National Certification Exam Candidates

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Welcome to Week #5 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, FNASN02-11-2024 06:49 PM

  • 1.  Welcome to Week #5 of our online study group

    Posted 02-09-2024 06:00 AM

    Welcome to Week #5:  Be like Tigger, and keep bouncing forward!


    Our online study group is "bouncing" ahead to Chapter 5  in the Selekman/Cogan School Nursing Certification Review book.  This chapter focuses on Health Promotion/Disease Prevention and comprises approximately 20% of the possible NCSN exam questions.  

    Chapter 5 - Health Promotion/Disease Prevention

    1. Health Promotion/Disease Prevention
    2. Immunizations
    3. Infection Control
    4. Risk Reduction
    5. Health Education
    6. Counseling
    7. Emergency and Disaster Preparedness
    8. Community Health Needs
    9. Staff Wellness

    Selekman, Shannon and Yonkaitis School Nursing: A Comprehensive Text 3rd Edition Chapters 5, 7, 14 – 15, 20, 31, 34, 38 - 39

    Sharing your process is helpful for everyone, so please think about checking in and letting us know how your preparation is going.

    I continue my quest to find multiple-choice study questions that are specific to school nursing.  Here is a link to an online sample test through the generous State of Illinois!  This is helpful because it is an online version and is similar to the NBCSN test experience.  Some of the questions are specific to Illinois regulations, but others are more global questions for practice.

    *Don’t forget the NBCSN Practice Tests available singly or in a bundle of two. Each computerized test has 75 multiple-choice questions with a rationale for the answers. You can access them through your application page or go to www.nbcsn.org and click on the orange Login button on the top right.*


    ____________________________________________________________________________________________
    Have you taken advantage of the Free Test Taking Strategies on NurseBuilders?

    Here are more multiple-choice testing strategies from Nurse Labs test-taking strategies

    1. Identify Specific Determiners

    When the options of a test item contain words that are identical or similar to words in the stem, the alert test taker recognizes the similarities as clues about the likely answer to the question. The stem word that clues you to a similar word in the option or that limits potential options is known as a specific determiner. For example:

    The government agency responsible for administering the Nursing Practice Act in each state is the:

    1. Board of Regents
    2. Board of Nursing
    3. State nurses' association
    4. State hospital association

    Options 2 and 3 contain the closely related words nurse and nursing. The word nursing, used both in the stem and in option 2, is a clue to the correct answer.

    1. Identify Words in the Options That Are Closely Associated With Words in the Stem

    Be alert to words in the options that may be closely associated with but not identical to a word or words in the stem. For example:

    When a person develops symptoms of physical illness for which psychogenic factors act as causative agents, the resulting illness is classified as:

    1. Dissociative
      2. Compensatory
      3. Psychophysiologic
      4. Reaction formation

    Option 3 should strike you as a likely answer since it combines physical and psychological factors, like those referred to in the stem.

    1. Watch for Grammatical Inconsistencies

    If one or more of the options are not grammatically consistent with the stem, the alert test taker usually can eliminate these distractors. The correct option must be consistent with the form of the question. If the question demands a response in the singular, plural options usually can be safely eliminated. When the stem is in the form of an incomplete sentence, each option should complete the sentence in a grammatically correct way. For example:

    Communicating with a male client who is deaf will be facilitated by:

    1.  Use gestures
    2. Speaking loudly
    3. Find out if he has a hearing aid
    4. Facing the client while speaking

    Options 1 and 3 do not complete the sentence in a grammatically correct way and can, therefore, be eliminated. Option 2 would be of no assistance with a deaf client, so option 4 is the correct answer.
    ____________________________________________________________________________________________
    Best of luck to those who are planning on taking the exam during the upcoming testing window. Here are some  test preparation suggestions:



    Stay in touch! I am looking forward to hearing from you!



    ------------------------------
    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 #5 of our online study group

    Posted 02-09-2024 01:06 PM

    Page 185, question 2, answer is B 

    However, during the reading on page 173, #10. 3) it states 15%

    I reread the question to make sure it didn't use words such as "at least" and I know all the other answers are wrong, which would lead me to B being the correct answer. However, there is a discrepancy with the percentages. How can I read this question to make more sense?

    I feel like percentages are often changing so how can we narrow the answers down to pick the correct one?



    ------------------------------
    Monica Furrow BSN RN
    School Nurse
    RSU #20
    Searsport, Maine
    ------------------------------



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

    Posted 02-09-2024 03:43 PM

    Warm regards,
    Pat Krin





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

    Posted 02-09-2024 03:50 PM
    Monica, I’m not home and do not have my book or computer but if I remember this is one of those cases where the number is not exactly the same but is encompassed by the “true” number.
    So let’s say the # in the book is 18 you need to choose the closest # that does not go over. If 18% is correct, then 15% is correct if 18% isn’t a choice .

