NURSING LICENSURE
NZ NURSING STATE EXAM 2026/2027
QUESTIONS WITH 100% CORRECT
SOLUTIONS!!
A+
Complete Blueprint Coverage
A+ 5 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
Professional Responsibility
Management of Nursing Care
Interpersonal Relationships
Interprofessional Health Care and Quality Improvement
Medicine and Fluid Calculations
STUVIAACTUALEXAM
,PROFESSIONAL RESPONSIBILITY
Q1
A registered nurse is caring for a M■ori patient who declines a recommended treatment that conflicts with her
cultural beliefs. The nurse recognises the principles of Te Tiriti o Waitangi. The most appropriate next action is to:
A. Document the refusal and proceed with the treatment under the principle of protection.
B. Engage in open dialogue to understand the patient's perspective and explore culturally acceptable alternatives in
partnership.
C. Refer the patient to a cultural advisor and withdraw from further discussion to maintain professional distance.
D. Notify the medical team that the patient is non-compliant and request a capacity assessment.
Correct Answer: B
Rationale:
Te Tiriti o Waitangi emphasises partnership, participation and protection. Engaging in dialogue upholds partnership and
enables culturally safe care. Proceeding against the patient's wishes violates autonomy and cultural safety; referral alone
without ongoing engagement abandons the therapeutic relationship.
Q2
During a busy shift a senior nurse repeatedly raises her voice at a junior colleague in front of patients. The junior
nurse feels demeaned and notes that patient care is being affected by the tense atmosphere. The most
appropriate first response reflecting cultural safety principles is to:
A. Immediately report the senior nurse to the Nursing Council for professional misconduct.
B. Ignore the behaviour to avoid escalating conflict and focus solely on clinical tasks.
C. Address the behaviour privately with the senior nurse, describing the impact on team safety and patient
experience.
D. Request a transfer to another ward without discussing the issue with anyone.
Correct Answer: C
Rationale:
Cultural safety includes recognising power imbalances within the healthcare team. A private, constructive conversation is the
least hierarchical first step and models professional accountability. Immediate formal reporting may be necessary later but is
not the initial action; silence or transfer does not address the safety risk.
NZ NURSING STATE EXAM 2026/2027 QUESTIONS WITH 100% CORRECT SOLUTIONS!! Page 2
, Q3
An enrolled nurse is asked by a registered nurse to independently assess a newly admitted complex medical
patient and formulate a nursing care plan without supervision. The enrolled nurse should:
A. Accept the task because the RN has delegated it and the EN is competent in basic assessment.
B. Decline the request because comprehensive assessment and care planning for complex patients sits outside the
EN scope of practice.
C. Complete the assessment but leave the care plan blank for the RN to complete later.
D. Ask the patient if they consent to the EN performing the assessment before proceeding.
Correct Answer: B
Rationale:
The EN scope requires direction and delegation from an RN for complex care. Independent comprehensive assessment and
care planning for complex patients exceeds EN competencies. Accepting or partially completing the task places both the
patient and the EN at risk of practising outside scope.
Q4
A nurse notices that a colleague smells of alcohol at the start of a night shift and is unsteady while preparing
medications. The colleague insists they are fine and asks the nurse to keep quiet. The nurse's primary
professional obligation is to:
A. Respect the colleague's privacy and monitor them closely during the shift.
B. Report the concern immediately to the charge nurse or nursing supervisor so the colleague can be removed from
patient care.
C. Confront the colleague privately and offer to drive them home after the shift.
D. Document the observation in the colleague's personal file and take no further action.
Correct Answer: B
Rationale:
Patient safety is paramount. A nurse impaired by alcohol presents an immediate risk. Reporting to the supervisor enables
prompt removal from clinical duties. Privacy considerations do not override the duty to protect patients; delayed action or
private confrontation leaves patients exposed.
