experience

The most correct answer is option 1. It includes the material covered by the other options, eliminating the need for an impossible choice, since each of the other options is only partially correct.

6. Identify Answer (Option) Components

When an answer contains two or more parts, you can reduce the number of potentially correct answers by identifying one part as incorrect. For example:

After a cholecystectomy the postoperative diet is usually:

• High fat, low calorie
• High fat, low protein
• Low fat, high calorie
• Low fat, high protein

 You know, for instance, that the diet after cholecystectomy is usually low or moderate in fat, you can eliminate options 1 and 2 from consideration. If you know that the cholecystectomy client usually is overweight, you can eliminate option 3 from consideration. Therefore option 4 is correct.

Let's Collaborate

Have a question about the content? Post it in the discussion! Refer to questions by chapter, number, and letter (e.g., Chapter 2, Question 4, Answer C).

Please do not copy questions or answers verbatim due to copyright.

Final Thoughts – You've Got This!

As we begin this journey together, remember: you're not alone. Whether this is your first time preparing for a certification exam or a return to formal study, know that this process is a powerful step forward in your professional growth.

This isn't just about passing a test-it's about strengthening your ability to support your students, advocate for health equity, and shine in your role as a leader in school nursing.

You've already taken a big step by showing up. Stay curious, stay committed, and lean on each other throughout this journey. I'm here to support you every step of the way.

You are more than capable. Let's do this - together.

Val,

Follow this link: https://umsystem-muextension.catalog.instructure.com/browse/continuing-med-ed/courses/show-me-school-health

Click the blue Enroll button

That should take you to a Canvas Log in Page https://canvas.umsystem.edu/

Click the right lighter blue box for Alternate Log in. Set up an account then log in this way every time. 

Hi Brooke,

Could you please share how you use an alternative Canvas login? I tried but wasn't successful.

Thank you,

Val

Never mind! I figured out how to use an alternative Canvas log in that isn't credentialled through MU and I think I have it. Thanks for sharing this resource!

Hey Jennifer,

I am using this course: https://extension.missouri.edu/courses/comprehensive-school-nursing

For me this is taking place of reading the Comprehensive text. I also have the 4th edition review book and read the chapter after completing the corresponding modules of the course. 

Hi everyone,

I have been a school nurse for 16 years in many different schools K-12.  I am currently at a 6-12 school.  My vision and hearing screenig is light due to not being an elementary school. When I did elementary I just tried to get as much help through the Lions Club.

I'm not going to lie...I'm slightly overwhelmed with all of the material to study and I'm a bit confused of what this weeks assignment is?  Are we to go over Chapter 2(Children & their families) in depth? And Chapter 4 & Chapter 5?( I am using the 4h Edition 2025)

Also...is anyone finding any other resources helpful while studying?

Thank you for your time.

Spring 2026 Exam Information

Thinking of testing this Spring? Be sure to review the key dates:

• Spring Testing Window: March 1 – April 5, 2026
• Application Window: November 24, 2025 – February 1, 2026

Visit www.nbcsn.org to begin your application and download the Candidate Handbook.

Not ready to test yet? NBCSN has testing windows three times per year!

• Summer Testing Window: July 9 - August 16, 2026
• Registration Window: April 6 - June 9, 2026
• Fall Testing Window: October 22 - November 22, 2026
• Registration Window: August 17 - September 22, 2026

Exam applications will not be visible/available until the application window opens

Updated Exam Content Outline – Summer 2025 and Beyond

As a result of the 2023 Job Task Analysis (JTA), the NBCSN streamlined and reorganized the Exam Content Outline (ECO) beginning with the Summer 2025 exam. The exam still covers the same essential content, just better organized into four updated domains:

New Exam Content Domains & Number of Questions

Reading Assignments – Week 3

We are digging deeper into Chapter 2 of the Review book. We introduced it last week, but with so much to absorb, we believe that focusing on this Chapter by itself this week will give you all space to review and get used to the pacing of the online study group. We will not be repeating other chapters; it only happens this week to ease you into setting your study time.

