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Practice Test 3

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

Pat Krin, MSN, M.S., RN, NCSN-E, FNP-BC-Retired, FNASN06-05-2023 10:43

Try this one. Nursing documentation should be accurate, complete, timely, sequential, auditable, ...

  • 1.  Practice Test 3

    Posted 06-05-2023 08:01

    The last question we worked on was fairly easy, this one you might find a little more difficult. Remember this is a national test, what your district does may not be what this question(or any other) is looking for. I believe 51% got this one correct.

    All students with disabilities are guaranteed certain rights under which federal law?

    A             The Individuals with Disabilities Education Act (IDEA/IDEIA)

    B             The Rehabilitation Act of 1973 (Section 504)

    C             The Americans with Disabilities Act (ADA)

    D            The Family Educational Rights and Privacy Act (FERPA)

    Correct answer = B The Rehabilitation Act of 1973 (Section 504)

    Rationale: All students with disabilities are guaranteed certain rights under Section 504 of the Rehabilitation Act of 1973. This law is a civil rights law that disallows disability-based discrimination in public schools. Students with disabilities affecting learning are guaranteed the right to a free appropriate public education in the least restrictive environment as well as related services under IDEA/IDEIA. The ADA guarantees the rights of all individuals with disabilities and particularly the right to physical access to public buildings. FERPA protects the privacy of educational records.

    Reference: Selekman, J. S., Shannon, R. A., & Yonkaitis, C. F. (2019). School nursing; a comprehensive text (3rd ed.). Philadelphia: F.A. Davis.

    https://dpi.wi.gov/sites/default/files/imce/sped/pdf/fallleader-504-idea-comparison-chart.pdf



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    Pat Krin, MSN, MSCP, RN, FNP-BC-Retired, NCSN-E, FNASN
    Executive Director
    NBCSN
    nbcsnexec@nbcsn.org
    www.nbcsn.org
    ------------------------------


  • 2.  RE: Practice Test 3

    Posted 06-05-2023 08:57
    Well, I obviously did not mean to include the answer and rationale with this question. If your district treats this differently please discuss. I will find another question.

    Sent from my iPhone
    Pat Krin


    Original Message


  • 3.  RE: Practice Test 3

    Posted 06-05-2023 10:43

    Try this one.

     

    Nursing documentation should be accurate, complete, timely, sequential, auditable, readable, retrievable and reflective of nursing practice. In order for an entry to be considered timely, the documentation should be done

    1. after the school day.
    2. contemporaneously.
    3. in the next 24 hours.
    4. by the end of the school day.

     

     

    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


  • 4.  RE: Practice Test 3

    Posted 06-05-2023 10:48
    B) At the point of care.  

    On Mon, Jun 5, 2023 at 9:42 AM Pat Krin, MSN, M.S., RN, NCSN-E, FNP-BC-Retired, FNASN via National Association of School Nurses <Mail@connectedcommunity.org> wrote:
    Try this one. Nursing documentation should be accurate, complete, timely, sequential, auditable, readable, retrievable and reflective of nursing... -posted to the "National Certification Exam Candidates" community

    National Certification Exam Candidates

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    Re: Practice Test 3
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    Jun 5, 2023 10:43 AM
    Pat Krin, MSN, M.S., RN, NCSN-E, FNP-BC-Retired, FNASN

    Try this one.

     

    Nursing documentation should be accurate, complete, timely, sequential, auditable, readable, retrievable and reflective of nursing practice. In order for an entry to be considered timely, the documentation should be done

    1. after the school day.
    2. contemporaneously.
    3. in the next 24 hours.
    4. by the end of the school day.

     

     

    Warm regards,

     

    Pat

     

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

    Executive Director

    NBCSN

    nbcsnexec@nbcsn.org

    www.nbcsn.org

     
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    Original Message:
    Sent: 6/5/2023 10:43:00 AM
    From: Pat Krin, MSN, M.S., RN, NCSN-E, FNP-BC-Retired, FNASN
    Subject: RE: Practice Test 3

    Try this one.

     

    Nursing documentation should be accurate, complete, timely, sequential, auditable, readable, retrievable and reflective of nursing practice. In order for an entry to be considered timely, the documentation should be done

    1. after the school day.
    2. contemporaneously.
    3. in the next 24 hours.
    4. by the end of the school day.

     

     

    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: 6/5/2023 8:57:00 AM
    From: Pat Krin, MSN, M.S., RN, NCSN-E, FNP-BC-Retired, FNASN
    Subject: RE: Practice Test 3

    Well, I obviously did not mean to include the answer and rationale with this question. If your district treats this differently please discuss. I will find another question.

