State Exam Nursing New Zealand V2 – Nursing Council of New Zealand (NCNZ) State Examination – 2026/2027 Edition – Verified Questions and Answers

State Exam Nursing New Zealand V2 – Nursing Council of New Zealand (NCNZ) State Examination – 2026/2027 Edition – Verified Questions and Answers Q: Substances that cannot go into solution in water are Hydrophobic 3 multiple choice options Q: The vital centres for control of the heart function, respiration and blood pressure are located in the Medulla oblongata 3 multiple choice options Q: The abdominopelvic quadrant of the. body in which the bulk of the liver is located is the... Right upper quadrant 3 multiple choice options Q: Vaginal secretions usually have a pH of 5. This means the the vagina Is acidic 3 multiple choice options Q: The pelvic cavity contains The urinary bladder, female reproductive organs, and internal male reproductive organs 3 multiple choice options Q: A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis? Alteration in nutrition 3 multiple choice options Q: The nurse is aware that the following terms used to describe redacted cardiac output and perfusion impairment due to ineffective pumping of the heart is: Cardiogenic shock 3 multiple choice options Q: The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/40, pulse rate 120, and respirations 20. Which is the clients most appropriate priority nursing diagnosis? Fluid volume deficit 3 multiple choice options Q: Which selection would provide the most calcium for the client who is 4 months pregnant? A cup of yoghurt 3 multiple choice options Q: You are the student nurse caring for a patient with intravenous therapy. You notice that the intravenous cannula insertion site appears swollen and is tender to touch. What is your first action? Stop the infusion 3 multiple choice options Q:................ tissue binds together, supports and strengthens other body tissues and protects and insulates internal organs Connective 3 multiple choice options Q: Which of the following crosses the synapse to stimulate a post-synaptic neuron? A neurotransmitter 3 multiple choice options Q: Which prioritising care, which of the following clients should the nurse Olivia assess first? 33 year old client with a recent diagnosis of Guillain-Barre syndrome 3 multiple choice options Q: The MMR vaccine has been linked to autism False 1 multiple choice option Q: A client with a diagnosis of HPV is at risk for which of the following? Cervical cancer 3 multiple choice options Q: During the initial interview, the client reports that she has lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is Herpes 3 multiple choice options Q: A client is admitted to the labor and delivery unit in active labor. During the examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate? Report finding to the doctor / midwife 3 multiple choice options Q: 15 year old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome? Elevated hepatic enzymes 3 multiple choice options Q: The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the bicep reflex? The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer 3 multiple choice options Q: Which observation in the newborn of a diabetic mother would require immediate nursing intervention? Jitteriness 3 multiple choice options Q: Nurse Rose is aware that the statement that best explains why furosemide (a loop diuretic) is administered to treat hypertension is: It inhibits the reabsorption of sodium and water in the loop of Henle 3 multiple choice options The home health nurse is visiting an 18 year old with osteogenesis imperfect. Which information obtained on the visit would cause the most concern? The client: Likes to play football 3 multiple choice options Norma asks for information about osteoarthritis. Which of the following statements about osteoarthritis is most correct? Osteoarthritis is the most common form of arthritis 3 multiple choice options The client is admitted following repair of a fractured tibia and cast application. Which nursing assessment should be report to the doctor? Paresthesia of the toes 3 multiple choice options Arnold, a 19 year old client with a mild concussion is discharged from the emergency department. Before discharge, he complains of a headache. When offered acetaminophen, his mother tells the nurse the headache is severe and she would like her son to have something stronger. Which of the following responses by the nurse is appropriate? "Narcotics are avoided after a head injury because they may hide a worsening condition" 3 multiple choice options The first management priority for spinal cord injury is Spinal immobilisation 3 multiple choice options Mr Singh, aged 20 years, is being assessed following a head injury. The earlier sign of increasing intracranial pressure is A change in level of consciousness 3 multiple choice options The client with confusion says to the nurse, "I haven't had anything to eat all day long. When are they going to bring breakfast?" The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make? "I'll get you some juice and toast. Would you like something else?" 3 multiple choice options The client with Alzheimer's disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting: Agnosia 3 multiple choice options The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as: Sundowning 3 multiple choice options Maria is admitted to hospital experiencing alcohol withdrawal. Symptoms the nurse is most likely to observe include: Tachycardia, tremors and confusion 3 multiple choice options The nurse is evaluating nutritional outcomes for a patient with anorexia nervosa. Which data best indicated that the plan of