NBCSN Nationally Certified School Nurse Practice Exam 2025 - Free School Nurse Certification Practice Questions and Study Guide

Following the vital signs assessment in a secondary evaluation, performing a head assessment is an important step. This part of the assessment process allows the practitioner to gather critical information related to the patient’s neurological status, including evaluating the scalp, assessing pupil reaction, and checking for any signs of trauma like contusions or lacerations.

Performing this assessment helps to identify potential issues such as concussions, intracranial bleeding, or other head injuries that may not have been apparent during the initial evaluation. Assessing the head is particularly vital because changes in neurological function can be rapid and significant, and early detection can lead to prompt interventions that can prevent further complications.

In contrast, while administering medication might be necessary at some point, it generally follows a more comprehensive assessment of the situation and only after determining the appropriate need and consent for intervention. Evaluating breathing patterns and conducting a physical examination are also crucial steps but are typically integrated into a broader physical assessment rather than specified as a distinct following step right after vital signs are taken.