    Warm regards,
    Pat Krin




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

    Posted 02-10-2024 10:48 AM

    I always appreciate these questions, as it helps us write better ones for the next edition. The first question to ask yourself is whether there is a better answer. The fact that the percent is LESS THAN national numbers means that it is included within it. Answer C is clearly incorrect; this is gonorrhea. While a pap test (answer D) doesn't directly measure HPV, it can identify abnormal cells, leading to a cancer diagnosis. Answer A could potentially be true, but in a very small percent. Without question, the biggest risk of HPV is cervical cancer....and we will reword this when we redo the book next year. Thanks.



    ------------------------------
    Janice Selekman DNSc, RN, NCSN, FNASN
    Professor Emeritus
    University of Delaware
    Wilmington, DE [USA]
    ------------------------------



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

    Posted 02-12-2024 12:42 PM

    Janice, 

    Another question...Page 187, question 13, answer is B (neoplasms)

    I took your review course and I have ages 1-19 leading cause of death was accidents, followed by suicide, cancer then homicide.

    Do I have this correct?



    ------------------------------
    Monica Furrow BSN RN
    School Nurse
    RSU #20
    Searsport, Maine
    ------------------------------



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

    Posted 02-12-2024 12:58 PM

    Hi Monica,

    The current leading cause of death of U.S. children and adolescents is firearms: https://www.kff.org/mental-health/issue-brief/child-and-teen-firearm-mortality-in-the-u-s-and-peer-countries/. This changed in 2020 per CDC, see reference in the link provided. The trend continues through 2022. 



    ------------------------------
    Robin Cogan, MEd, RN, NCSN, FNASN, FAAN
    New Jersey NASN Director
    School Nurse Camden City School District
    Faculty Rutgers-Camden School of Nursing
    ------------------------------



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

    Posted 02-13-2024 02:49 PM

    On page 176, for ages 5-9 leading cause is accidents then cancer



    ------------------------------
    Melissa Wong RN, BSN
    Arlington, VA United States
    ------------------------------



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

    Posted 02-13-2024 04:18 PM
    correct for school age

    --
    Janice Selekman DNSc, RN, NCSN, FNASN
    Professor Emeritus
    University of Delaware
    302-622-8884 (home)





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

    Posted 02-13-2024 03:59 PM
    Let me also weigh in on this question. Robin is correct that the #1 cause of death for ages 1-19 is now guns. HOWEVER, unless the question asks that (and I am not aware that it does), the primary cause of death is #1 Accidents and then it varies by age. For the adolescent, the primary MODALITY of homicide and suicide IS VIA GUNS, but homicide and suicide are still the causes of death

    --
    Janice Selekman DNSc, RN, NCSN, FNASN
    Professor Emeritus
    University of Delaware
    302-622-8884 (home)





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

    Posted 02-11-2024 11:02 AM

    Hi everyone!

    Has anyone signed up for the nurse builders e-learning review? I purchased it and listened to it twice in July. I went to go listen to it again while cleaning my house today as a review and it isn't available. It wants me to pay again for the class I already paid for. I found this class really helpful because I can listen to it, but if I have to pay for it again I'm not sure it's worth it. Please help!



    ------------------------------
    Stephanie Moisan BSN, RN
    Mason Road School Nurse
    DCRSD District Nurse Coordinator
    Dudley, MA
    ------------------------------



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

    Posted 02-11-2024 06:49 PM
    Contact louise@ nursebuilders. Net I think. She will extend it for you.
    Warm regards,
    Pat Krin





  • 13.  RE: Welcome to Week #5 of our online study group
    Best Answer

    Posted 02-12-2024 01:09 PM

    So I am admittedly behind in my studies.... sickness and kids activities (to anyone who did their undergrad or advanced degree while having kids YOU ARE MY HERO!!).  Anyway, I have mulled over a statement on page 67 for days and I can't make it make sense to me. It is about muscle mass increasing from 1/4 to 1/6 of body weight. What am I missing here as 1/6 is less than 1/4???

    My other thought as I study is there are some school nurses out there doing things I haven't thought about since nursing school (TB testing, Rhine screening). It's interesting to me to think about how different our jobs must be throughout the country! 



    ------------------------------
    Ardith Harmon
    School Nurse
    BLACK HAWK ELEM.
    Kahoka, MO United States
    ------------------------------



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

    Posted 02-13-2024 10:10 AM

    I had this same question!  1/4 to 1/6 would be decreasing muscle mass...not increasing.  



    ------------------------------
    Emily Jackson
    Saint Louis, MO United States
    ------------------------------



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

    Posted 02-13-2024 10:46 AM

    As @Janice Selekman, DNSc, RN, NCSN, FNASN indicated in a previous answer, it is super helpful when nurses flag areas of confusion or conflicting information. Sometimes errors are missed or statements need clarification, so thank you both for pointing out a clear discrepancy. We will be revising the certification book in the coming year, but these things take time. 



