NBCSN - School Nurse Certification Exam 212 Questions with Verified Answers,100% CORRECT

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NBCSN - School Nurse Certification Exam 212 Questions with Verified Answers Who administers the National School Lunch Program? - CORRECT ANSWER USDA (US dept of agriculture) What does the scope ... of school nursing practice describe? - CORRECT ANSWER The who, what, where when and how of school nursing practice What are the standards of school nursing? - CORRECT ANSWER The authoritative statements of the duties school nurses are expected to perform competently What legal document describes school nurse delegation? - CORRECT ANSWER State Nurse Practice Act Impetigo - CORRECT ANSWER Begins as a single lesion which spreads to secondary lesions that crust or scale. Staph bacteria skin infection. Honey colored crust Pinworm - CORRECT ANSWER A student who is tired, can't sit still, itching bottom Describe the primary objective of the school nurse - CORRECT ANSWER to protect and promote student health, facilitate optimal development and advance academic success. Goal is to strengthen the educational process through improvement of the health status and learning of students Sickle cell anemia - CORRECT ANSWER may cause painful events in hands feel and or long bones. Treatment oxygen and fluids. Monitor for fever, cough, rapid heartbeat that accompany an acute chest syndrome Adolescents are commonly deficient in which vitamins - CORRECT ANSWER Calcium, Iron, Vit D Connors Rating Scale - CORRECT ANSWER ADHD short form Similar to the Vanderbilt Assessment Scales. Practitioner must purchase rights Tanner staging - CORRECT ANSWER staging of sexual maturity Denver Developmental Screening Test (DDST) - CORRECT ANSWER To chart normal progress between the ages of 1 mo. to 6 yrs. To identify children who are NOT developing normally. Does not measure intelligence Wechsler Adult Intelligence Scale - CORRECT ANSWER the WAIS is the most widely used intelligence test; contains verbal and performance (nonverbal) subtests How often is PPT review required? - CORRECT ANSWER Annually What to do if suspected hearing loss? - CORRECT ANSWER Conduct audiometric screening Cleaning product for Norovirus, C Diff - CORRECT ANSWER 5-6% hypochlorite solution (chlorine bleach) Amblyopia (lazy eye) - CORRECT ANSWER If corrected early, affected eye can have normal vision. Treatment before kindergarten Ethical and professional behavior is guided by responsibility to who? - CORRECT ANSWER the student chicken pox communicability - CORRECT ANSWER 1-2 day before and 4-5 day after onset of rash When is an adolescent considered obese? - CORRECT ANSWER BMI >95% for age >120% IBW (Ideal Body Weight) Are active Tuberculosis patients always symptomatic? - CORRECT ANSWER active TB may be asymptomatic and only diagnosed with chest x-ray Does a positive mantoux test indicate presence of disease? Why or why not? - CORRECT ANSWER Anyone who has been exposed to TB may have positive Mantoux test Does BCG vaccine prevent TB? - CORRECT ANSWER No but may decrease incidence of sever disease When is an adolescent with active TB no longer infections? - CORRECT ANSWER Beyond 2 weeks of medication therapy What happens if BP cuff too small - CORRECT ANSWER Will give a high reading. Opposite also true. Should have a bladder length 80% of the arm circumference, length to width 2:1, How long can Hepatitis B Virus survive on surfaces? - CORRECT ANSWER 1 week Signs of MDMA intoxication - CORRECT ANSWER jaw clenching, teeth grinding, N&V, muscle cramping, blurred vision, inc HR what does snorting drugs cause - CORRECT ANSWER nose bleeds and nasal lesions Osgood-Schlatter disease - CORRECT ANSWER inflammation or irritation of the tibia at its point of attachment with the patellar tendon. Can cause a painful, bony bump on shinbone below knee. Occurs in children and adolescent experiencing growth spurt during puberty. Swelling over