School Nurse Quiz: Pediatric Health Skills Assessment

1. Which assessment finding is most indicative of acute appendicitis in a school-age child?

Right lower quadrant pain with rebound tenderness

Left upper quadrant pain radiating to shoulder

Epigastric pain with vomiting immediately after meals

Diffuse abdominal pain with hyperactive bowel sounds

2. A 7-year-old presents with fever, sore throat, and petechial rash. What is the priority intervention?

Administer acetaminophen and monitor at home

Isolate immediately and notify emergency services

Perform rapid strep test and begin penicillin

Observe for 24 hours before referral

Submit

4. Which of the following is a red flag indicator of potential child abuse that school nurses must report?

Frequent minor bruises on shins from playing sports

Bruises in various stages of healing on torso and inner thighs

Single laceration from a documented fall

Mild diaper rash in preschoolers

5. What is the correct sequence for performing CPR on a child aged 1 to 8 years?

30 chest compressions, 2 rescue breaths, repeat

100 compressions per minute with 1 rescue breath every 5 compressions

15 chest compressions, 2 rescue breaths, repeat

Continuous chest compressions without rescue breaths

6. A student with known asthma uses their rescue inhaler but continues wheezing. What is the most appropriate action?

Send student home to rest

Activate emergency response and administer oxygen

Wait 15 minutes and reassess

Encourage slow breathing exercises

Submit

8. Which medication error reporting system is mandated in school health settings?

Incident report to principal only

Documentation in student health record and parent notification

Report to state board of nursing

Verbal communication to teacher

9. A student has a severe peanut allergy. What is the priority action before administering an EpiPen?

Call poison control immediately

Ensure emergency services are contacted first

Wait for parent permission

Have student sit down and monitor breathing

Submit

11. Which communicable disease requires immediate isolation and notification of public health?

Common cold

Measles or suspected measles

Mild conjunctivitis

Seasonal influenza

Submit

13. Which immunization must be up-to-date before school entry in most U.S. states?

Rotavirus only

DTaP, MMR, and polio

Hepatitis A only

Influenza only

14. A 6-year-old has a temperature of 104°F and is unresponsive to antipyretics. What is the primary concern?

Risk of febrile seizure

Immediate brain damage

Permanent hearing loss

Chronic fever disorder

Submit

School Nurse Quiz: Test Your Pediatric Health Skills

1. Which assessment finding is most indicative of acute appendicitis in a school-age child?

2.

What first name or nickname would you like us to use?

2. A 7-year-old presents with fever, sore throat, and petechial rash. What is the priority intervention?

3. Normal blood pressure for a 10-year-old is approximately ____.

4. Which of the following is a red flag indicator of potential child abuse that school nurses must report?

5. What is the correct sequence for performing CPR on a child aged 1 to 8 years?

6. A student with known asthma uses their rescue inhaler but continues wheezing. What is the most appropriate action?

7. Developmental screening at age 4-5 years should assess for ____.

8. Which medication error reporting system is mandated in school health settings?

9. A student has a severe peanut allergy. What is the priority action before administering an EpiPen?

10. The school nurse identifies a student with suspected scoliosis during screening. Next step is ____.

11. Which communicable disease requires immediate isolation and notification of public health?

12. A student reports dizziness, chest pain, and shortness of breath during physical education. Priority assessment is ____.

13. Which immunization must be up-to-date before school entry in most U.S. states?

14. A 6-year-old has a temperature of 104°F and is unresponsive to antipyretics. What is the primary concern?

15. Documentation of a student health visit must include assessment findings, interventions, and ____.