School Nursing Certification Review Book – Selekman & Cogan, 2020

• Chapter 4: Health Promotion and Nursing Management
• Complete the self-assessment at the end of Chapter 4

NEW BOOK, COMING SUMMER 2025: School Nursing Certification Review Book – Selekman & Knox, 2025

• Chapter 5: Health Promotion/Disease Prevention/ Infectious Disease
• Complete the self-assessment at the end of Chapter 5

School Nursing: A Comprehensive Text (Selekman, Shannon, & Yonkaitis), Third Edition

• Chapter 19: Students with Acute Illness and Injury
• Chapter 21: Students with Chronic Conditions
• Chapter 22: Students with Allergies
• Chapter 23: Students with Chronic Respiratory Illnesses
• Chapter 24: Students with ADHD and Specific Learning Disorders
• Chapter 25: Students with Diabetes
• Chapter 26: Students with Neurodevelopmental Disorders
• Chapter 27: Students Who Are Overweight
• Chapter 28: Students with Seizures and Epilepsy
• Chapter 29: Students with Other Chronic Conditions

NEW BOOK, COMING SUMMER 2025: School Nursing: A Comprehensive Text (Shannon & Yonkaitis), Fourth Edition

IV. Caring for Students with Episodic Conditions

16. Students With Health Common Complaints
17. Students With Acute Illness and Injury
18. Students with Skin Conditions
19. Students who are Pregnant and Parenting

V. Caring for Students with Special Healthcare Needs

20. Supporting Students With Special Healthcare Needs
21. Students With Allergies
22. Students With Asthma and Cystic Fibrosis
23. Students with Diabetes
24. Students with Select Chronic Conditions
25. Students with Medical Complexity

VI. Caring for Students With Neurologic, Behavioral, and Mental Health Conditions

26. Students With Neurodevelopmental Disorders
27. Students With Seizures and Epilepsy
28. Students With Behavioral/Mental Health Concerns and Conditions
29. Students Engaging in Risk-taking Behaviors

This Week's Assignment - Reflection Prompt

As we all know, vision and hearing screenings can take up a lot of our time!  What are some tips and tricks you use to make the process go a little bit more smoothly at your site?

Even MORE Test Taking Tips:

Here are a few more multiple-choice test-taking strategies taken from 11 Test Taking Tips & Strategies For Nurses * Nurseslabs :

5. Identify Similar Options

When an item contains two or more options that are similar in meaning, the successful test taker knows that all are correct, in which case it is a poor question, or that none is correct, which is more likely to be the case. The correct option usually will either include all the similar options or exclude them entirely. For example:

When teaching newly diagnosed diabetic clients about their condition, it is important for the nurse to focus on:

1. Dietary modifications
2. Use of sugar substitutes
3. Their present understanding of diabetes
4. Use of diabetic nutritional exchange lists

Options 1, 2, and 4 deal only with the diabetic diet, involving no other aspect of diabetic teaching; it is impossible to select the most correct option because each represents equally plausible, though limited, answers to the question. Option 3 is the best choice because it is most complete and allows the other three options to be excluded. As another example:

A child's intelligence is influenced by:

1. A variety of factors
2. Socioeconomic factors
3. Heredity and environment
4. Environment and experience

The most correct answer is option 1. It includes the material covered by the other options, eliminating the need for an impossible choice, since each of the other options is only partially correct.

6. Identify Answer (Option) Components

When an answer contains two or more parts, you can reduce the number of potentially correct answers by identifying one part as incorrect. For example:

After a cholecystectomy the postoperative diet is usually:

• High fat, low calorie
• High fat, low protein
• Low fat, high calorie
• Low fat, high protein

 You know, for instance, that the diet after cholecystectomy is usually low or moderate in fat, you can eliminate options 1 and 2 from consideration. If you know that the cholecystectomy client usually is overweight, you can eliminate option 3 from consideration. Therefore option 4 is correct.

Let's Collaborate

Have a question about the content? Post it in the discussion! Refer to questions by chapter, number, and letter (e.g., Chapter 2, Question 4, Answer C).

Please do not copy questions or answers verbatim due to copyright.

Final Thoughts – You've Got This!

As we begin this journey together, remember: you're not alone. Whether this is your first time preparing for a certification exam or a return to formal study, know that this process is a powerful step forward in your professional growth.

This isn't just about passing a test-it's about strengthening your ability to support your students, advocate for health equity, and shine in your role as a leader in school nursing.

You've already taken a big step by showing up. Stay curious, stay committed, and lean on each other throughout this journey. I'm here to support you every step of the way.

You are more than capable. Let's do this - together.