ANTERIOR tibial tuberosity Contraindications of second pertussis dose - CORRECT ANSWER encephalopathy within 7 days of first dose or anaphylaxis Guanfacine (Intuniv, Tenex) - CORRECT ANSWER non stimulant ADHD med (antihypertensive) BP should be taken for student Kehr's sign - CORRECT ANSWER Referred pain down the left shoulder; indicative of a ruptured spleen. Wilms tumor - CORRECT ANSWER malignant tumor of the kidney occurring in childhood. One of the cancers more common to children prior to school age Shoulder tenderness and inability to shrug shoulder against resistance most likely due to which nerve affected - CORRECT ANSWER Accessory (spinal accessory) nerve tongue piercing - CORRECT ANSWER Piercing any oral structure presents a risk of local post procedural infection because of the presence of pathogens in the oral cavity. Tongue piercing poses greatest risk to damage to tooth structure. Who approves AED - CORRECT ANSWER FDA A diabetic in PE class with HA, diaphoretic, confused, unable to swallow - CORRECT ANSWER admin glucagon bed bugs - CORRECT ANSWER small, flat, reddish-brown insects that may live around or near areas where people sleep and that feed on the blood of people and animals. Linear clusters of reactions, generally nocturnal, use heat to treat. Often 3 erythematous papules along a vein. They are active at night. peak flow meter - CORRECT ANSWER if 80% or above best average no action needed Goal during mass casualty event - CORRECT ANSWER Greatest good for the greatest number through triage. Level 1 immediate, correctable, life threatening. Level 2 - serious but not life threatening. Level 3 - non emergent, walking wounded, minimal care. Level 4 dead or mortally wounded. For example would prioritized long bone fracture with compromise over cardiac arrest Sect. 504 Rehabilitation Act of 1973 - CORRECT ANSWER assures student has equal right to participate in educational and extra curricular activities as their non disabled peers IDEA - CORRECT ANSWER Federal law that mandates IEP>. Individuals with Disabilities Education Act. Requires LEAST restrictive environment with in class support to the max extent possible Skin sign of meningitis - CORRECT ANSWER petechia 5ths Disease/ Erythema Infectiosum - CORRECT ANSWER -sx-Parvovirus B19): SLAPPED CHEEK (erythema of check), lace like rash -dx-dangerous in SICKLE cell pt (other anemias) -tx- self limiting People at risk - weak immune system bc of cancer, organ transplant, HIV. Can cause chronic anemia scarlet fever - CORRECT ANSWER Group A strep illness, bright red rash covers most of body Carotenemia - CORRECT ANSWER yellowing of the skin that results from excess beta-carotene/Vit A in the body Cutaneous fungal infections - CORRECT ANSWER Ringworm and Athlete's foot Fungus grows on keratin in skin -Cephalocaudally -Proximodistally - CORRECT ANSWER Development occurs cephalocaudally (head to toe) and proximodistally (trunk to extremities) Preschool children can jump off step - CORRECT ANSWER 12 inches high when can kids sit in the front seat? - CORRECT ANSWER 13 Booster Seat until - CORRECT ANSWER 8 years old, 80 pounds Precocious Puberty Girls - CORRECT ANSWER for caucasian girls before 7, african american before 6yo. May be caused by pituitary tumor Precocious Puberty Boys - CORRECT ANSWER Development of secondary sexual characteristics before the age of 9. May be caused by pituitary tumor Delayed puberty may be caused by - CORRECT ANSWER lack of gonadotropins (pituitary gland) Shortest time period you can give HBV vaccines - CORRECT ANSWER 6 months Paiget - CORRECT ANSWER cognitive development Ericson - CORRECT ANSWER psychosocial Kohlberg - CORRECT ANSWER Moral development (preconventional - concern of self, conventional - rules to be good person, postconventional - rules for the good of all of us) Erikson Psychosocial Stages - CORRECT ANSWER 1-3Autonomy vs. Shame and Doubt, 3-6Initiative vs. Guilt, 6-11 Industry vs. Interiority, 