National Certification Exam Candidates

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Welcome to Week #4 of our online study group

Pat Krin, MSN, M.S., RN, NCSN-E, FNP-BC-Retired, FNASN

Pat Krin, MSN, M.S., RN, NCSN-E, FNP-BC-Retired, FNASN09-30-2023 10:10 AM

Pat Krin, MSN, M.S., RN, NCSN-E, FNP-BC-Retired, FNASN

Pat Krin, MSN, M.S., RN, NCSN-E, FNP-BC-Retired, FNASN10-02-2023 02:57 PM

Pat Krin, MSN, M.S., RN, NCSN-E, FNP-BC-Retired, FNASN

Pat Krin, MSN, M.S., RN, NCSN-E, FNP-BC-Retired, FNASN10-05-2023 12:10 PM

Pat Krin, MSN, M.S., RN, NCSN-E, FNP-BC-Retired, FNASN

Pat Krin, MSN, M.S., RN, NCSN-E, FNP-BC-Retired, FNASN10-04-2023 02:29 PM

  • 1.  Welcome to Week #4 of our online study group

    Posted 09-29-2023 05:01 AM

    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

    1. Emergency Care
    2. 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 :

    1. 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.

    1. 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
    ------------------------------


  • 2.  RE: Welcome to Week #4 of our online study group

    Posted 09-30-2023 10:10 AM
    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




  • 3.  RE: Welcome to Week #4 of our online study group

    Posted 10-02-2023 10:54 AM

    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



    ------------------------------
    Patty Buckholz, MSN RN
    School Nurse
    Hickman Mills C-1 School District
    Kansas City, MO
    ------------------------------



  • 4.  RE: Welcome to Week #4 of our online study group

    Posted 10-02-2023 02:57 PM

    Challenge the School Nurse

     

    February 2023

    Top of Form

    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.

    Bottom of Form

     

     

    Warm regards,

     

    Pat

     

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

    Executive Director

    NBCSN

    nbcsnexec@nbcsn.org

    www.nbcsn.org

     






  • 5.  RE: Welcome to Week #4 of our online study group

    Posted 10-03-2023 08:27 AM

    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
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  • 6.  RE: Welcome to Week #4 of our online study group

    Posted 10-03-2023 08:58 AM
    Thank you Mattie.
    Who else is going to take a chance.
    Sent from my iPhone
    Pat Krin





  • 7.  RE: Welcome to Week #4 of our online study group

    Posted 10-03-2023 09:02 AM

    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
    ------------------------------



  • 8.  RE: Welcome to Week #4 of our online study group

    Posted 10-03-2023 11:21 AM

    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

     






  • 9.  RE: Welcome to Week #4 of our online study group

    Posted 10-03-2023 12:11 PM

    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
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  • 10.  RE: Welcome to Week #4 of our online study group

    Posted 10-03-2023 03:50 PM

    The issue about D that got my attention was the fact that the child was diaphoretic.  I feel this is not normal unless there is something extreme.  I frequently will see kids that are sick and pale.  My second choice would have been n/v but that does not play into the respiratory issues.



    ------------------------------
    Neelye Kochanowicz
    BSN
    FT DEFIANCE HIGH
    Staunton, VA United States
    ------------------------------



  • 11.  RE: Welcome to Week #4 of our online study group

    Posted 10-03-2023 04:04 PM

    Mattie, I think you need to change your thinking a  little.  Let's look at normal vital signs for an 8 year old, which of them is abnormal and urgent?

    The answer is B. The upper limit of the heart rate for an 8 year old is about 118-120. So 135 is way out of line particularly with diaphoresis.

     

    A temperature of 99.4 might be considered a little on the high side, but it is only once it gets to 100.4 that it is considered a fever. It would not require immediate intervention.

     

    Warm regards,

     

    Pat

     

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

    Executive Director

    NBCSN

    nbcsnexec@nbcsn.org

    www.nbcsn.org

     






  • 12.  RE: Welcome to Week #4 of our online study group

    Posted 10-04-2023 08:55 PM
    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




  • 13.  RE: Welcome to Week #4 of our online study group

    Posted 10-05-2023 12:17 PM
    D. Respiratory distress





  • 14.  RE: Welcome to Week #4 of our online study group

    Posted 10-06-2023 12:18 PM

    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! 



