NEW ZEALAND NURSING STATE FINAL EXAM PREP WITH QUESTIONS
AND CORRECT ANSWERS
Question 1: According to the Nursing Council of New Zealand (NCNZ), what is the
primary purpose of the Code of Conduct for nurses?
A) To outline the legal scope of practice for enrolled nurses.
B) To provide a framework for safe, ethical, and culturally safe practice.
C) To dictate the specific clinical skills a nurse must perform.
D) To establish the minimum educational requirements for nursing registration.
Correct Answer: B
Rationale: The NCNZ Code of Conduct provides a framework for safe, ethical, and
culturally safe practice, outlining the professional behaviors and responsibilities
expected of all nurses in Aotearoa New Zealand.
Question 2: Under Te Tiriti o Waitangi, the principle of "Protection" requires the
Crown to actively protect Māori rights and taonga. How does this apply to nursing
practice?
A) Ensuring Māori patients are treated in separate wards.
B) Protecting Māori health outcomes by providing culturally safe care and
addressing health inequities.
C) Ensuring all nurses speak te reo Māori fluently.
D) Protecting traditional Māori healing practices from Western medicine.
Correct Answer: B
Rationale: In health, the principle of Protection means actively protecting Māori
from health disparities, ensuring equitable access to care, and delivering care that is
culturally safe and respects Māori beliefs and practices.
Question 3: A nurse is caring for a Māori patient who wishes to have their whānau
present during all assessments and procedures. Which concept from Te Whare Tapa
Whā is the nurse primarily supporting by facilitating this?
A) Taha tinana (Physical health)
B) Taha hinengaro (Mental and emotional health)
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,C) Taha whānau (Family and social health)
D) Taha wairua (Spiritual health)
Correct Answer: C
Rationale: Taha whānau emphasizes the importance of family, social connections,
and belonging. Facilitating whānau presence supports the patient's social and
familial well-being.
Question 4: A patient refuses a prescribed medication. According to the Code of
Health and Disability Services Consumers' Rights, which right is the patient
exercising?
A) Right 4: Right to have services provided with reasonable care and skill.
B) Right 5: Right to cooperation.
C) Right 7: Right to give informed consent.
D) Right 1: Right to respect.
Correct Answer: C
Rationale: Right 7 states that services may only be provided if the consumer gives
informed consent, which includes the right to refuse services and withdraw consent
at any time.
Question 5: Which of the following actions demonstrates "cultural safety" rather
than just "cultural awareness"?
A) Reading a textbook about Māori health beliefs.
B) Attending a cultural competency workshop.
C) Reflecting on one's own cultural biases and adapting care to align with the
patient's cultural values and needs.
D) Learning how to pronounce Māori names correctly.
Correct Answer: C
Rationale: Cultural safety goes beyond awareness; it involves critical self-reflection
on power imbalances and cultural biases, and actively adapting the care
environment and practices to meet the cultural needs of the patient.
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,Question 6: When administering medications in New Zealand, nurses are guided by
the "Rights" of medication administration. Which of the following is considered one
of the additional "Rights" specific to NZ practice?
A) Right to refuse
B) Right response
C) Right diagnosis
D) Right prognosis
Correct Answer: B
Rationale: In addition to the traditional 5 or 6 rights, NZ nursing practice
emphasizes the "Right response" (monitoring the patient's response to the
medication) and the "Right reason" (ensuring the medication is appropriate for the
patient's current condition).
Question 7: A nurse is delegated a task by a registered nurse (RN). According to the
NCNZ scope of practice, what is the RN's responsibility regarding delegation?
A) The RN is no longer responsible once the task is delegated.
B) The RN must ensure the delegatee is competent and provide appropriate
supervision.
C) The delegatee assumes full legal responsibility for the outcome.
D) The RN only needs to delegate tasks that are within their own scope of practice.
Correct Answer: B
Rationale: When delegating, the RN retains accountability for the decision to
delegate and must ensure the person delegated to is competent, providing
appropriate supervision and support.
Question 8: Which of the following best describes the role of a Kaiawhina
(Healthcare Assistant) in the NZ healthcare context?
A) They can administer intravenous medications under the direction of an RN.
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, B) They work under the direction and supervision of an RN or Enrolled Nurse to
provide basic care.
C) They can independently develop nursing care plans.
D) They can perform comprehensive patient assessments.
Correct Answer: B
Rationale: Kaiawhina/Healthcare Assistants work under the direction and
supervision of an RN or Enrolled Nurse, providing basic care and support, but do
not perform complex assessments or administer most medications.
Question 9: A patient is scheduled for surgery. The surgeon asks the nurse to
witness the patient signing the consent form. What is the nurse's responsibility in
this situation?
A) Ensure the patient understands the surgical procedure and its risks.
B) Verify that the patient is signing the form voluntarily and appears to understand
what they are signing.
C) Explain the anesthesia process to the patient.
D) Ensure the patient has fasted for 12 hours.
Correct Answer: B
Rationale: The nurse's role in witnessing a signature is to verify the patient's identity,
ensure they are signing voluntarily, and confirm they appear to understand the
document. The surgeon is responsible for explaining the procedure and risks.
Question 10: According to the Health and Safety at Work Act 2015, what is the
primary duty of a Person Conducting a Business or Undertaking (PCBU), such as a
hospital?
A) To ensure the health and safety of workers and others affected by the work.
B) To maximize profits while minimizing operational costs.
C) To ensure all staff have a university degree.
