I chose the same answer as you did, initially. After looking at the correct answer and then the question again, the way I reasoned it was this: the first 3 all fall into the same category as "mortally injured/ expectant" and the question specifically asked about EMERGENCY care. So of the four, only D would fall under the triage category of "immediate/ emergent." If someone else has more helpful reasoning, it would be so great to hear!
Original Message:
Sent: 10-04-2023 20:54
From: Neelye Kochanowicz
Subject: Welcome to Week #4 of our online study group
In the event of a mass causality incident, emergency care should be initiated first to which of the following?
A. Hypovolemic shock
B. Cardiac arrest
C. Respiratory failure.
D. Respiratory distress.
I initially would have put be cardiac arrest, but apparently that was wrong. I understand not a as they are past the point of helping probably. The answer is D and I don't want totally understand that.
Neelye Kochanowicz
Original Message:
Sent: 10/3/2023 12:11:00 PM
From: Mattie Rood, RN, BSN
Subject: RE: Welcome to Week #4 of our online study group
Hey. I am finding it hard to actually READ the material. If someone would like to be a study buddy and maybe meet over zoom, hit me up.
The question I want to present is:
The school nurse is managing a third grade student with "difficulty breathing". Which of the following findings warrants immediate interventions by the school nurse?
a. Nausea and vomiting
b. Heart rate 135 and diaphoresis
c. Respiratory rate 20 with a non-productive cough
d. Temperature 99.4 and pale color.
Answer is B. I chose D because I feel that a child's normal heart rate is up to about 120 so if a child is having some difficulty breathing I can expect a slightly higher heart rate. I did not feel that a mild fever and pale color was ok for a student to have without possibly intervening as the nurse. I commonly send student's home with a low grade fever (recommend that they go home anyway) because I feel that it is indication of them coming down with something and usually always becomes worse and feel this is preventing possible other's from getting sick if the student was to be ill. So this questions was a bit confusing for me.
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Mattie Rood RN, BSN
Marysville, MI United States
Original Message:
Sent: 10-03-2023 11:20
From: Pat Krin
Subject: Welcome to Week #4 of our online study group
Thank you all for participating, I will let this one go a little longer. It is very helpful when you provide a rationale for your answer.
Does anyone have any questions about the work you have done so far? Any questions about the questions?
Warm regards,
Pat
Pat Krin, MSN, MS, RN, FNP-BC-Retired, NCSN-E, FNASN
Executive Director
NBCSN
nbcsnexec@nbcsn.org
www.nbcsn.org
Original Message:
Sent: 10/3/2023 9:02:00 AM
From: Natasha Mandigo, RN, BSN
Subject: RE: Welcome to Week #4 of our online study group
I submitted my answer earlier but I think I did it wrong hahah!
I selected D.
My rationale is that even though it is part of our duties and responsibilities, its not the only reason we do screenings.
Natasha
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Natasha Mandigo RN, BSN
Registered Nurse
RSU 64/MSAD 64
Kenduskeag, ME United States
Original Message:
Sent: 10-03-2023 08:57
From: Pat Krin
Subject: Welcome to Week #4 of our online study group
Thank you Mattie.
Who else is going to take a chance.
Sent from my iPhone
Pat Krin
Original Message:
Sent: 10/3/2023 8:27:00 AM
From: Mattie Rood, RN, BSN
Subject: RE: Welcome to Week #4 of our online study group
Not sure if we are supposed to answer this.
I believe D is the correct answer.
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Mattie Rood RN, BSN
Marysville, MI United States
Original Message:
Sent: 10-02-2023 14:56
From: Pat Krin, MSN, M.S., RN, NCSN-E, FNP-BC-Retired, FNASN
Subject: Welcome to Week #4 of our online study group
Challenge the School Nurse
February 2023
What should the school nurse recognize as the primary goal for health screenings? *
· A. Screenings are state mandates which are part of the school nurses role.
· B. Screenings are a requirement of standard school nurse employment for all schools.
· C. Screenings are a normal part of school nurse practice as required by board of educations.
· D. Screenings identify student illnesses early enough to prevent or minimize further morbidity.
Warm regards,
Pat
Pat Krin, MSN, MS, RN, FNP-BC-Retired, NCSN-E, FNASN
Executive Director
NBCSN
nbcsnexec@nbcsn.org
www.nbcsn.org
Original Message:
Sent: 10/2/2023 10:54:00 AM
From: Patty Buckholz, MSN, RN
Subject: RE: Welcome to Week #4 of our online study group
Now I'm remembering that that for the summer session someone posed questions, perhaps some of the challenge questions, especially those with non-obvious answers. People posted their responses and rationales. I learned a lot from those responses.
pb
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Patty Buckholz, MSN RN
School Nurse
Hickman Mills C-1 School District
Kansas City, MO
Original Message:
Sent: 09-30-2023 10:09
From: Pat Krin
Subject: Welcome to Week #4 of our online study group
I have noticed that this has been a very quiet group. We have found that the most successful test takers are those who become really involved in the group. Please ask questions, become involved in the group. You will find it helpful.
Sent from my iPhone
Pat Krin
Original Message:
Sent: 9/29/2023 5:01:00 AM
From: Robin Cogan, MEd, RN, NCSN, FNASN, FAAN
Subject: Welcome to Week #4 of our online study group
Welcome to Week #4 of our online study group!
Our online study group is moving ahead to Chapter 4 in the Selekman/Cogan School Nursing Certification Review book. This chapter focuses on Health Promotion and Disease Prevention and comprises approximately 20% of the possible NCSN exam questions. Let's continue the discussion this week as we continue to work through the texts and the questions.
Chapter 4 – Health Problems and Nursing Management
- Emergency Care
- Acute, Episodic, and Chronic Conditions
Be sure to do the questions at the end of the chapter. Try answering the questions before you review the text to see how you did.
Selekman, Shannon and Yonkaitis School Nursing: A Comprehensive Text 3rd Edition Chapters 19, Chapters 21 – 29
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
Here are a few more multiple-choice test-taking strategies taken from 11 Test Taking Tips & Strategies For Nurses * Nurseslabs :
- 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:
- Dietary modifications
- Use of sugar substitutes
- Their present understanding of diabetes
- 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:
- A variety of factors
- Socioeconomic factors
- Heredity and environment
- 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.
- 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.
____________________________________________________________________
Don't forget to check out NBCSN's other Exam Prep offerings at https://www.nbcsn.org/ncsn/the-exam/exam-prep/ and take advantage of NurseBuilders free Test Taking Strategies Course at https://ecourses.nursebuilders.net/courses/test-taking-techniques-a-guide-for-nursing-certification-exams
Have a great week, and as always, enjoy the process. Learning or re-learning material serves as a great refresher to elevate our school nursing practice. I look forward to hearing about your progress.
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Robin Cogan, MEd, RN, NCSN, FNASN, FAAN
New Jersey NASN Director
School Nurse Camden City School District
Faculty Rutgers-Camden School of Nursing
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