Val,

Follow this link: https://umsystem-muextension.catalog.instructure.com/browse/continuing-med-ed/courses/show-me-school-health

Click the blue Enroll button

That should take you to a Canvas Log in Page https://canvas.umsystem.edu/

Click the right lighter blue box for Alternate Log in. Set up an account then log in this way every time. 

Hi Brooke,

Could you please share how you use an alternative Canvas login? I tried but wasn't successful.

Thank you,

Val

Never mind! I figured out how to use an alternative Canvas log in that isn't credentialled through MU and I think I have it. Thanks for sharing this resource!

Hey Jennifer,

I am using this course: https://extension.missouri.edu/courses/comprehensive-school-nursing

For me this is taking place of reading the Comprehensive text. I also have the 4th edition review book and read the chapter after completing the corresponding modules of the course. 

Hi everyone,

I have been a school nurse for 16 years in many different schools K-12.  I am currently at a 6-12 school.  My vision and hearing screenig is light due to not being an elementary school. When I did elementary I just tried to get as much help through the Lions Club.

I'm not going to lie...I'm slightly overwhelmed with all of the material to study and I'm a bit confused of what this weeks assignment is?  Are we to go over Chapter 2(Children & their families) in depth? And Chapter 4 & Chapter 5?( I am using the 4h Edition 2025)

Also...is anyone finding any other resources helpful while studying?

Thank you for your time.

Spring 2026 Exam Information

Thinking of testing this Spring? Be sure to review the key dates:

• Spring Testing Window: March 1 – April 5, 2026
• Application Window: November 24, 2025 – February 1, 2026

Visit www.nbcsn.org to begin your application and download the Candidate Handbook.

Not ready to test yet? NBCSN has testing windows three times per year!

• Summer Testing Window: July 9 - August 16, 2026
• Registration Window: April 6 - June 9, 2026
• Fall Testing Window: October 22 - November 22, 2026
• Registration Window: August 17 - September 22, 2026

Exam applications will not be visible/available until the application window opens

Updated Exam Content Outline – Summer 2025 and Beyond

As a result of the 2023 Job Task Analysis (JTA), the NBCSN streamlined and reorganized the Exam Content Outline (ECO) beginning with the Summer 2025 exam. The exam still covers the same essential content, just better organized into four updated domains:

New Exam Content Domains & Number of Questions

Reading Assignments – Week 3

We are digging deeper into Chapter 2 of the Review book. We introduced it last week, but with so much to absorb, we believe that focusing on this Chapter by itself this week will give you all space to review and get used to the pacing of the online study group. We will not be repeating other chapters; it only happens this week to ease you into setting your study time.

School Nursing Certification Review Book – Selekman & Cogan, 2020

• Chapter 4: Health Promotion and Nursing Management
• Complete the self-assessment at the end of Chapter 4

NEW BOOK, COMING SUMMER 2025: School Nursing Certification Review Book – Selekman & Knox, 2025

• Chapter 5: Health Promotion/Disease Prevention/ Infectious Disease
• Complete the self-assessment at the end of Chapter 5

School Nursing: A Comprehensive Text (Selekman, Shannon, & Yonkaitis), Third Edition

• Chapter 19: Students with Acute Illness and Injury
• Chapter 21: Students with Chronic Conditions
• Chapter 22: Students with Allergies
• Chapter 23: Students with Chronic Respiratory Illnesses
• Chapter 24: Students with ADHD and Specific Learning Disorders
• Chapter 25: Students with Diabetes
• Chapter 26: Students with Neurodevelopmental Disorders
• Chapter 27: Students Who Are Overweight
• Chapter 28: Students with Seizures and Epilepsy
• Chapter 29: Students with Other Chronic Conditions

NEW BOOK, COMING SUMMER 2025: School Nursing: A Comprehensive Text (Shannon & Yonkaitis), Fourth Edition

IV. Caring for Students with Episodic Conditions

16. Students With Health Common Complaints
17. Students With Acute Illness and Injury
18. Students with Skin Conditions
19. Students who are Pregnant and Parenting

V. Caring for Students with Special Healthcare Needs

20. Supporting Students With Special Healthcare Needs
21. Students With Allergies
22. Students With Asthma and Cystic Fibrosis
23. Students with Diabetes
24. Students with Select Chronic Conditions
25. Students with Medical Complexity

VI. Caring for Students With Neurologic, Behavioral, and Mental Health Conditions

26. Students With Neurodevelopmental Disorders
27. Students With Seizures and Epilepsy
28. Students With Behavioral/Mental Health Concerns and Conditions
29. Students Engaging in Risk-taking Behaviors

This Week's Assignment - Reflection Prompt

As we all know, vision and hearing screenings can take up a lot of our time!  What are some tips and tricks you use to make the process go a little bit more smoothly at your site?

