NURSING STATE MCQs
The role of the Nursing Council of New Zealand is:
a. to protect the unregulated and regulated health workforce
b. to regulate doctors to protect public safety
c. to regulate nursing to protect public safety
d. to protect the nursing workforce. - Answer-c. to regulate nursing to protect public
safety
While at work you answer a phone call from a person who is very distressed but
won't give you their name. You should:
a. Tell them to ring back when they are less upset
b. Introduce yourself and tell them what you do.
c. Explain that you need to see them to talk to them properly.
d. Establish a rapport to obtain useful information. - Answer-d. Establish a rapport to
obtain useful information.
A person's response to surgery is influenced by many factors. When a person is
admitted for surgery you should explore:
a. their perceptions and expectations for the admission
b. the risks they are exposed to during surgery
c. the reason for surgery instead of more conservative treatment
d. how psychological stress affects their long-term prognosis - Answer-a. their
perceptions and expectations for the admission
A patient tells you they are worried about their surgery. You can most effectively help
to relieve their concerns by:
a. explaining what will happen before the surgery
b. explaining how pain will be controlled after the operation
c. encouraging them to discuss their perceptions of the operation
d. explaining how postoperative complications can be prevented. - Answer-c.
encouraging them to discuss their perceptions of the operation
While admitting a patient for a surgical procedure they ask you why they need to be
weighed. Your best reply would be:
a. "Surgery is not carried out on people who are above the ideal body weight."
b. "We need to compare your weight on admission with that on your discharge."
c. "Some drug dosages are calculated according to body weight."
d. "It is routine for all admission to this unit." - Answer-c. "Some drug dosages are
calculated according to body weight."
Prior to surgery, a patient is to have nothing to eat or drink. This is necessary to:
,a. assist in the proper absorption of the anaesthetic
b. prevent nausea and vomiting immediately after surgery
c. avoid the danger of inhaling stomach contents
d. avoid incontinence during surgery - Answer-c. avoid the danger of inhaling
stomach contents
One of your responsibilities when caring for a patient in the postoperative phase is to
observe for signs of haemorrhage. The type of shock resulting from haemorrhage is:
a. Hypovolaemic
b. Vasogenic
c. Neurogenic
d. Cardiogenic - Answer-a. Hypovolaemic
For eight hours following surgery, your patient has had an intravenous infusion
running but they are having difficulty passing urine. Your most appropriate action
would be to:
a. Offer adequate analgesia so that they are able to use their abdominal muscles
b. Assist the patient in standing and passing urine
c. Increase oral fluids to counteract any dehydration
d. Contact the house surgeon and prepare a tray for catheterisation. - Answer-b.
Assist the patient in standing and passing urine
To form a basis of trust in your professional relationship with a patient it is essential
for you to:
a. show an interest in the patient's problems
b. be honest and authentic when interacting with the patient
c. make a special time each day to meet with the patient
d. be open to any activity that the patient wishes to be involved in - Answer-b. be
honest and authentic when interacting with the patient
A patient's partner is worried that the patient is not getting enough to eat. They want
to feed them. Your most appropriate response is:
a. "I'm sure your partner would appreciate you doing this for them."
b. "What makes you think they are not getting enough to eat?"
c. "We want to encourage your partner's independence."
d. "I will discuss your partner's dietary needs with the dietician." - Answer-c. "We
want to encourage your partner's independence."
A patient has been prescribed morphine 8 mg 2-3 hourly PRN for pain. The unit
stock of morphine is 10 mg in 1 mL. How much morphine should be drawn up for the
patient?
a. 0.08 mL
b. 0.25 mL
c. 0.75 mL
d. 0.80 mL - Answer-d. 0.80 mL
,A patient has one litre of fluid running intravenously every 12 hours. The drop factor
is 60 drops per mL. How many drops per minute should be given?
a. 68 drops per minute
b. 83 drops per minute
c. 96 drops per minute
d. 120 drops per minute - Answer-b. 83 drops per minute
A child weighs 22.4 kg, and the prescription is for 24 mg/kg body weight. The
medication comes at a strength of 50 mg/mL. Calculate how many mL (to one
decimal place) of the medication the child should receive:
a. 7.5 mL
b. 8.5 mL
c. 9.8 mL
d. 10.8 mL - Answer-d. 10.8 mL
What is the alcoholic-induced dementia called?
a. Alzheimer's
b. Lewy body
c. Karascoffs syndrome - Answer-c. Karascoffs syndrome
What is your first response to an acute spinal injury?
a. Immobilise the patient
b. Catheterisation
c. Stabilise airway
d. Pain relief - Answer-a. Immobilise the patient
You come across a patient who has fallen in the shower, what is your first response?
a. Assess danger
b. Send for help
c. Stabilise airway
d. Responsiveness - Answer-a. Assess danger
What is a sign of hypoxia?
a. Hypertension
b. Tachycardia
c. Tachypnoea
d. Bradycardia - Answer-c. Tachypnoea
Rapid breathing to increase the oxygen levels in the body.