12-17 Identify vs. Role Confusion Piaget's stages of cognitive development - CORRECT ANSWER 2-7 preoperational (world revolves around them, one thing at a time, fairies), 7-11 concrete operational (can use logic, group objects), 11 and older - formal operational (abstract thought, predict outcomes) When does moral development begin? - CORRECT ANSWER age 9 When do kids first lose teeth - CORRECT ANSWER age 6. Perm teeth in by 12 earliest normal puberty - CORRECT ANSWER 8 years old When does puberty start for boys - CORRECT ANSWER age 11. Sperm devp around age 13 before growth spurt and pub hair Apical pulse location - CORRECT ANSWER Mid-clavicular Over 7 yo Fifth intercostal space and it is called PMI- point of maximum impulse (4th intercostal space under 7yo) What to document for murmur - CORRECT ANSWER rhythm, rate quality of sound Normal HR - CORRECT ANSWER Up to 8 75-115 8-11 70-110 teens 60-100 Book says 6-10 yo 65-125. Just remember higher for younger child Respiratory Rate - CORRECT ANSWER 3-7yo 20-25 8-11 yo. 14-22 over 12 12-20 Or remember average 15-20 Which arm for BP - CORRECT ANSWER 1. Dominant first 2. other arm 3. Use highest BP arm next time Blood Pressure - CORRECT ANSWER 3yo 90/40 7yo 97/57 11 104/61 teens 113/64 Retake BP how often if abnormal with HA, flushing, weak pulse, bounding pulse, pallor, dizziness - CORRECT ANSWER 5 min Bell of stethoscope is used for - CORRECT ANSWER soft, low-pitched sounds McKinney-Vento Act - CORRECT ANSWER the nation's first law to provide assistance to homeless persons, including free public education for children. School stability (can remain in school for duration of academic year), transportation is required. Homeless = children, youth who lack a fixed regular and adequate nighttime residence including sharing a residence, motel or campgrounds Freud's stages of development - CORRECT ANSWER oral stage, anal stage, phallic stage, latency stage, genital stage Maslow's Hierarchy of Needs - CORRECT ANSWER (level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization 6 steps of nursing process (ADOPIE) - CORRECT ANSWER Assessment, diagnosis (nursing), outcome identification, planning, implementation, evaluation. FIRST step ASSESSMENT ALWAYS. Hib - CORRECT ANSWER Haemophilus influenzae type B - Not given after 5yo HBV - CORRECT ANSWER hepatitis B vaccine TIPS for head injury - CORRECT ANSWER Time of Injury, Impact position, Positional assessment, Saw it? Federal Car Seat Regulations - CORRECT ANSWER Booster seat until 4'9" and 8-12 years old, under 13 back seat MMR first dose - CORRECT ANSWER after 12months Tdap - CORRECT ANSWER 11-12 years old Meningococcal - CORRECT ANSWER 11-12 years - Menactra Live viruses - CORRECT ANSWER MMR and Varicella (weakened/attenuated form of virus). Small risk of causing weak case of disease Killed/inactivated vaccines - CORRECT ANSWER made from protein or other small piece taken from virus Vision Screening - CORRECT ANSWER Chart with lines, numbers and symbols at eye level, arch of foot on line, passing 20/40 for K, 20/30 for 1st and up. Screens for Visual acuity, color discrimination and extraoccular movememnt Refractive errors - CORRECT ANSWER Most common vision problem in children Greatest cause of death for children 5-9 years old - CORRECT ANSWER 1)accidents/unintentional injury 2) cancer 3) congenital malformations 4) homocide Greatest cause of death for children 10-14 years old - CORRECT ANSWER 1)accident 2) cancer 3) suicide 4) homicide Greatest cause of death for children 15-19 years old - CORRECT ANSWER 1) accident 2) homicide 3) suicide 4) Cancer hearing screening pass - CORRECT ANSWER 1000, 2000, 4000 (Hertz/pitch) pass at 20/25db (loudness). Can be affected by cerumen impacted Prevention (primary, secondary, tertiary) - CORRECT ANSWER Primary - for everyone! immunizations, info on health promotion, health fair. Secondary for those at risk to a condition (vision screening, referring to dr). Tertiary - prevent additional disability, maximize capabilities (devp IHP for seizures, transition back to school, staff training) Insulin types - CORRECT ANSWER Novolog - fast acting, to cover for meals. Lantus - long acting - all day control Calcium needs for kids - CORRECT ANSWER 4-8 yo 1000mg, 9-18 1300mg. also needs sunlight, weigh bearing exercises, broccoli, cheese, yogurt. When fractures occur bone density screening recommended pneumothorax - CORRECT ANSWER air in the pleural cavity caused by a puncture of the lung or chest wall S/s liver laceration - CORRECT ANSWER Rt upper quad tenderness, guarding signs of blood loss, shock s/sx of bowl perforation - CORRECT ANSWER abd pain, N&V Treatment of abd injuries - CORRECT ANSWER bend knees and hips, place pillow or blanket, treat for shock When do you need stitches - CORRECT ANSWER when wound 1 inch, edges don't fall together State Board of Nursing develops state Nurse Practice Act - CORRECT ANSWER LAW. Denotes what a nurse can and cannot do, intent to protect public ANA (American Nurses Association) - CORRECT ANSWER - professional organization for RNs in the US - deals with professional scope and standards of practice - addresses ethics, public policy, and economic/general welfare of nurses - mission = advance profession of nursing NBCSN - CORRECT ANSWER provides cert exam voluntary Primary Assessment - CORRECT ANSWER ABCDE (Airway, breathing, circulation, disability and exposure) Secondary Assessment - CORRECT ANSWER EFGHI: expose, farenheit (temp), get VS, H head assessment I- inspect and isolate if infection or immune compromised CIAMPEDS (mneumonic for pediatric triage) - CORRECT ANSWER Chief complaint, Immunizations/Isolation, Allergies, Medications/Medical history, Parent's impression of the situation, Events surrounding, Diet/Diapers, Symptoms associated with illness/injury Treatment of Shock - CORRECT ANSWER lay supine with legs slightly elevated CPR rescue breathing rate - CORRECT ANSWER 12-20 bpm for child, 10-12 for adult Respiratory arrest - CORRECT ANSWER under 8 yo - 1 min rescue breath then 911, over 8 call first Heimlich - CORRECT ANSWER heel of one hand in middle of abd slightly over navel with other hand on top. Thrust up 5 times Treatment of burns - CORRECT ANSWER apply room temp water 2-5 min, remove clothes/jewelry, no ointment Hemorage - CORRECT ANSWER rapid weak pulse, cool moist skin, pale, bluish, excessive thirst, low BP, restless, unconscious How often to assess head injury/spinal cord injury - CORRECT ANSWER every 5 min What do you do with body parts torn from body - CORRECT ANSWER wrap in clean damp cloth and place in sealed plastic bath with cold water (not ice) transport with child How much does fever increase respiratory rate or heart rate - CORRECT ANSWER increase 10 pulse beats and 4 breaths per min for every degree of fever Sign of CHF in child - CORRECT ANSWER inc in RR, resp congestion, dry cough, SOB, crackels, diaphoresis Anemia - CORRECT ANSWER Most common abnormal blood condition in children. a symptom, not a disease, impaired production, poor diet, pica, blood loss, kidney disease. Symptoms - pallor, inc HR/RR, muscle weakness, fatigue, dizzy, HA, dec attention, jaundice Hemophilia - CORRECT ANSWER A hereditary disease where blood does not coagulate to stop bleeding. Non contact sports only Peptic Ulcer Disease cause - CORRECT ANSWER H. pylori. Seen in boys 12-18 Hep A and E transmission - CORRECT ANSWER fecal-oral. Can live up to 3 hours on objects. Boil or disinfect with bleach 5 rights of delegation - CORRECT ANSWER right procedure, situation, personnel, training, oversight. RN retains accountability for the task and outcome Student Health Record - CORRECT ANSWER part of cumulative education record in public school. Protected by FERPA Burns (degrees) - CORRECT ANSWER 1st -- minor damage/epidermis -- ERYTHEMA. Sunburn 2nd- Partial-thickness- painful superficial/Papillary dermis-- BLISTERS deep/reticular