Even MORE Test Taking Tips:

Here are a few more multiple-choice test-taking strategies taken from 11 Test Taking Tips & Strategies For Nurses * Nurseslabs :

5. Identify Similar Options

When an item contains two or more options that are similar in meaning, the successful test taker knows that all are correct, in which case it is a poor question, or that none is correct, which is more likely to be the case. The correct option usually will either include all the similar options or exclude them entirely. For example:

When teaching newly diagnosed diabetic clients about their condition, it is important for the nurse to focus on:

1. Dietary modifications
2. Use of sugar substitutes
3. Their present understanding of diabetes
4. Use of diabetic nutritional exchange lists

Options 1, 2, and 4 deal only with the diabetic diet, involving no other aspect of diabetic teaching; it is impossible to select the most correct option because each represents equally plausible, though limited, answers to the question. Option 3 is the best choice because it is most complete and allows the other three options to be excluded. As another example:

A child's intelligence is influenced by:

1. A variety of factors
2. Socioeconomic factors
3. Heredity and environment
4. Environment and experience

The most correct answer is option 1. It includes the material covered by the other options, eliminating the need for an impossible choice, since each of the other options is only partially correct.

6. Identify Answer (Option) Components

When an answer contains two or more parts, you can reduce the number of potentially correct answers by identifying one part as incorrect. For example:

After a cholecystectomy the postoperative diet is usually:

• High fat, low calorie
• High fat, low protein
• Low fat, high calorie
• Low fat, high protein

 You know, for instance, that the diet after cholecystectomy is usually low or moderate in fat, you can eliminate options 1 and 2 from consideration. If you know that the cholecystectomy client usually is overweight, you can eliminate option 3 from consideration. Therefore option 4 is correct.

Let's Collaborate

Have a question about the content? Post it in the discussion! Refer to questions by chapter, number, and letter (e.g., Chapter 2, Question 4, Answer C).

Please do not copy questions or answers verbatim due to copyright.

Final Thoughts – You've Got This!

As we begin this journey together, remember: you're not alone. Whether this is your first time preparing for a certification exam or a return to formal study, know that this process is a powerful step forward in your professional growth.

This isn't just about passing a test-it's about strengthening your ability to support your students, advocate for health equity, and shine in your role as a leader in school nursing.

You've already taken a big step by showing up. Stay curious, stay committed, and lean on each other throughout this journey. I'm here to support you every step of the way.

You are more than capable. Let's do this - together.

Hey Jennifer,

I am using this course: https://extension.missouri.edu/courses/comprehensive-school-nursing

For me this is taking place of reading the Comprehensive text. I also have the 4th edition review book and read the chapter after completing the corresponding modules of the course. 

Hi everyone,

I have been a school nurse for 16 years in many different schools K-12.  I am currently at a 6-12 school.  My vision and hearing screenig is light due to not being an elementary school. When I did elementary I just tried to get as much help through the Lions Club.

I'm not going to lie...I'm slightly overwhelmed with all of the material to study and I'm a bit confused of what this weeks assignment is?  Are we to go over Chapter 2(Children & their families) in depth? And Chapter 4 & Chapter 5?( I am using the 4h Edition 2025)

Also...is anyone finding any other resources helpful while studying?

Thank you for your time.

Spring 2026 Exam Information

Thinking of testing this Spring? Be sure to review the key dates:

• Spring Testing Window: March 1 – April 5, 2026
• Application Window: November 24, 2025 – February 1, 2026

Visit www.nbcsn.org to begin your application and download the Candidate Handbook.

Not ready to test yet? NBCSN has testing windows three times per year!