Why is insulin only given by injection and not as an oral drug?
a. Injected insulin works faster than oral drugs to lower blood glucose levels
, b. Insulin is a small protein that is destroyed by stomach acids and intestinal
enzymes
c. Insulin is a "high-alert drug" and could more easily be abused if it were available
as an oral agent
d. Oral insulin has a high "first pass loss" rate in the liver and would require very high
dosages to be effective. - Answer-b. Insulin is a small protein that is destroyed by
stomach acids and intestinal enzymes
A parent is coming in with their 15-month-old child for their immunisations. The dad
is worried about how they will manage at home afterwards. What is the correct
statement about paracetamol?
a. Don't give paracetamol it doesn't work
b. Give paracetamol prior to appointment and then 4 times over the next 24 hours
c. Only give if needed and no more than 4 times over 24 hour period - Answer-b.
Give paracetamol prior to appointment and then 4 times over the next 24 hours
How is Gonorrhoea treated?
a. Antivirals
b. Antibiotics as its bacterial
c. Antifungals because it's fungal
d. Nothing - Answer-b. Antibiotics as its bacterial
A 16-year-old is admitted to a mental health facility for psychosis, he expresses he
thinks he has a sexually transmitted infection as he had unprotected sex, he tells you
he does not want his parents to know. What is your next action?
a. Keep his confidentiality
b. Say I have to tell your parents
c. Book him into the sexual health clinic
d. Admit him under the MHA assessment and treatment - Answer-a. Keep his
confidentiality
A patient who is under the MHA with mania is disruptive and starting to annoy other
patients. What is your best response?
a. Leave them in a room alone
b. Tell them this was unacceptable and set boundaries
c. Get them to express how they are feeling
d. Give PRN medication. - Answer-b. Tell them this was unacceptable and set
boundaries
A patient is becoming very aggressive. What is your best action to ensure your
safety?
a. Give them space and let the team know
b. Take them to a quiet room
c. Distraction techniques
The role of the Nursing Council of New Zealand is:
a. to protect the unregulated and regulated health workforce
b. to regulate doctors to protect public safety
c. to regulate nursing to protect public safety
d. to protect the nursing workforce. - Answer-c. to regulate nursing to protect public
safety
While at work you answer a phone call from a person who is very distressed but
won't give you their name. You should:
a. Tell them to ring back when they are less upset
b. Introduce yourself and tell them what you do.
c. Explain that you need to see them to talk to them properly.
d. Establish a rapport to obtain useful information. - Answer-d. Establish a rapport to
obtain useful information.
A person's response to surgery is influenced by many factors. When a person is
admitted for surgery you should explore:
a. their perceptions and expectations for the admission
b. the risks they are exposed to during surgery
c. the reason for surgery instead of more conservative treatment
d. how psychological stress affects their long-term prognosis - Answer-a. their
perceptions and expectations for the admission
A patient tells you they are worried about their surgery. You can most effectively help
to relieve their concerns by:
a. explaining what will happen before the surgery
b. explaining how pain will be controlled after the operation
c. encouraging them to discuss their perceptions of the operation
d. explaining how postoperative complications can be prevented. - Answer-c.
encouraging them to discuss their perceptions of the operation
While admitting a patient for a surgical procedure they ask you why they need to be
weighed. Your best reply would be:
a. "Surgery is not carried out on people who are above the ideal body weight."
b. "We need to compare your weight on admission with that on your discharge."
c. "Some drug dosages are calculated according to body weight."
d. "It is routine for all admission to this unit." - Answer-c. "Some drug dosages are
calculated according to body weight."
Prior to surgery, a patient is to have nothing to eat or drink. This is necessary to:
,a. assist in the proper absorption of the anaesthetic
b. prevent nausea and vomiting immediately after surgery
c. avoid the danger of inhaling stomach contents
d. avoid incontinence during surgery - Answer-c. avoid the danger of inhaling
stomach contents
One of your responsibilities when caring for a patient in the postoperative phase is to
observe for signs of haemorrhage. The type of shock resulting from haemorrhage is:
a. Hypovolaemic
b. Vasogenic
c. Neurogenic
d. Cardiogenic - Answer-a. Hypovolaemic
For eight hours following surgery, your patient has had an intravenous infusion
running but they are having difficulty passing urine. Your most appropriate action
would be to:
a. Offer adequate analgesia so that they are able to use their abdominal muscles
b. Assist the patient in standing and passing urine
c. Increase oral fluids to counteract any dehydration
d. Contact the house surgeon and prepare a tray for catheterisation. - Answer-b.