D) To provide free healthcare to all employees.
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AND CORRECT ANSWERS
Question 1: According to the Nursing Council of New Zealand (NCNZ), what is the
primary purpose of the Code of Conduct for nurses?
A) To outline the legal scope of practice for enrolled nurses.
B) To provide a framework for safe, ethical, and culturally safe practice.
C) To dictate the specific clinical skills a nurse must perform.
D) To establish the minimum educational requirements for nursing registration.
Correct Answer: B
Rationale: The NCNZ Code of Conduct provides a framework for safe, ethical, and
culturally safe practice, outlining the professional behaviors and responsibilities
expected of all nurses in Aotearoa New Zealand.
Question 2: Under Te Tiriti o Waitangi, the principle of "Protection" requires the
Crown to actively protect Māori rights and taonga. How does this apply to nursing
practice?
A) Ensuring Māori patients are treated in separate wards.
B) Protecting Māori health outcomes by providing culturally safe care and
addressing health inequities.
C) Ensuring all nurses speak te reo Māori fluently.
D) Protecting traditional Māori healing practices from Western medicine.
Correct Answer: B
Rationale: In health, the principle of Protection means actively protecting Māori
from health disparities, ensuring equitable access to care, and delivering care that is
culturally safe and respects Māori beliefs and practices.
Question 3: A nurse is caring for a Māori patient who wishes to have their whānau
present during all assessments and procedures. Which concept from Te Whare Tapa
Whā is the nurse primarily supporting by facilitating this?
A) Taha tinana (Physical health)
B) Taha hinengaro (Mental and emotional health)
Page 1 of 43
,C) Taha whānau (Family and social health)
D) Taha wairua (Spiritual health)
Correct Answer: C
Rationale: Taha whānau emphasizes the importance of family, social connections,
and belonging. Facilitating whānau presence supports the patient's social and
familial well-being.
Question 4: A patient refuses a prescribed medication. According to the Code of
Health and Disability Services Consumers' Rights, which right is the patient
exercising?
A) Right 4: Right to have services provided with reasonable care and skill.
B) Right 5: Right to cooperation.
C) Right 7: Right to give informed consent.
D) Right 1: Right to respect.
Correct Answer: C
Rationale: Right 7 states that services may only be provided if the consumer gives
informed consent, which includes the right to refuse services and withdraw consent
at any time.
Question 5: Which of the following actions demonstrates "cultural safety" rather
than just "cultural awareness"?
A) Reading a textbook about Māori health beliefs.
B) Attending a cultural competency workshop.
C) Reflecting on one's own cultural biases and adapting care to align with the
patient's cultural values and needs.
D) Learning how to pronounce Māori names correctly.
Correct Answer: C
Rationale: Cultural safety goes beyond awareness; it involves critical self-reflection
on power imbalances and cultural biases, and actively adapting the care
environment and practices to meet the cultural needs of the patient.
Page 2 of 43
,Question 6: When administering medications in New Zealand, nurses are guided by
the "Rights" of medication administration. Which of the following is considered one
of the additional "Rights" specific to NZ practice?
A) Right to refuse
B) Right response
C) Right diagnosis
D) Right prognosis
Correct Answer: B
Rationale: In addition to the traditional 5 or 6 rights, NZ nursing practice
emphasizes the "Right response" (monitoring the patient's response to the
medication) and the "Right reason" (ensuring the medication is appropriate for the
patient's current condition).
Question 7: A nurse is delegated a task by a registered nurse (RN). According to the
NCNZ scope of practice, what is the RN's responsibility regarding delegation?
A) The RN is no longer responsible once the task is delegated.
B) The RN must ensure the delegatee is competent and provide appropriate
supervision.
C) The delegatee assumes full legal responsibility for the outcome.
D) The RN only needs to delegate tasks that are within their own scope of practice.
Correct Answer: B
Rationale: When delegating, the RN retains accountability for the decision to
delegate and must ensure the person delegated to is competent, providing
appropriate supervision and support.
Question 8: Which of the following best describes the role of a Kaiawhina
(Healthcare Assistant) in the NZ healthcare context?
A) They can administer intravenous medications under the direction of an RN.
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, B) They work under the direction and supervision of an RN or Enrolled Nurse to
provide basic care.
C) They can independently develop nursing care plans.
D) They can perform comprehensive patient assessments.
Correct Answer: B
Rationale: Kaiawhina/Healthcare Assistants work under the direction and
supervision of an RN or Enrolled Nurse, providing basic care and support, but do
not perform complex assessments or administer most medications.
Question 9: A patient is scheduled for surgery. The surgeon asks the nurse to
witness the patient signing the consent form. What is the nurse's responsibility in
this situation?
A) Ensure the patient understands the surgical procedure and its risks.
B) Verify that the patient is signing the form voluntarily and appears to understand
what they are signing.
C) Explain the anesthesia process to the patient.
D) Ensure the patient has fasted for 12 hours.
Correct Answer: B
Rationale: The nurse's role in witnessing a signature is to verify the patient's identity,
ensure they are signing voluntarily, and confirm they appear to understand the
document. The surgeon is responsible for explaining the procedure and risks.
Question 10: According to the Health and Safety at Work Act 2015, what is the
primary duty of a Person Conducting a Business or Undertaking (PCBU), such as a
hospital?
A) To ensure the health and safety of workers and others affected by the work.
B) To maximize profits while minimizing operational costs.
C) To ensure all staff have a university degree.
D) To provide free healthcare to all employees.
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