• Summer Testing Window: July 9 - August 16, 2026
• Registration Window: April 6 - June 9, 2026
• Fall Testing Window: October 22 - November 22, 2026
• Registration Window: August 17 - September 22, 2026

Exam applications will not be visible/available until the application window opens

Updated Exam Content Outline – Summer 2025 and Beyond

As a result of the 2023 Job Task Analysis (JTA), the NBCSN streamlined and reorganized the Exam Content Outline (ECO) beginning with the Summer 2025 exam. The exam still covers the same essential content, just better organized into four updated domains:

New Exam Content Domains & Number of Questions

Reading Assignments – Week 3

We are digging deeper into Chapter 2 of the Review book. We introduced it last week, but with so much to absorb, we believe that focusing on this Chapter by itself this week will give you all space to review and get used to the pacing of the online study group. We will not be repeating other chapters; it only happens this week to ease you into setting your study time.

School Nursing Certification Review Book – Selekman & Cogan, 2020

• Chapter 4: Health Promotion and Nursing Management
• Complete the self-assessment at the end of Chapter 4

NEW BOOK, COMING SUMMER 2025: School Nursing Certification Review Book – Selekman & Knox, 2025

• Chapter 5: Health Promotion/Disease Prevention/ Infectious Disease
• Complete the self-assessment at the end of Chapter 5

School Nursing: A Comprehensive Text (Selekman, Shannon, & Yonkaitis), Third Edition

• Chapter 19: Students with Acute Illness and Injury
• Chapter 21: Students with Chronic Conditions
• Chapter 22: Students with Allergies
• Chapter 23: Students with Chronic Respiratory Illnesses
• Chapter 24: Students with ADHD and Specific Learning Disorders
• Chapter 25: Students with Diabetes
• Chapter 26: Students with Neurodevelopmental Disorders
• Chapter 27: Students Who Are Overweight
• Chapter 28: Students with Seizures and Epilepsy
• Chapter 29: Students with Other Chronic Conditions

NEW BOOK, COMING SUMMER 2025: School Nursing: A Comprehensive Text (Shannon & Yonkaitis), Fourth Edition

IV. Caring for Students with Episodic Conditions

16. Students With Health Common Complaints
17. Students With Acute Illness and Injury
18. Students with Skin Conditions
19. Students who are Pregnant and Parenting

V. Caring for Students with Special Healthcare Needs

20. Supporting Students With Special Healthcare Needs
21. Students With Allergies
22. Students With Asthma and Cystic Fibrosis
23. Students with Diabetes
24. Students with Select Chronic Conditions
25. Students with Medical Complexity

VI. Caring for Students With Neurologic, Behavioral, and Mental Health Conditions

26. Students With Neurodevelopmental Disorders
27. Students With Seizures and Epilepsy
28. Students With Behavioral/Mental Health Concerns and Conditions
29. Students Engaging in Risk-taking Behaviors

This Week's Assignment - Reflection Prompt

As we all know, vision and hearing screenings can take up a lot of our time!  What are some tips and tricks you use to make the process go a little bit more smoothly at your site?

Even MORE Test Taking Tips:

Here are a few more multiple-choice test-taking strategies taken from 11 Test Taking Tips & Strategies For Nurses * Nurseslabs :

5. Identify Similar Options

When an item contains two or more options that are similar in meaning, the successful test taker knows that all are correct, in which case it is a poor question, or that none is correct, which is more likely to be the case. The correct option usually will either include all the similar options or exclude them entirely. For example:

When teaching newly diagnosed diabetic clients about their condition, it is important for the nurse to focus on:

1. Dietary modifications
2. Use of sugar substitutes
3. Their present understanding of diabetes
4. Use of diabetic nutritional exchange lists

Options 1, 2, and 4 deal only with the diabetic diet, involving no other aspect of diabetic teaching; it is impossible to select the most correct option because each represents equally plausible, though limited, answers to the question. Option 3 is the best choice because it is most complete and allows the other three options to be excluded. As another example:

A child's intelligence is influenced by:

1. A variety of factors
2. Socioeconomic factors
3. Heredity and environment
4. Environment and experience

The most correct answer is option 1. It includes the material covered by the other options, eliminating the need for an impossible choice, since each of the other options is only partially correct.

6. Identify Answer (Option) Components

When an answer contains two or more parts, you can reduce the number of potentially correct answers by identifying one part as incorrect. For example:

After a cholecystectomy the postoperative diet is usually:

• High fat, low calorie
• High fat, low protein
• Low fat, high calorie
• Low fat, high protein

 You know, for instance, that the diet after cholecystectomy is usually low or moderate in fat, you can eliminate options 1 and 2 from consideration. If you know that the cholecystectomy client usually is overweight, you can eliminate option 3 from consideration. Therefore option 4 is correct.