care if effective? The client gains weight 3 multiple choice options A person is unsure if they would like to quit drinking. What therapeutic modality would initially be best for this client? Motivational interviewing 3 multiple choice options A client has come in after losing her job. She reports she was late most days because she could not pick out the "right" outfit, changing 20-30 times before leaving the house. What diagnosis would you suspect? Obsessive compulsive disorder (OCD) 3 multiple choice options Cardinal signs of diabetes type 1 include: Polyuria, polydypsia, polyphasia 3 multiple choice options Nurse Sugar is assessing a client with Cushing's syndrome. Which observation should the nurse report to the physician immediately? An irregular apical pulse 3 multiple choice options A 66 year old client has been complaining of sleeping more, increased urintation, anorexia, weakness, irritability, depression, and bone pain that interferes with her going outdoors. Based on these assessment findings, the nurse would suspect which of the following disorders? Hyperparathyroidism 3 multiple choice options Capillary glucose monitoring is being performed every 4 hours for a client diagnosed with diabetic ketoacidosis. Insulin is administered using a scale of regular insulin according to glucose results. At 2p.m., the client has a capillary glucose level of 250 mg/dl for which he receives 8 U of regular insulin. Nurse Mariner should expect the doses: Onset to be at 2:30pm and its peak to be at 4pm 3 multiple choice options Rico with diabetes mellitus must learn how to self-administer insulin. The physician has prescribed 10 U of U-100 regular insulin and 35 U of U-100 isoprene insulin suspension (NPH) to be taken before breakfast. When teaching the client how to select and rotate insulin injection sites, the nurse should provide which instructions? "Rotate injection sites within the same anatomic region" 3 multiple choice options A male client is scheduled for a transsphenoidal hypophysectomy to remove a pituitary tumour. Preoperatively, the nurse should assess for potential complications by doing which of the following? Performing capillary glucose testing every four hours 3 multiple choice options Which of the following is the most important factor regarding oxygen delivery for a patient with COPD? Level of CO2 retention 3 multiple choice options The client admitted 2 days earlier that a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes? Cover the insertion site with a petroleum gauze 3 multiple choice options The main pathophysiologic processes present in asthma are: Reversible episodes of bronchoconstriction 3 multiple choice options Which of the following is a sign or symptom of tissue hypoxia? Tachycardia 3 multiple choice options Ms Marshall is prescribed a bronchodilator via a neguliser. What is the primary purpose of bronchodilators? Dilate bronchioles 3 multiple choice options A client asks you what the difference is between a benign tumour and a malignant tumour. You explain that benign tumours: Do not spread to other tissues and organs 3 multiple choice options In relation to a bowel obstruction, what is the rationale for a nasogastric tube insertion and drainage? it reduces abdominal distension 3 multiple choice options A 14 year old male patient comes to the ED with sharp lower right quadrant pain with rebound tenderness, vomiting and low-grade fever for the last 2 days, with symptoms worsening. A CT confirms inflammation in this region and the patient goes to surgery. What do you suspect they are removing from his lower right quadrant? Appendix 3 multiple choice options The primary goal of withholding food and fluids before surgery is to prevent Aspiration 3 multiple choice options As part of the pre-op education after a knee replacement, what should the nurse tell a client to expect as a normal response for the first postoperative day? Manageable pain surrounding the incision site 3 multiple choice options Miss Anwari has returned to the ward after abdominal surgery. She is receiving morphine via a PCA (patient controlled analgesia) pump. Your priority assessment of Miss Anwari will be: Respiration rate 3 multiple choice options During the night following surgery, Miss Anwari complains of a painful lower abdomen. On assessing her, the nurse finds that her lower abdomen is very distended. The probable cause of her painful distended abdomen would be: Urinary retention 3 multiple choice options Post-operative patients should always be assessed for presence of a pulmonary embolus (PE). Early clinical manifestations of a pulmonary embolism are: Restlessness, tachycardia and tachypnea 3 multiple choice options The symptoms of hypovolaemia shock are: Rapid pulse and decreased blood pressure 3 multiple choice options Mr Martin is having a checkup at his general practice. He tells the nurse he develops angina pain while loading his work truck. The first thing he should do when this occurs is: Stop physical exertion and sit down 3 multiple choice options A patient comes in with signs of a myocardial infarct (MI). The diagnostic tests that primarily confirms myocardial cell damage is determined by levels of: Troponin T or I 3 multiple choice options Mr Martin asks you what triggers the pain of angina. You respond that angina results from: A reduction in myocardial blood supply 3 multiple choice options Coronary artery disease (CAD) can lead to MI. Contributing factors to CAD include: High level of low density lipids (LDLs) and low level of high density lipids (HDLs) 3 multiple choice options Which nursing intervention is the most helpful in promoting communication with