    ------------------------------
    Robin Cogan, MEd, RN, NCSN, FNASN, FAAN
    New Jersey NASN Director
    School Nurse Camden City School District
    Faculty Rutgers-Camden School of Nursing
    ------------------------------



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

    Posted 02-13-2024 11:19 AM

    Thank you!  What is the correct answer?  Does your muscle mass really decrease from newborn to adolescence?  That seems counterintuitive to me.  



    ------------------------------
    Emily Jackson
    Saint Louis, MO United States
    ------------------------------



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

    Posted 02-13-2024 03:48 PM
    This question about muscle mass is a great example of reading the content carefully. The statement reads, "Muscle mass increases from 1/4 total body weight at birth to 1/6 total body weight at adolescence." This is an accurate statement. Consider the following: bones at birth are still primarily cartilagenous; they ossify throughout childhood. At puberty, there is the development of increased fat tissue, especially in females. Therefore muscle MASS makes up 1/4 of the total body WEIGHT in infancy, but only 1/6 of total body WEIGHT in adolescence. 
    Hope this helps.

    janice

    --
    Janice Selekman DNSc, RN, NCSN, FNASN
    Professor Emeritus
    University of Delaware
    302-622-8884 (home)





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

    Posted 02-13-2024 04:04 PM
    Edited by Robin Cogan, MEd, RN, NCSN, FNASN, FAAN 02-13-2024 04:05 PM

    Thank you for clarifying this question! Sometimes we need to step away and look at something with fresh eyes and see that we had the correct answer all along! But, as you said before, it is helpful to work through questions or concepts. I think we all learn!



    ------------------------------
    Robin Cogan, MEd, RN, NCSN, FNASN, FAAN
    New Jersey NASN Director
    School Nurse Camden City School District
    Faculty Rutgers-Camden School of Nursing
    ------------------------------



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

    Posted 02-14-2024 08:42 AM

     "Therefore muscle MASS makes up 1/4 of the total body WEIGHT in infancy, but only 1/6 of total body WEIGHT in adolescence."

    so muscle mass decreases from infancy to adolescence, correct?



    ------------------------------
    Myon Valentino
    PA United States
    ------------------------------



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

    Posted 02-14-2024 09:07 AM
    I think muscle mass does not really decrease but bine density and weight increases.

    Warm regards,
    Pat Krin




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

    Posted 02-14-2024 09:09 AM
    No, muscle mass INCREASES throughout adolescence, but it makes up a lesser PERCENT of total body weight

    --
    Janice Selekman DNSc, RN, NCSN, FNASN
    Professor Emeritus
    University of Delaware
    302-622-8884 (home)





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

    Posted 02-14-2024 09:54 AM

    Did anyone take the online exam through the State of Illinois? Is it just the 20 questions? Just want to make sure I wasn't missing anymore of it. I was thankful to be able to practice with that for sure! I only got 1 question wrong which I was pretty happy about. 



    ------------------------------
    Morgan Mareno
    Dover, DE United States
    ------------------------------



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

    Posted 02-15-2024 03:35 PM

    Okay I'm really confused on question 9 of the Illinois practice questions. I thought we had just learned that there was no consent needed because it was for continuity of care for the student.



    ------------------------------
    Amber Wood
    Mercer County High School
    Aledo, IL United States
    ------------------------------



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

    Posted 03-02-2024 03:34 PM

    A nursing intervention for a middle school student with a gait problem due to cerebral palsy should include: 

    Why Discussing rearranging schedule with counselor instead of providing assistance with ambulation? 



    ------------------------------
    Melissa Wong, BSN, RN
    Arlington, VA
    ------------------------------



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

    Posted 03-03-2024 08:33 AM

    Hi Melissa,

    You ask an interesting question. When addressing a middle school student with a gait problem due to cerebral palsy, discussing rearranging the schedule with a counselor instead of solely assisting with ambulation can be considered a more comprehensive nursing intervention. This approach aims to support the student's overall well-being and academic success by considering various aspects beyond physical assistance. By involving the counselor, the intervention can encompass psychological, social, and academic support, which are crucial for the student's holistic development. 



    ------------------------------
    Robin Cogan, MEd, RN, NCSN, FNASN, FAAN
    New Jersey NASN Director
    School Nurse Camden City School District
    Faculty Rutgers-Camden School of Nursing
    ------------------------------



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

    Posted 03-03-2024 09:32 AM
    Melissa, remember that your answers are limited to the choices you are given and you have to choose from one of those. Try not to muddy the waters with information that is not there.

    Warm regards,
    Pat Krin