    Sent from my iPhone
    Pat Krin



  • 5.  RE: Practice Test 3

    Posted 06-05-2023 11:00
    B. At the time care is provided. This is one of the reasons for bedside charting. 

    A, C, D are incorrect. If charting is delayed, important details to document may be forgotten.

    Andrea
    if it is done at a later time/date.

    --
    If you have any questions or concerns please contact me.

    Thank you. 

    Andrea      
     
    Andrea Ferguson, BSN, RN, CSN
    BPSB Health Services Coordinator              
    DeRidder High School Nurse
    DeRidder, LA  70634
    337-463-3266 x10215
     
           Louisiana 
    School Health Provider 
        of the Year 2022

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  • 6.  RE: Practice Test 3

    Posted 06-05-2023 11:01
    The answer is B- contemporaneously.
    To be accurate we should be charting as the visit is occurring or shortly after.
    Waiting till the end of the day, after the school day, in the next 24 hours could cause you to forget specific facts that should be documented



    Original Message


  • 7.  RE: Practice Test 3

    Posted 06-05-2023 11:22

    Answer is B.  The other answers are not standards of practice.

     

    Tina Allison-Bobino, MSN, PHN, RN

    Nitsch Elementary School

    tallisonbobino1kleinisd.net

    832-484-6383 office

    832-484-7321 fax

     

    "Keeping students healthy, safe and ready to learn".

     

     

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  • 8.  RE: Practice Test 3

    Posted 06-05-2023 11:34

    Definitely B - 



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    Sarah Casteline, RN , BSN
    Middle School Nurse
    Union County, NC
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    Original Message


  • 9.  RE: Practice Test 3

    Posted 06-06-2023 08:29

    The answer is B. Documentation should be done as soon as possible to be considered "timely."



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    Sandey Stayanoff, MSN-NE, MSN-SN, BSN, DN, RN
    OSHNA Online Forum Manager
    International School Nurse
    Nova International School
    Skopje 1000, Macedonia
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    Original Message


  • 10.  RE: Practice Test 3

    Posted 06-06-2023 08:53

    The answer to this question is B. Documentation should completed as soon as care is completed.



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    Charlene McCarron
    Goffstown, NH United States
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    Original Message


  • 11.  RE: Practice Test 3

    Posted 06-06-2023 09:23
    I’m going to mix things up a little and go with D- by the end of the school day.
    When you’re super busy you might start your note with some key thoughts but the final documentation might not actually be “completed” until the end of the school day.

    Kendra.

    Sent from my iPhone


    Original Message


  • 12.  RE: Practice Test 3

    Posted 06-06-2023 11:21

    So, I guess many of you thought this question was easy. It shows that you were thinking about "best practice" and "standards".

     

    Kendra, I think you popped back into that place we called the "real world". Please, please, please.  Leave the "real world" at work! Do not bring it into the testing area with you!

     

    I was a school nurse for 34 years. I know about the real world. I am now going to show you what the real world "should" look like. A child comes in limping and says their foot hurts, you check them out and discover that they have some redness and swelling on the lateral side of their right foot, you document that, you call home and let their parent know their child's right foot hurts, it is red and a little swollen, you are applying ice, you think they can remain in school but if it continues they might want to contact their PCP. You document that. The child goes back to class and you document that and move on to the next child.

     

    I know our goal is to get kids in and out fast, but if you document at the time of the visit, not only is it the standard of care, but you are not staying over on unpaid time trying to remember if it was the left or right foot, hoping that you didn't miss anyone, and praying that you got everything right. Some nurses say they take notes. You could document in the time it takes to takes to take notes. You are not trying to remember which foot it was and you are moving all around saying 'well I was sitting here and he was sitting there so it must have been his right foot. (don't say you have never done that, I have).

     

    So all that was to say that the correct answer is B, and leave the real world out of the questions, lol.

     

     

    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


  • 13.  RE: Practice Test 3

    Posted 06-07-2023 08:27

    Thank you for the response.  I will definitely keep this in mind for all those test questions. 



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    Kendra Luth BSN, RN
    Milford, CT
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    Original Message


  • 14.  RE: Practice Test 3

    Posted 06-06-2023 13:30

    B - at the time of service,  just after you have completed with the student. 



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    Rogelio Rodriguez Jr.
    Wilmington, DE United States
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    Original Message