Let's Collaborate

Have a question about the content? Post it in the discussion! Refer to questions by chapter, number, and letter (e.g., Chapter 2, Question 4, Answer C).

Please do not copy questions or answers verbatim due to copyright.

Final Thoughts – You've Got This!

As we begin this journey together, remember: you're not alone. Whether this is your first time preparing for a certification exam or a return to formal study, know that this process is a powerful step forward in your professional growth.

This isn't just about passing a test-it's about strengthening your ability to support your students, advocate for health equity, and shine in your role as a leader in school nursing.

You've already taken a big step by showing up. Stay curious, stay committed, and lean on each other throughout this journey. I'm here to support you every step of the way.

You are more than capable. Let's do this - together.

Spring 2026 Exam Information

Thinking of testing this Spring? Be sure to review the key dates:

• Spring Testing Window: March 1 – April 5, 2026
• Application Window: November 24, 2025 – February 1, 2026

Visit www.nbcsn.org to begin your application and download the Candidate Handbook.

Not ready to test yet? NBCSN has testing windows three times per year!

• Summer Testing Window: July 9 - August 16, 2026
• Registration Window: April 6 - June 9, 2026
• Fall Testing Window: October 22 - November 22, 2026
• Registration Window: August 17 - September 22, 2026

Exam applications will not be visible/available until the application window opens

Updated Exam Content Outline – Summer 2025 and Beyond

As a result of the 2023 Job Task Analysis (JTA), the NBCSN streamlined and reorganized the Exam Content Outline (ECO) beginning with the Summer 2025 exam. The exam still covers the same essential content, just better organized into four updated domains:

New Exam Content Domains & Number of Questions

Reading Assignments – Week 3

We are digging deeper into Chapter 2 of the Review book. We introduced it last week, but with so much to absorb, we believe that focusing on this Chapter by itself this week will give you all space to review and get used to the pacing of the online study group. We will not be repeating other chapters; it only happens this week to ease you into setting your study time.

School Nursing Certification Review Book – Selekman & Cogan, 2020

• Chapter 4: Health Promotion and Nursing Management
• Complete the self-assessment at the end of Chapter 4

NEW BOOK, COMING SUMMER 2025: School Nursing Certification Review Book – Selekman & Knox, 2025

• Chapter 5: Health Promotion/Disease Prevention/ Infectious Disease
• Complete the self-assessment at the end of Chapter 5

School Nursing: A Comprehensive Text (Selekman, Shannon, & Yonkaitis), Third Edition

• Chapter 19: Students with Acute Illness and Injury
• Chapter 21: Students with Chronic Conditions
• Chapter 22: Students with Allergies
• Chapter 23: Students with Chronic Respiratory Illnesses
• Chapter 24: Students with ADHD and Specific Learning Disorders
• Chapter 25: Students with Diabetes
• Chapter 26: Students with Neurodevelopmental Disorders
• Chapter 27: Students Who Are Overweight
• Chapter 28: Students with Seizures and Epilepsy
• Chapter 29: Students with Other Chronic Conditions

NEW BOOK, COMING SUMMER 2025: School Nursing: A Comprehensive Text (Shannon & Yonkaitis), Fourth Edition

IV. Caring for Students with Episodic Conditions

16. Students With Health Common Complaints
17. Students With Acute Illness and Injury
18. Students with Skin Conditions
19. Students who are Pregnant and Parenting

V. Caring for Students with Special Healthcare Needs

20. Supporting Students With Special Healthcare Needs
21. Students With Allergies
22. Students With Asthma and Cystic Fibrosis
23. Students with Diabetes
24. Students with Select Chronic Conditions
25. Students with Medical Complexity

VI. Caring for Students With Neurologic, Behavioral, and Mental Health Conditions

26. Students With Neurodevelopmental Disorders
27. Students With Seizures and Epilepsy
28. Students With Behavioral/Mental Health Concerns and Conditions
29. Students Engaging in Risk-taking Behaviors

This Week's Assignment - Reflection Prompt

As we all know, vision and hearing screenings can take up a lot of our time!  What are some tips and tricks you use to make the process go a little bit more smoothly at your site?