NZ NURSING STATE EXAM 2026/2027 QUESTIONS WITH 100% CORRECT SOLUTIONS!! Page 3
NZ NURSING STATE EXAM 2026/2027
QUESTIONS WITH 100% CORRECT
SOLUTIONS!!
A+
Complete Blueprint Coverage
A+ 5 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
Professional Responsibility
Management of Nursing Care
Interpersonal Relationships
Interprofessional Health Care and Quality Improvement
Medicine and Fluid Calculations
STUVIAACTUALEXAM
,PROFESSIONAL RESPONSIBILITY
Q1
A registered nurse is caring for a M■ori patient who declines a recommended treatment that conflicts with her
cultural beliefs. The nurse recognises the principles of Te Tiriti o Waitangi. The most appropriate next action is to:
A. Document the refusal and proceed with the treatment under the principle of protection.
B. Engage in open dialogue to understand the patient's perspective and explore culturally acceptable alternatives in
partnership.
C. Refer the patient to a cultural advisor and withdraw from further discussion to maintain professional distance.
D. Notify the medical team that the patient is non-compliant and request a capacity assessment.
Correct Answer: B
Rationale:
Te Tiriti o Waitangi emphasises partnership, participation and protection. Engaging in dialogue upholds partnership and
enables culturally safe care. Proceeding against the patient's wishes violates autonomy and cultural safety; referral alone
without ongoing engagement abandons the therapeutic relationship.
Q2
During a busy shift a senior nurse repeatedly raises her voice at a junior colleague in front of patients. The junior
nurse feels demeaned and notes that patient care is being affected by the tense atmosphere. The most
appropriate first response reflecting cultural safety principles is to:
A. Immediately report the senior nurse to the Nursing Council for professional misconduct.
B. Ignore the behaviour to avoid escalating conflict and focus solely on clinical tasks.
C. Address the behaviour privately with the senior nurse, describing the impact on team safety and patient
experience.
D. Request a transfer to another ward without discussing the issue with anyone.
Correct Answer: C
Rationale:
Cultural safety includes recognising power imbalances within the healthcare team. A private, constructive conversation is the
least hierarchical first step and models professional accountability. Immediate formal reporting may be necessary later but is
not the initial action; silence or transfer does not address the safety risk.
NZ NURSING STATE EXAM 2026/2027 QUESTIONS WITH 100% CORRECT SOLUTIONS!! Page 2
, Q3
An enrolled nurse is asked by a registered nurse to independently assess a newly admitted complex medical
patient and formulate a nursing care plan without supervision. The enrolled nurse should:
A. Accept the task because the RN has delegated it and the EN is competent in basic assessment.
B. Decline the request because comprehensive assessment and care planning for complex patients sits outside the
EN scope of practice.
C. Complete the assessment but leave the care plan blank for the RN to complete later.
D. Ask the patient if they consent to the EN performing the assessment before proceeding.
Correct Answer: B
Rationale:
The EN scope requires direction and delegation from an RN for complex care. Independent comprehensive assessment and
care planning for complex patients exceeds EN competencies. Accepting or partially completing the task places both the
patient and the EN at risk of practising outside scope.
Q4
A nurse notices that a colleague smells of alcohol at the start of a night shift and is unsteady while preparing
medications. The colleague insists they are fine and asks the nurse to keep quiet. The nurse's primary
professional obligation is to:
A. Respect the colleague's privacy and monitor them closely during the shift.
B. Report the concern immediately to the charge nurse or nursing supervisor so the colleague can be removed from
patient care.
C. Confront the colleague privately and offer to drive them home after the shift.
D. Document the observation in the colleague's personal file and take no further action.
Correct Answer: B
Rationale:
Patient safety is paramount. A nurse impaired by alcohol presents an immediate risk. Reporting to the supervisor enables
prompt removal from clinical duties. Privacy considerations do not override the duty to protect patients; delayed action or
private confrontation leaves patients exposed.
NZ NURSING STATE EXAM 2026/2027 QUESTIONS WITH 100% CORRECT SOLUTIONS!! Page 3
