State Exam Nursing New Zealand
questions with complete solutions
What does Ambulatory mean? - answer-Day surgery (max stay 23 hours)
V V V V V V V V V V
What does inpatient surgical care mean? - answer-Admitted to hospital (min 24 hours)
V V V V V V V V V V V V
Surgery classifications? - answer-Elective
V V V
Diagnostic
Acute
List 3 patient orientated goals post surgery? - answer-Return to normal physical
V V V V V V V V V V V
function
V
Remain free from post op complications
V V V V V
Achieve emotional and physical comfort
V V V V
What is included in a pre-op assessment? (5) - answer-Obtain history
V V V V V V V V V V
Physical assessment V
Determine patient understanding V V
Identify emotional state and coping skills
V V V V V
Check consent, pre anaesthetic form complete, other pre anaesthetic orders
V V V V V V V V V
What does atelectasis mean? - answer-Collapse or closure of lung resulting in reduced
V V V V V V V V V V V V
or absent gas exchange
V V V V
List 5 ways to safely care for post op patients? - answer-Fluid balance input and output
V V V V V V V V V V V V V V V
V
Pain management
V V
Assessing wound V
Vital signs every five minutes
V V V V
Checking IV site V V
What is meningitis? - answer-A serious disease in which there is inflammation of the
V V V V V V V V V V V V V
meninges
V
Signs and symptoms of meningitis? - answer-Intense headache
V V V V V V V
Fever
Light sensitivity
V
Muscular rigidity V
,Main cause of meningitis? - answer-Bacterial: Streptococcus pneumoniae
V V V V V V V V
Viral: Enterovirus V
Signs of raised intercranial pressure? (4) - answer-Headache
V V V V V V V
Nausea
Increased bp V
Confusion
What is the purpose of the nursing council? - answer-To protect the health and safety
V V V V V V V V V V V V V V
of members of the public by ensuring RNs are registered, fit to practise, and
V V V V V V V V V V V V V V
competent.
V
Signs of otitis? (Ear infection/inflammation) - answer-Ear pain
V V V V V V V
Fever
Difficulty hearing V
What would you do if prescribed medication was not signed by the doctor? - answer-
V V V V V V V V V V V V V V
Do not give until a signature or verbal consent has been given with a witness
V V V V V V V V V V V V V V
Signs of a patient on methamphetamine? (5) - answer-Dilated pupils
V V V V V V V V V
Agitation
Increased bp V V
Loss of appetiteV V
Paranoia
List 5 pieces of advice to give a patient following a total hip replacement? - answer-
V V V V V V V V V V V V V V V
Place a pillow between legs when lying on side
V V V V V V V V V
Avoid bending past 90 degrees
V V V V
Avoid crossing legs V V
Sit on chairs higher than knee height
V V V V V V V
Take short frequent walks
V V V
What is airway obstruction caused by? - answer-Tongue
V V V V V V V
Laryngospasm
Retained secretions V
Insufficient anaesthetic reversal V V
Treatment for airway obstruction? - answer-Correct positioning
V V V V V V
o2 therapy
V
Suctioning
Close monitoring V
Viral signs V
Anti emeticsV
Manifestations of atelectasis? - answer-Insidious onset V V V V V
Early s&s: cough, sputum, low grade fever
V V V V V V
,Later s&s: respiratory distress, dyspnoea, tachycardia, pleural pain, cyanosis, anxiety
V V V V V V V V V
What is a pulmonary embolism? - answer-Occurs from a deep vein thrombosis, clot
V V V V V V V V V V V V
forms, travels to lungs or brain, life threatening
V V V V V V V V
Diagnosis of a pulmonary embolism? - answer-Chest X-ray
V V V V V V V V
Ecg V
Abg V
Ultra sound V
Pulmonary angiography V
How to prevent a pulmonary embolism? - answer-Pre op weight loss
V V V V V V V V V V
Compression stockings V
Early animation V
Hydration
Meds
What causes a deep vein thrombosis? - answer-Occurs in leg veins due to inactivity,
V V V V V V V V V V V V V
body positioning, and pressure
V V V V
Risk factors for DVTs? - answer-Elderly
V V V V V
Poor nutrition
V
Surgery over three hours V V V
