NEW ZEALAND STATE NURSING EXAM 600
QUESTIONS & CORRECT ANSWERS LATEST
2026/2027
The initial diagnosis of pancreatitis would be confirmed if bills blood test showed a
significant elevation in serum
a) Amylase
b) Glucose
c) Potassium
d) Trypsin
Amylase
In pancreatitis, Pain control is an important nursing goal. Which of the following
medications would
be the drug of choice
a) Pethidine
b) Cimetidine
c) Morphine
d) Codeine
Morphine
You monitor bills vital signs frequently, observing for the signs of shock. Shock is
extremely difficult to manage in pancreatitis primarily because of the
a) Frequency and severity of gastrointestinal haemorrhage
b) Vasodilating effects of kinin peptides
c) Tendency towards congestive heart failure
d) Frequent incidence of acute tubular necrosis
B
While helping bill change position in bed, you note bill has muscle twitching in his
bands and forearms. These symptoms are significant because clients who suffer
from
,pancreatitis are at risk of
a) Hypermagnisemia
b) Hypoglycaemia
c) Hypocalcaemia
d) Hyponatremia
C
Bill does not drink alcohol because of his religious beliefs. When the physician
persists in asking him about his alcohol intake, bill becomes annoyed. You explain
the
reasoning behind the questioning by telling bill that
a) There is a strong link between alcohol use and pancreatitis
b) Alcohol intake can interfere with some of the tests used to diagnose pancreatitis
c) Alcoholism is a major health problem and all hospitalised clients are asked
about
their alcohol intake
d) The physician must obtain the pertinent facts, and religious beliefs cannot be
considered
C
Lydia asks the nurse, „how could this have happened?" the nurse responds to the
question based on the most frequent mode of HIV transmission, which is
a) Hugging an HIV positive sexual partner without using barrier precautions
b) Inhaling cocaine or other recreational drugs
c) Sharing a drink bottle with an HIV positive person
d) Sexual intercourse with an HIV positive person without using a condom
D
The physician prescribes zidovudine (AZT) a drug that acts to help
a) Destroy the virus
b) Enhance the body‟s antibody production
c) Slow replication of the virus
d) Neutralise toxin; produced by the causative organism
C
Lydia acquires herpes genitalis and is counselled by the nurse concerning follow
up
,care. Women who have this disease are at risk of developing
a) Sterility
b) Cervical cancer
c) Uterine fibroid rumours
d) Irregular menses
B
The primary reason that a herpes simplex infection is a serious concern to a client
with HIV infection is that herpes simplex
a) Is an acquired immunodeficiency virus (AIDS) defining illness
b) Is curable only after 1 year of antiviral therapy
c) Can lead to cervical cancer
d) Causes severe electrolyte imbalances
A
In providing education to Lydia, the nurse should take into account the fact that the
most effective method known to control the spread to HIV infection is
a) Premarital serologic screening
b) Prophylactic treatment of exposed people
c) Laboratory screening of pregnant women
d) Ongoing sex education about preventive behaviours
D
13. Lydia becomes depressed about her diagnosis and tells the nurse "I have
nothing
worth living for now." Which of the following statements would be the best
response
by the nurse
a) There is much to live for; you may not develop AIDS for years
b) You should not be too depressed; we are searching to find a cure for AIDS
c) You are right; it is very depressing to have HIV
d) Tell me more about how you are feeling at being HIV positive
d
14. The organism responsible for causing syphilis is classified as a
a) Virus
b) Fungus
, c) Rickettsia
d) Spirochete
D
The typical chancre of syphilis appears as a
A) A grouping of small, tender pimples
b) An elevated wart
C) A painless moist ulcer
D) An itching, crusted area
c
When interviewing James, the nurse should anticipate that the most difficult
problem
is likely to be
a) Motivating the client to undergo treatment
b) Obtaining a list of the clients sexual contacts
c) Increasing the clients knowledge of the disease
d) Assuring the client that records are confidential
B
Probenecid is prescribed in conjunction with penicillin as treatment for syphilis
because probenecid helps
a) Delay detoxification of penicillin
b) Inhibit excretion of penicillin
c) Maintain sensitivity of organisms to penicillin
d) Decrease the likelihood of an allergic reaction to penicillin
B
A priority nursing diagnosis for a James would likely be
a) High risk for infection transmission related to lack of knowledge about mode of
spread
b) Pain related to cutaneous skin lesions on palms and soles
c) Altered skin tissue perfusion related to a bleeding chancre
d) Image disturbance related to alopecia