Assist the patient in standing and passing urine
To form a basis of trust in your professional relationship with a patient it is essential
for you to:
a. show an interest in the patient's problems
b. be honest and authentic when interacting with the patient
c. make a special time each day to meet with the patient
d. be open to any activity that the patient wishes to be involved in - Answer-b. be
honest and authentic when interacting with the patient
A patient's partner is worried that the patient is not getting enough to eat. They want
to feed them. Your most appropriate response is:
a. "I'm sure your partner would appreciate you doing this for them."
b. "What makes you think they are not getting enough to eat?"
c. "We want to encourage your partner's independence."
d. "I will discuss your partner's dietary needs with the dietician." - Answer-c. "We
want to encourage your partner's independence."
A patient has been prescribed morphine 8 mg 2-3 hourly PRN for pain. The unit
stock of morphine is 10 mg in 1 mL. How much morphine should be drawn up for the
patient?
a. 0.08 mL
b. 0.25 mL
c. 0.75 mL
d. 0.80 mL - Answer-d. 0.80 mL
,A patient has one litre of fluid running intravenously every 12 hours. The drop factor
is 60 drops per mL. How many drops per minute should be given?
a. 68 drops per minute
b. 83 drops per minute
c. 96 drops per minute
d. 120 drops per minute - Answer-b. 83 drops per minute
A child weighs 22.4 kg, and the prescription is for 24 mg/kg body weight. The
medication comes at a strength of 50 mg/mL. Calculate how many mL (to one
decimal place) of the medication the child should receive:
a. 7.5 mL
b. 8.5 mL
c. 9.8 mL
d. 10.8 mL - Answer-d. 10.8 mL
What is the alcoholic-induced dementia called?
a. Alzheimer's
b. Lewy body
c. Karascoffs syndrome - Answer-c. Karascoffs syndrome
What is your first response to an acute spinal injury?
a. Immobilise the patient
b. Catheterisation
c. Stabilise airway
d. Pain relief - Answer-a. Immobilise the patient
You come across a patient who has fallen in the shower, what is your first response?
a. Assess danger
b. Send for help
c. Stabilise airway
d. Responsiveness - Answer-a. Assess danger
What is a sign of hypoxia?
a. Hypertension
b. Tachycardia
c. Tachypnoea
d. Bradycardia - Answer-c. Tachypnoea
Rapid breathing to increase the oxygen levels in the body.
Why is insulin only given by injection and not as an oral drug?
a. Injected insulin works faster than oral drugs to lower blood glucose levels
, b. Insulin is a small protein that is destroyed by stomach acids and intestinal
enzymes
c. Insulin is a "high-alert drug" and could more easily be abused if it were available
as an oral agent
d. Oral insulin has a high "first pass loss" rate in the liver and would require very high
dosages to be effective. - Answer-b. Insulin is a small protein that is destroyed by
stomach acids and intestinal enzymes
A parent is coming in with their 15-month-old child for their immunisations. The dad
is worried about how they will manage at home afterwards. What is the correct
statement about paracetamol?
a. Don't give paracetamol it doesn't work
b. Give paracetamol prior to appointment and then 4 times over the next 24 hours
c. Only give if needed and no more than 4 times over 24 hour period - Answer-b.
Give paracetamol prior to appointment and then 4 times over the next 24 hours
How is Gonorrhoea treated?
a. Antivirals
b. Antibiotics as its bacterial
c. Antifungals because it's fungal
d. Nothing - Answer-b. Antibiotics as its bacterial
A 16-year-old is admitted to a mental health facility for psychosis, he expresses he
thinks he has a sexually transmitted infection as he had unprotected sex, he tells you
he does not want his parents to know. What is your next action?
a. Keep his confidentiality
b. Say I have to tell your parents
c. Book him into the sexual health clinic
d. Admit him under the MHA assessment and treatment - Answer-a. Keep his
confidentiality
A patient who is under the MHA with mania is disruptive and starting to annoy other
patients. What is your best response?
a. Leave them in a room alone
b. Tell them this was unacceptable and set boundaries
c. Get them to express how they are feeling
d. Give PRN medication. - Answer-b. Tell them this was unacceptable and set
boundaries
A patient is becoming very aggressive. What is your best action to ensure your
safety?
a. Give them space and let the team know
b. Take them to a quiet room
c. Distraction techniques