dermis -- RUPTURED blisters 3rd -Full/destroy-dermal appendages - no* sensation white, leathery, charred Call EMS if 10% of body burned (1% = students palm) HEEADSSS is: - CORRECT ANSWER home, education/employment, eating, activities, drugs, sexuality, suicide, safety prominent bone for otoscope exam - CORRECT ANSWER Malleus prominent bone Addison's disease - CORRECT ANSWER a condition that occurs when the adrenal glands do not produce enough cortisol or aldosterone Cushing's syndrome - CORRECT ANSWER caused by prolonged exposure to high levels of cortisol, causes swelling Graves disease - CORRECT ANSWER (hyperthyroidism) bulging eyes, nervous, weight loss, heat intolerance, insomnia Hypothyroidism symptoms - CORRECT ANSWER Fatigue, lethargy. Modest weight gain with anorexia. Dry, coarse skin and cold intolerance. Swelling of face, hands, and legs. Constipation. Weakness, muscle cramps, arthralgias, paresthesias, impaired memory and hearing. Prader-Willi Syndrome - CORRECT ANSWER genetic disorder, obesity, intellect disability, short When does eye anatomy mature - CORRECT ANSWER last of the senses, around 6 strabismus - CORRECT ANSWER crossed eyes appendicitis - CORRECT ANSWER RLQ pain and rebound tenderness. Pain may inc with cough and walk. N&V Romberg test - CORRECT ANSWER -ask client to stand with feet at comfortable distance apart, arms at sides, and eyes closed -expected finding: client should be able to stand with minimal swaying for at least 5 seconds Backpack should weigh less - CORRECT ANSWER than 10-15% body weight Immunization exemptions - CORRECT ANSWER seizure, life threatening allergy, pregnant, immunosuppressed, religious or philosophical, Tinea Capitis (Scalp Ringworm) - CORRECT ANSWER Rounded, patchy hair loss on scalp, leaving broken-off hairs, pustules, and scales on skin. Caused by fungal infection. Fragile X Syndrome - CORRECT ANSWER a disorder produced by injury to a gene on the X chromosome, producing mild to moderate mental retardation, autism, prominent jaw, forehead, ears. In males rheumatic fever - CORRECT ANSWER after strep pharyngitis. Symptoms include joint pain with redness and swelling, rash, low fever Myopia - CORRECT ANSWER nearsightedness Nystagmus - CORRECT ANSWER repetitive rhythmic movements of one or both eyes Spinal screenings take place - CORRECT ANSWER Twice between 5th and 9th grades Spine disorders - CORRECT ANSWER scoliosis (curve), lordosis (swayback - spine sucked forward, anterior convexity of spine), kyphosis (humpback - upper back, posterior convexity) CPR: single rescuer compression/ventilation ratio - CORRECT ANSWER 30:2 CPR second rescuer - CORRECT ANSWER 15 compressions to 2 breaths If pulse but no breathing - CORRECT ANSWER give breaths every 3 seconds and check pulse every 2 min Use AED immediately - CORRECT ANSWER if you saw the child go down. Otherwise use it after 5 cycles of CPR CPR switch with second rescuer - CORRECT ANSWER Every 5 min if possible How long until epi pen effects are gone? - CORRECT ANSWER 20 minutes Lead is toxic at blood levels abover - CORRECT ANSWER 10mcg/dl symptoms of pneumothorax - CORRECT ANSWER dyspnea (pain with respiration), dec lung sounds on affected side, anxiety, movement of trachea to one side of the midline of the throat, any open chest wound sucking air. hypergylcemia symptoms - CORRECT ANSWER thirst, urination, fruity breath, flushing, irritability, drowsiness, unconsciousness (call EMS if unconscious) Hypoglycemia symptoms - CORRECT ANSWER hunger, fatigue, weakness, sweating, headache, dizziness, low bp, cold or clammy skin If unconscious give glucagon most common childhood cancer - CORRECT ANSWER leukemia muscular dystrophy - CORRECT ANSWER group of hereditary diseases characterized by degeneration of muscle and weakness. Most are in wheel chair by late teens and dies in 20's Achondroplasia - CORRECT ANSWER dwarfism., bowed legs, spine is curved osteogenesis imperfecta - CORRECT ANSWER brittle bone