a patient who has expressive aphasia? Using a picture board 3 multiple choice options Sympathy differs from empathy because: Sympathy is feeling bad for a person, while empathy is feeling 'with' a person 3 multiple choice options Mrs Jackson a 52 year old woman who is legally blind and profoundly deaf has been admitted to the ward. It is the first responsibility of the nurse to: Provide a safe environment for Mrs Jackson 3 multiple choice options Which questions are preferred when initially interviewing patients? Open-ended 2 multiple choice options Which statement would best explain the role of the nurse when planning care for a culturally diverse population? The nurse will plan care to: Provide care while aware of one's own bias, focusing on the clients individual needs rather than the staff's practices 3 multiple choice options "Being yourself" is an important attribute to nursing. What characteristic best describes this? Authenticity 3 multiple choice options If a nurse is having trouble with a colleague, the most appropriate initial action would be to: Talk to the troubling colleague directly about your concerns 3 multiple choice options Open-ended questions are preferred over closed questions when starting an assessment with a client True 1 multiple choice option Which of the following would be a patient cue? The patient asks if they are going to die 3 multiple choice options Which of these are a principle from the Nursing Council of New Zealand Code of Conduct (2012)? Act with integrity to justify health consumers trust 3 multiple choice options When the nurse described the client as "that nasty old man in room 201", the nurse is exhibiting which ethical dilemma? Gender bias and ageism 3 multiple choice options Nurses are required to maintain professional boundaries in their nursing practice. Which of the following best describes "Professional boundaries"? Professional behaviours that the nurse used to manage there power imbalances in the nurse/health consumer relationship 3 multiple choice options Partnership is a principle of Te Tiriti o Waitangi / The Treaty of Waitangi. How do nurses demonstrate this in their practice? All of these 3 multiple choice options When a client is confused, left alone with all side rails down, and the bed in a high position, the client falls and breaks a hip. What law has been violated? Negligence 3 multiple choice options What is the meaning of non-maleficence? Avoidance of harm 3 multiple choice options In the New Zealand Nurses Organisation's (NZNO) Guidelines - Code of Ethics, 2019, both Māori and Western ethical principles/values are described. What is the meaning of manaakitanga? Kindness/respect and hospitality 3 multiple choice options When a registered nurse (RN) delegates an activity to an enrolled nurse or health care assistant, who is accountable for the outcome? The RN retains accountability for the activity 3 multiple choice options Tertiary care is best defined as? Complex care that requires specialised medical care that is provided over an extended period 3 multiple choice options The Ministry of Health (MOH) in New Zealand is responsible for? improving, promoting, and protecting the health of all New Zealanders 3 multiple choice options Helping someone find social supports is what ethical principle? Beneficence 3 multiple choice options If someone wanted to express veracity, an appropriate action would be: Telling someone the truth, even if it might be difficult to hear 3 multiple choice options The Nursing Council of New Zealand manages standards, discipline, state examinations, and registration under which Act of Parliament? The Health Practitioners Competence Assurance Act 2003 3 multiple choice options Which statement about reflective practice in nursing is the most correct? It helps improve clinical skills and communication 3 multiple choice options Pethidine 60mg is ordered. Stock impulses contain 100mg in 2ml. Calculate the volume to be drawn up for injection. (Include unit of measure) 1.2 ml 3 multiple choice options A patient is ordered 30 micrograms of medication. You have in your supply 0.03 mg in 2ml. How many ml will you give? 2 ml 3 multiple choice options A patient is ordered 125 micrograms of a medication. You have in your supply 62.5 microgram tablets. How many tablets will be administered? 2 tablets 3 multiple choice options A child weighing 19kg is prescribed penicillin. The recommended dose is 50mg/kg/day. The child will have 4 doses in one day. What dose will the child get per day? Include unit of measure 900mg 3 multiple choice options IV therapy is ordered for Mr R. He is to have 2 litres of 0.9% Saline over 12 hours. Assuming the giving set delivers 20 drops per ml, calculate the rate of infusion in drops per minutes 56 dpm 3 multiple choice options Gentamicin 360 mg is prescribed. Gentamicin is available as 80mg/2ml. How many mls will you draw up? Do not put unit of measure 9 3 multiple choice options 20,000 units of Heparin is added to 500ml of 0.9% Saline. Dose prescribed is 100 units per hour. Calculate the rate of infusion in ml/hr 2.5ml/hr 3 multiple choice options The PCA machine holds 50ml, containing 500mg of Medication P. The doctor has ordered a bolus dose of 50mg. How many ml will be delivered? 5ml 3 multiple choice options The Doctor orders 0.03g (30mg)/kg/daily ceftriaxone for John, a 10 year old child weighing 16kg. The pharmacy sends a 500 mg vial of sterile ceftriaxone powder with the following mixing instructions: "For IV use add 5ml sterile water for injection and shake well. Provides a volume of 5.5ml (91mg/ml)". How many mg will John require daily? 480mg 3 multiple choice options