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    Savannah Bley
    Dawsonville, GA United States
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  • 15.  RE: Welcome to Week #4 of our online study group

    Posted 10-03-2023 11:08 AM
    I agree I would say that the goal is to catch problems early to provide early intervention …. D is my answer as well.

    Sent from my iPhone




  • 16.  RE: Welcome to Week #4 of our online study group

    Posted 10-04-2023 10:26 AM
    Agree. D is the correct answer.


    Amy Latz BSN, RN 

    School Nurse-North Kansas City School District 

    SAGE  /PEG/Northland Innovation Center 

    6889 North Oak Trafficway 

    Gladstone, MO 64118 

    PH 816-321-5353 

    FX 816-321-5351 

    Amy.Latz@nkcschools.org 


    Confidentiality Notice for North Kansas City Schools: This correspondence and any attachments are for the sole use of the intended recipient(s) and may contain confidential or privileged information. Any unauthorized use, disclosure, or distribution is prohibited and may be unlawful. If you are not the intended recipient or a person responsible for delivering this message to the intended recipient(s), please contact the sender and destroy all copies of the original message. 




     







  • 17.  RE: Welcome to Week #4 of our online study group

    Posted 10-05-2023 12:10 PM

    If you are not reading the rationale for the answers you should be. If you read the rationale and still don't understand why the correct answer is correct then research it some more. This will help to make sure you fully understand the question. What is the Rationale, do you understand it? Do you need to do more research?

     

     

    Warm regards,idea behind mass causalty treatment

     

    Pa

     

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

    Executive Director

    NBCSN

    nbcsnexec@nbcsn.org

    www.nbcsn.org

     






  • 18.  RE: Welcome to Week #4 of our online study group

    Posted 10-03-2023 08:28 AM

    D.

     My rationale is that even though screenings are pat of our role and responsibilities, its not the primary goal or reason for them to be done. 



    ------------------------------
    Natasha Mandigo RN, BSN
    Registered Nurse
    RSU 64/MSAD 64
    Kenduskeag, ME United States
    ------------------------------



  • 19.  RE: Welcome to Week #4 of our online study group

    Posted 10-03-2023 11:10 AM

    Good morning,

    Challenge Question: Answer: D (?)



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    Dr. Symonette Symonette DNP
    Florissant, MO United States
    ------------------------------



  • 20.  RE: Welcome to Week #4 of our online study group

    Posted 10-03-2023 11:14 AM

    D.  Some of the others are true but D is most appropriate 



    ------------------------------
    Neelye Kochanowicz
    BSN
    FT DEFIANCE HIGH
    Staunton, VA United States
    ------------------------------



  • 21.  RE: Welcome to Week #4 of our online study group

    Posted 10-03-2023 04:19 PM

    I believe the answer is D as well. All though it is our responsibilities to do screenings, we are trying to catch things early to help the students learn at their best ability, which in return will decrease chances of them falling behind. 



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    Michelle Sinclair, RN-BSN
    Saint Charles, MO United States
    School Nurse Discovery Elementary
    Orchard Farm School District
    ------------------------------



  • 22.  RE: Welcome to Week #4 of our online study group

    Posted 10-04-2023 11:11 AM

    I do love the questions, that really helps!

    Anyone have a good way to remember the normal vital signs?



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    Gina emms PEL-School Nursing
    Chesterfield, MO United StatesGinaemmsgina@rsdmo.org
    ------------------------------



  • 23.  RE: Welcome to Week #4 of our online study group

    Posted 10-04-2023 02:29 PM

    Gina, I am going to let you look this up, you can find it on the internet, I think you will remember it better if you look it up yourself. You will notice fluctuations in different sites, but look for patterns for different VS. Let me know what you find. I am asking you to do this because you will remember it better.

     

     

     

    Warm regards,

     

    Pat

     

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

    Executive Director

    NBCSN

    nbcsnexec@nbcsn.org

    www.nbcsn.org