disease Juvenille Rheumatoid Arthritis - CORRECT ANSWER peak ages onset of 2-5 and 9-12 years old usually occurs in girls cerebral palsy - CORRECT ANSWER paralysis caused by damage to the area of the brain responsible for movement. May be seizures, intellectual disability or attention deficit disorders Tourette's syndrome - CORRECT ANSWER effects boys 4x's as much as girls, associated with OCD, ADHD, Impulse control, anxiety and depression febrile seizures - CORRECT ANSWER Seizures that result from sudden high fevers, particularly in children. Usually less than 7 yo status epilepticus - CORRECT ANSWER A condition in which seizures recur every few minutes or last more than 30 minutes. Up to 75% of children having first seizure will have status epilepticus. Infection and metabolic disorders usually trigger. Call EMS if first seizure over 5 min or known epileptic over 10 min signs of shunt malfunction (hydrocephalus) - CORRECT ANSWER -Irritability -Headache -Diplopia -Nausea/vomiting -Lethargy -Loss of milestones -Change in seizure pattern -Decreased level of consciousness -They also will sometimes show signs of infection and not a blockage Mantoux test - CORRECT ANSWER TB test, read 48-72 hours. 15mm positive w/o risk factors, 10mm positive with risk factors. Common Cold - CORRECT ANSWER Symptoms 2-8 days after exposure and last up to 10 days Chicken pox - CORRECT ANSWER rash develops 10-21 days after exposure and person is infective 24-48 hours before rash until they scab over viral meningitis - CORRECT ANSWER usually self limiting within 7-10 days and is less severe than bacterial meningitis Disaster Preparedness should prepare to care for students for - CORRECT ANSWER 3 days How much time in between doses of same live vaccine? - CORRECT ANSWER 4 weeks Can a student get all vaccines needed to start school in one sitting? - CORRECT ANSWER Yes and then attend school the next day. Youth Risk Behavior Surveillance System (YRBSS) - CORRECT ANSWER National Youth Behavior Survey conducted by the CDC. Given by states every 2 years to a selection of students in 9-12 grade. It elicits info about tobacco, alcohol, drug use, risky behaviors School Health Index (SHI) - CORRECT ANSWER made by CDC to improve health promotion programs Most effective hand hygiene? - CORRECT ANSWER antibacterial soap for 30 seconds, paper towels. Alcohol foams, gels must have 60-95% alcohol Fungal infections - CORRECT ANSWER should be treated for 24 hours then covered well during sports match treatment of avulsed tooth - CORRECT ANSWER handle by crown, put in Hanks balanced salt solution or milk, normal saline, water and student and tooth transported to dentist Dietary requirements for children - CORRECT ANSWER 4-8 years old kids need 1400-1600 cal. Goes up from there. Teen girls 2000 boys 2400-2800 Underweight BMI - CORRECT ANSWER less than 5 percentile. Normal 5-84% What governs staff health information? - CORRECT ANSWER HIPPA Piercing care - CORRECT ANSWER If it swells or itches, remove metal causing reaction. Otherwise wash twice a day with abx soap and rotate piercing. Do not use alcohol or hydrogen peroxide Title X (The Education Amendment Act of 1972) - CORRECT ANSWER schools cannot discriminate against pregnant or parenting teen Determining malpractice - CORRECT ANSWER school nurses' actions are judged on the basis of whether the nurse performed as a prudent person would do. Determined by using American Nurses association and NASN practice standards. Failure to act properly is negligence Consent for screenings - CORRECT ANSWER If parent consents but child does not do not do it and notify parents of the refusal. Document Scope of school health services - CORRECT ANSWER seek to remove all health barriers to education Consequence of violations of confidentiality - CORRECT ANSWER HIPPA violations can be fined, FERPA violations can lose federal financial assistance Heat Exhaustion Treatment - CORRECT ANSWER loosen clothing, give