Even MORE Test Taking Tips:

Here are a few more multiple-choice test-taking strategies taken from 11 Test Taking Tips & Strategies For Nurses * Nurseslabs :

5. Identify Similar Options

When an item contains two or more options that are similar in meaning, the successful test taker knows that all are correct, in which case it is a poor question, or that none is correct, which is more likely to be the case. The correct option usually will either include all the similar options or exclude them entirely. For example:

When teaching newly diagnosed diabetic clients about their condition, it is important for the nurse to focus on:

1. Dietary modifications
2. Use of sugar substitutes
3. Their present understanding of diabetes
4. Use of diabetic nutritional exchange lists

Options 1, 2, and 4 deal only with the diabetic diet, involving no other aspect of diabetic teaching; it is impossible to select the most correct option because each represents equally plausible, though limited, answers to the question. Option 3 is the best choice because it is most complete and allows the other three options to be excluded. As another example:

A child's intelligence is influenced by:

1. A variety of factors
2. Socioeconomic factors
3. Heredity and environment
4. Environment and experience

The most correct answer is option 1. It includes the material covered by the other options, eliminating the need for an impossible choice, since each of the other options is only partially correct.

6. Identify Answer (Option) Components

When an answer contains two or more parts, you can reduce the number of potentially correct answers by identifying one part as incorrect. For example:

After a cholecystectomy the postoperative diet is usually:

• High fat, low calorie
• High fat, low protein
• Low fat, high calorie
• Low fat, high protein

 You know, for instance, that the diet after cholecystectomy is usually low or moderate in fat, you can eliminate options 1 and 2 from consideration. If you know that the cholecystectomy client usually is overweight, you can eliminate option 3 from consideration. Therefore option 4 is correct.

Let's Collaborate

Have a question about the content? Post it in the discussion! Refer to questions by chapter, number, and letter (e.g., Chapter 2, Question 4, Answer C).

Please do not copy questions or answers verbatim due to copyright.

Final Thoughts – You've Got This!

As we begin this journey together, remember: you're not alone. Whether this is your first time preparing for a certification exam or a return to formal study, know that this process is a powerful step forward in your professional growth.

This isn't just about passing a test-it's about strengthening your ability to support your students, advocate for health equity, and shine in your role as a leader in school nursing.

You've already taken a big step by showing up. Stay curious, stay committed, and lean on each other throughout this journey. I'm here to support you every step of the way.

You are more than capable. Let's do this - together.

Digging right into the reading and starting to feel overwhelmed. A coworker and I are studying in person together and we were wondering how to go about effectively reviewing and studying using this online study group as a guide post. Open to any suggestions or is anyone else doing the same and have suggestions on in person studying? Thanks so much. 

Spring 2026 Exam Information

Thinking of testing this Spring? Be sure to review the key dates:

• Spring Testing Window: March 1 – April 5, 2026
• Application Window: November 24, 2025 – February 1, 2026

Visit www.nbcsn.org to begin your application and download the Candidate Handbook.

Not ready to test yet? NBCSN has testing windows three times per year!

• Summer Testing Window: July 9 - August 16, 2026
• Registration Window: April 6 - June 9, 2026
• Fall Testing Window: October 22 - November 22, 2026
• Registration Window: August 17 - September 22, 2026

Exam applications will not be visible/available until the application window opens

Updated Exam Content Outline – Summer 2025 and Beyond

As a result of the 2023 Job Task Analysis (JTA), the NBCSN streamlined and reorganized the Exam Content Outline (ECO) beginning with the Summer 2025 exam. The exam still covers the same essential content, just better organized into four updated domains:

New Exam Content Domains & Number of Questions

Reading Assignments – Week 3

We are digging deeper into Chapter 2 of the Review book. We introduced it last week, but with so much to absorb, we believe that focusing on this Chapter by itself this week will give you all space to review and get used to the pacing of the online study group. We will not be repeating other chapters; it only happens this week to ease you into setting your study time.