A
QUESTIONS & CORRECT ANSWERS LATEST
2026/2027
The initial diagnosis of pancreatitis would be confirmed if bills blood test showed a
significant elevation in serum
a) Amylase
b) Glucose
c) Potassium
d) Trypsin
Amylase
In pancreatitis, Pain control is an important nursing goal. Which of the following
medications would
be the drug of choice
a) Pethidine
b) Cimetidine
c) Morphine
d) Codeine
Morphine
You monitor bills vital signs frequently, observing for the signs of shock. Shock is
extremely difficult to manage in pancreatitis primarily because of the
a) Frequency and severity of gastrointestinal haemorrhage
b) Vasodilating effects of kinin peptides
c) Tendency towards congestive heart failure
d) Frequent incidence of acute tubular necrosis
B
While helping bill change position in bed, you note bill has muscle twitching in his
bands and forearms. These symptoms are significant because clients who suffer
from
,pancreatitis are at risk of
a) Hypermagnisemia
b) Hypoglycaemia
c) Hypocalcaemia
d) Hyponatremia
C
Bill does not drink alcohol because of his religious beliefs. When the physician
persists in asking him about his alcohol intake, bill becomes annoyed. You explain
the
reasoning behind the questioning by telling bill that
a) There is a strong link between alcohol use and pancreatitis
b) Alcohol intake can interfere with some of the tests used to diagnose pancreatitis
c) Alcoholism is a major health problem and all hospitalised clients are asked
about
their alcohol intake
d) The physician must obtain the pertinent facts, and religious beliefs cannot be
considered
C
Lydia asks the nurse, „how could this have happened?" the nurse responds to the
question based on the most frequent mode of HIV transmission, which is
a) Hugging an HIV positive sexual partner without using barrier precautions
b) Inhaling cocaine or other recreational drugs
c) Sharing a drink bottle with an HIV positive person
d) Sexual intercourse with an HIV positive person without using a condom
D
The physician prescribes zidovudine (AZT) a drug that acts to help
a) Destroy the virus
b) Enhance the body‟s antibody production
c) Slow replication of the virus
d) Neutralise toxin; produced by the causative organism
C
Lydia acquires herpes genitalis and is counselled by the nurse concerning follow
up
,care. Women who have this disease are at risk of developing
a) Sterility
b) Cervical cancer
c) Uterine fibroid rumours
d) Irregular menses
B
The primary reason that a herpes simplex infection is a serious concern to a client
with HIV infection is that herpes simplex
a) Is an acquired immunodeficiency virus (AIDS) defining illness
b) Is curable only after 1 year of antiviral therapy
c) Can lead to cervical cancer
d) Causes severe electrolyte imbalances
A
In providing education to Lydia, the nurse should take into account the fact that the
most effective method known to control the spread to HIV infection is
a) Premarital serologic screening
b) Prophylactic treatment of exposed people
c) Laboratory screening of pregnant women
d) Ongoing sex education about preventive behaviours
D
13. Lydia becomes depressed about her diagnosis and tells the nurse "I have
nothing
worth living for now." Which of the following statements would be the best
response
by the nurse
a) There is much to live for; you may not develop AIDS for years
b) You should not be too depressed; we are searching to find a cure for AIDS
c) You are right; it is very depressing to have HIV
d) Tell me more about how you are feeling at being HIV positive
d
14. The organism responsible for causing syphilis is classified as a
a) Virus
b) Fungus
, c) Rickettsia
d) Spirochete
D
The typical chancre of syphilis appears as a
A) A grouping of small, tender pimples
b) An elevated wart
C) A painless moist ulcer
D) An itching, crusted area
c
When interviewing James, the nurse should anticipate that the most difficult
problem
is likely to be
a) Motivating the client to undergo treatment
b) Obtaining a list of the clients sexual contacts
c) Increasing the clients knowledge of the disease
d) Assuring the client that records are confidential
B
Probenecid is prescribed in conjunction with penicillin as treatment for syphilis
because probenecid helps
a) Delay detoxification of penicillin
b) Inhibit excretion of penicillin
c) Maintain sensitivity of organisms to penicillin
d) Decrease the likelihood of an allergic reaction to penicillin
B
A priority nursing diagnosis for a James would likely be
a) High risk for infection transmission related to lack of knowledge about mode of
spread
b) Pain related to cutaneous skin lesions on palms and soles
c) Altered skin tissue perfusion related to a bleeding chancre
d) Image disturbance related to alopecia
A