sips of fluids, move to cool area, apply cool water to skin, seek medical attention if worsens Treatment of draining would - CORRECT ANSWER cover before athlete returns to play Most crucial nursing diagnosis - CORRECT ANSWER Anxiety and Fear. Must be addressed prior other problems. Adolsecents who are anxious or depressed are at risk for poor developmental outcomes menstrual dysfunction - CORRECT ANSWER most common adolsecent female reproduction problem Audiometer (pure-tone) - CORRECT ANSWER measures decibles and Hertz (frequency and intensity) Scoliosis - CORRECT ANSWER often left shoulder higher than right, right rib hump, slight curve of spinal column at waist when bends. Lateral spinal curvature greater than 10 degrees zoonotic transmission in classroom pets - CORRECT ANSWER reptiles, amphibians, live poultry Treatment of snakebite - CORRECT ANSWER Keep affected area below the heart to slow the spread of venom, cover with loose fitting dry bandage most frequent cause of cardiopulmonary arrest in children - CORRECT ANSWER respiratory conditions Who prohibits sharing medical info in schools? - CORRECT ANSWER FERPA, not HIPPA Most common causes of spinal cord injuries in children - CORRECT ANSWER vehicle accidents and sports injuries Ronchi - CORRECT ANSWER loud rumbling sounds heard on auscultation of bronchi obstructed by sputum. like snoring. Low pitched bubbling or gurgling on inspiration Hep B vaccine - CORRECT ANSWER Birth within 12 hours, then 1-2 months but before 6 weeks then 2-4 weeks after that, then 8 weeks after that. Remember required spacing and do not have to start over to complete the series linear papularvesicular lesions - CORRECT ANSWER poison ivy puritic maculopapular lesions that become vesicular - CORRECT ANSWER varicella hyperopia - CORRECT ANSWER A condition in which visual images come to a focus behind the retina of the eye and vision is better for distant than for near objects -- called also farsightedness. myopia - CORRECT ANSWER Light rays entering eyes focus in front of the retina making distant objects out of focus (nearsighted ness) Conductive hearing loss - CORRECT ANSWER from mechanical dysfunction that interferes with sound waves (including chronic or frequent otitis media) sensorineural hearing loss - CORRECT ANSWER the most common form of hearing loss, also called nerve deafness; caused by damage to the cochlea's receptor cells or to the auditory nerves. Head injury, prolonged music, rubella cause this. Hand-foot-mouth disease - CORRECT ANSWER Coxsackie virus. Blisters in mouth and hands but can be afebrile. Can return to school after fever gone and no draining lessions. Children can spread the virus even w/o symptoms and may be in stools for weeks after symptoms Treatment of insect stings - CORRECT ANSWER Do not remove with tweezers. Can use flat edge like ID card, soap, water, ice. Monitor for anaphylaxis. Herpes simplex lesions - CORRECT ANSWER contagious, reoccur, can spread on skin to skin contact even when no sore visible Signs of CHF - CORRECT ANSWER Visible swelling of the legs, ankles, eyelids, face, and (occasionally) abdomen. Abnormally fast breathing. Shortness of breath or labored breathing. - Wheezing Fatigue. Nausea. Falling asleep when feeding or becoming too tired to eat. Lack of appetite. Tension pneumothorax treatment in school setting - CORRECT ANSWER Scabies - CORRECT ANSWER intense itching, especially at night Lowest contraceptive failure rate - CORRECT ANSWER Birth control pills, then diaphragm, then condom cleft lip and palate - CORRECT ANSWER may have speech and language problems, ear infections hypovolemic shock - CORRECT ANSWER shock resulting from blood or fluid loss. Tachycardia, cool, clammy skin, low BP, general weakness vision impairment - CORRECT ANSWER normal (20/10-20/25), moderate (20/70-20/100), legal blindness (20/200) with best conventional correction [Show More]

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