School Nursing Certification Review Book – Selekman & Cogan, 2020

• Chapter 4: Health Promotion and Nursing Management
• Complete the self-assessment at the end of Chapter 4

NEW BOOK, COMING SUMMER 2025: School Nursing Certification Review Book – Selekman & Knox, 2025

• Chapter 5: Health Promotion/Disease Prevention/ Infectious Disease
• Complete the self-assessment at the end of Chapter 5

School Nursing: A Comprehensive Text (Selekman, Shannon, & Yonkaitis), Third Edition

• Chapter 19: Students with Acute Illness and Injury
• Chapter 21: Students with Chronic Conditions
• Chapter 22: Students with Allergies
• Chapter 23: Students with Chronic Respiratory Illnesses
• Chapter 24: Students with ADHD and Specific Learning Disorders
• Chapter 25: Students with Diabetes
• Chapter 26: Students with Neurodevelopmental Disorders
• Chapter 27: Students Who Are Overweight
• Chapter 28: Students with Seizures and Epilepsy
• Chapter 29: Students with Other Chronic Conditions

NEW BOOK, COMING SUMMER 2025: School Nursing: A Comprehensive Text (Shannon & Yonkaitis), Fourth Edition

IV. Caring for Students with Episodic Conditions

16. Students With Health Common Complaints
17. Students With Acute Illness and Injury
18. Students with Skin Conditions
19. Students who are Pregnant and Parenting

V. Caring for Students with Special Healthcare Needs

20. Supporting Students With Special Healthcare Needs
21. Students With Allergies
22. Students With Asthma and Cystic Fibrosis
23. Students with Diabetes
24. Students with Select Chronic Conditions
25. Students with Medical Complexity

VI. Caring for Students With Neurologic, Behavioral, and Mental Health Conditions

26. Students With Neurodevelopmental Disorders
27. Students With Seizures and Epilepsy
28. Students With Behavioral/Mental Health Concerns and Conditions
29. Students Engaging in Risk-taking Behaviors

This Week's Assignment - Reflection Prompt

As we all know, vision and hearing screenings can take up a lot of our time!  What are some tips and tricks you use to make the process go a little bit more smoothly at your site?

Even MORE Test Taking Tips:

Here are a few more multiple-choice test-taking strategies taken from 11 Test Taking Tips & Strategies For Nurses * Nurseslabs :

5. Identify Similar Options

When an item contains two or more options that are similar in meaning, the successful test taker knows that all are correct, in which case it is a poor question, or that none is correct, which is more likely to be the case. The correct option usually will either include all the similar options or exclude them entirely. For example:

When teaching newly diagnosed diabetic clients about their condition, it is important for the nurse to focus on:

1. Dietary modifications
2. Use of sugar substitutes
3. Their present understanding of diabetes
4. Use of diabetic nutritional exchange lists

Options 1, 2, and 4 deal only with the diabetic diet, involving no other aspect of diabetic teaching; it is impossible to select the most correct option because each represents equally plausible, though limited, answers to the question. Option 3 is the best choice because it is most complete and allows the other three options to be excluded. As another example:

A child's intelligence is influenced by:

1. A variety of factors
2. Socioeconomic factors
3. Heredity and environment
4. Environment and experience

The most correct answer is option 1. It includes the material covered by the other options, eliminating the need for an impossible choice, since each of the other options is only partially correct.

6. Identify Answer (Option) Components

When an answer contains two or more parts, you can reduce the number of potentially correct answers by identifying one part as incorrect. For example:

After a cholecystectomy the postoperative diet is usually:

• High fat, low calorie
• High fat, low protein
• Low fat, high calorie
• Low fat, high protein

 You know, for instance, that the diet after cholecystectomy is usually low or moderate in fat, you can eliminate options 1 and 2 from consideration. If you know that the cholecystectomy client usually is overweight, you can eliminate option 3 from consideration. Therefore option 4 is correct.

Let's Collaborate

Have a question about the content? Post it in the discussion! Refer to questions by chapter, number, and letter (e.g., Chapter 2, Question 4, Answer C).

Please do not copy questions or answers verbatim due to copyright.

Final Thoughts – You've Got This!

As we begin this journey together, remember: you're not alone. Whether this is your first time preparing for a certification exam or a return to formal study, know that this process is a powerful step forward in your professional growth.

This isn't just about passing a test-it's about strengthening your ability to support your students, advocate for health equity, and shine in your role as a leader in school nursing.

You've already taken a big step by showing up. Stay curious, stay committed, and lean on each other throughout this journey. I'm here to support you every step of the way.

You are more than capable. Let's do this - together.