NZ Nursing State Exam & Practice Exam Newest 2026 Test Bank
New Zealand Nursing State Final Exam Prep with Complete 120 Real Exam
Questions and Correct Detailed Answers (Verified Answers) Already Graded
A+ (Most Recent!!)
Domain 1: Professional Practice, Ethics & Legal Responsibilities (Questions
1–24)
1. Under the NCNZ Code of Conduct, which principle primarily guides a
registered nurse's response when a colleague's fitness to practise is
compromised?
A) Protecting public safety takes precedence over collegial loyalty
B) Reporting concerns only after obtaining the colleague's consent
C) Addressing the issue informally before considering formal notification
D) Documenting the concern internally without notifying the Nursing Council
Answer A: — Protecting public safety takes precedence over collegial loyalty
,Rationale: The NCNZ Code of Conduct directs nurses to prioritise public safety
and report fitness-to-practise concerns to the appropriate authority regardless
of collegial relationships. ---
2. According to the Health Practitioners Competence Assurance (HPCA) Act
2003, the primary purpose of the Nursing Council of New Zealand is to:
A) Advocate for higher wages for nurses
B) Regulate nurses to protect the safety of the public
C) Manage the employment of nurses in district health boards
D) Provide continuing education for nurses
Answer B: — Regulate nurses to protect the safety of the public
Rationale: The HPCA Act mandates that the Council's principal purpose is to
protect the health and safety of members of the public by ensuring nurses are
competent and fit to practise. ---
3. A patient refuses a life-saving blood transfusion due to religious beliefs.
The nurse should:
A) Give the transfusion as saving a life is priority
B) Call security to hold the patient down
C) Respect the patient's refusal and inform the medical team to explore
alternatives
,D) Tell the family to convince the patient
Answer C: — Respect the patient's refusal and inform the medical team to
explore alternatives
Rationale: A competent adult has the absolute legal right to refuse any
treatment, even if that decision leads to death. The nurse must respect this
and advocate for palliative or alternative care. ---
4. A nurse discovers that a colleague has administered a medication without
checking the patient's identity. The professional responsibility is to:
A) Ignore the incident to protect the colleague's reputation
B) Confront the colleague aggressively in front of the patient
C) Alter the medication chart to conceal the error
D) Report the incident through the appropriate organisational pathway so that
patient safety systems can respond and learning can occur
Answer D: — Report the incident through the appropriate organisational
pathway so that patient safety systems can respond and learning can occur
Rationale: Nurses have a duty to protect patients and uphold professional
standards. Reporting near-misses and errors through proper channels
supports a just culture and system improvement. ---
, 5. Which of the following sets best represents the core ethical principles in
nursing practice?
A) Accountability, Leadership, Innovation, Compassion, Teamwork
B) Autonomy, Beneficence, Non-maleficence, Justice, Confidentiality
C) Efficiency, Productivity, Cost-effectiveness, Transparency, Speed
D) Diagnosis, Prescription, Treatment, Discharge, Follow-up
Answer B: — Autonomy, Beneficence, Non-maleficence, Justice,
Confidentiality
Rationale: The foundational ethical principles guiding nursing practice are
Autonomy (respect for a patient's right to self-determination), Beneficence
(acting in the patient's best interest), Non-maleficence (avoiding harm),
Justice (fairness in resource distribution and care), and Confidentiality
(protecting patient information). ---
6. According to the New Zealand Nursing Council's Code of Conduct, which
principle obligates a nurse to work cooperatively with health consumers to
protect their well-being?
A) Principle 1
B) Principle 3
C) Principle 5
D) Principle 7
Answer B: — Principle 3
New Zealand Nursing State Final Exam Prep with Complete 120 Real Exam
Questions and Correct Detailed Answers (Verified Answers) Already Graded
A+ (Most Recent!!)
Domain 1: Professional Practice, Ethics & Legal Responsibilities (Questions
1–24)
1. Under the NCNZ Code of Conduct, which principle primarily guides a
registered nurse's response when a colleague's fitness to practise is
compromised?
A) Protecting public safety takes precedence over collegial loyalty
B) Reporting concerns only after obtaining the colleague's consent
C) Addressing the issue informally before considering formal notification
D) Documenting the concern internally without notifying the Nursing Council
Answer A: — Protecting public safety takes precedence over collegial loyalty
,Rationale: The NCNZ Code of Conduct directs nurses to prioritise public safety
and report fitness-to-practise concerns to the appropriate authority regardless
of collegial relationships. ---
2. According to the Health Practitioners Competence Assurance (HPCA) Act
2003, the primary purpose of the Nursing Council of New Zealand is to:
A) Advocate for higher wages for nurses
B) Regulate nurses to protect the safety of the public
C) Manage the employment of nurses in district health boards
D) Provide continuing education for nurses
Answer B: — Regulate nurses to protect the safety of the public
Rationale: The HPCA Act mandates that the Council's principal purpose is to
protect the health and safety of members of the public by ensuring nurses are
competent and fit to practise. ---
3. A patient refuses a life-saving blood transfusion due to religious beliefs.
The nurse should:
A) Give the transfusion as saving a life is priority
B) Call security to hold the patient down
C) Respect the patient's refusal and inform the medical team to explore
alternatives
,D) Tell the family to convince the patient
Answer C: — Respect the patient's refusal and inform the medical team to
explore alternatives
Rationale: A competent adult has the absolute legal right to refuse any
treatment, even if that decision leads to death. The nurse must respect this
and advocate for palliative or alternative care. ---
4. A nurse discovers that a colleague has administered a medication without
checking the patient's identity. The professional responsibility is to:
A) Ignore the incident to protect the colleague's reputation
B) Confront the colleague aggressively in front of the patient
C) Alter the medication chart to conceal the error
D) Report the incident through the appropriate organisational pathway so that
patient safety systems can respond and learning can occur
Answer D: — Report the incident through the appropriate organisational
pathway so that patient safety systems can respond and learning can occur
Rationale: Nurses have a duty to protect patients and uphold professional
standards. Reporting near-misses and errors through proper channels
supports a just culture and system improvement. ---
, 5. Which of the following sets best represents the core ethical principles in
nursing practice?
A) Accountability, Leadership, Innovation, Compassion, Teamwork
B) Autonomy, Beneficence, Non-maleficence, Justice, Confidentiality
C) Efficiency, Productivity, Cost-effectiveness, Transparency, Speed
D) Diagnosis, Prescription, Treatment, Discharge, Follow-up
Answer B: — Autonomy, Beneficence, Non-maleficence, Justice,
Confidentiality
Rationale: The foundational ethical principles guiding nursing practice are
Autonomy (respect for a patient's right to self-determination), Beneficence
(acting in the patient's best interest), Non-maleficence (avoiding harm),
Justice (fairness in resource distribution and care), and Confidentiality
(protecting patient information). ---
6. According to the New Zealand Nursing Council's Code of Conduct, which
principle obligates a nurse to work cooperatively with health consumers to
protect their well-being?
A) Principle 1
B) Principle 3
C) Principle 5
D) Principle 7
Answer B: — Principle 3