Limited mobility V
Long haul flights
V V
Diabetes
What is wound dehiscence? - answer-Disruption of previously joined wound edges due
V V V V V V V V V V V
to an infection, too tight sutures, or injury to wound
V V V V V V V V V V
Risk factors for wound dehiscence? - answer-Elderly
V V V V V V
Poor nutrition
V
Diabetes
Abdominal surgery V
Immunosuppressant
Smoking
Signs of wound inflammation? - answer-Redness
V V V V V
Warmth
Malaise ( general discomfort) V V V
Tachycardia
Febrile
What are treatments for pain? - answer-Positioning
V V V V V V
Analgesia
, List some side effects of opioid use? - answer-Decreased bp
V V V V V V V V V
Decreased LOC V
Vomitting
Respiratory depression V
Constipation
What would you assume if someone's temperature was slightly lower post surgery? -
V V V V V V V V V V V V
answer-This could be normal due to lack of muscle movement to keep body warm
V V V V V V V V V V V V V V
What would you assume if someone's temperature was slightly higher post surgery? -
V V V V V V V V V V V V
answer-This could be normal due to inflammation being the 1st sign of healing
V V V V V V V V V V V V V
What would a temp above 38 4-5 days post op signify? - answer-Infection/sepsis
V V V V V V V V V V V V
What is autologous blood collection? - answer-Providing blood for oneself
V V V V V V V V V
What fresh blood components are given in blood transfusions? - answer-Red cells-
V V V V V V V V V V V
used to treat anaemia, severe bleeding.
V V V V V V V
Platelets- to stop bleeding, used in ICU or cancer treatment
V V V V V V V V V
Fresh frozen plasma or cryoprecipitate- used for replacing clotting factors and rarely
V V V V V V V V V V V
other blood proteins. Used in ICU or liver disease patients
V V V V V V V V V V
Blood donations are always tested for? - answer-Infection
V V V V V V V
Hep B & C V V V
HIV & AIDS
V V V
Syphilis V
ABO group V
Rh type
V
Blood group antibodies
V V
What cell is carefully checked before a blood transfusion for incompatibility? - answer-
V V V V V V V V V V V V
Red blood cells
V V
What is a blood crossmatch? - answer-When a sample of the patients blood is used
V V V V V V V V V V V V V V
along with the donors blood for a transfusion
V V V V V V V V
List some risks for blood transfusions? - answer-Mild fever
V V V V V V V V
Skin rash V
Kidney failure V
Dyspnoea
Minor virus infection
V V
What type of burns are there? - answer-Thermal
V V V V V V V
Electrical
Caustic chemical injury V V V
Radiation exposure V
questions with complete solutions
What does Ambulatory mean? - answer-Day surgery (max stay 23 hours)
V V V V V V V V V V
What does inpatient surgical care mean? - answer-Admitted to hospital (min 24 hours)
V V V V V V V V V V V V
Surgery classifications? - answer-Elective
V V V
Diagnostic
Acute
List 3 patient orientated goals post surgery? - answer-Return to normal physical
V V V V V V V V V V V
function
V
Remain free from post op complications
V V V V V
Achieve emotional and physical comfort
V V V V
What is included in a pre-op assessment? (5) - answer-Obtain history
V V V V V V V V V V
Physical assessment V
Determine patient understanding V V
Identify emotional state and coping skills
V V V V V
Check consent, pre anaesthetic form complete, other pre anaesthetic orders
V V V V V V V V V
What does atelectasis mean? - answer-Collapse or closure of lung resulting in reduced
V V V V V V V V V V V V
or absent gas exchange
V V V V
List 5 ways to safely care for post op patients? - answer-Fluid balance input and output
V V V V V V V V V V V V V V V
V
Pain management
V V
Assessing wound V
Vital signs every five minutes
V V V V
Checking IV site V V
What is meningitis? - answer-A serious disease in which there is inflammation of the
V V V V V V V V V V V V V
meninges
V
Signs and symptoms of meningitis? - answer-Intense headache
V V V V V V V
Fever
Light sensitivity
V
Muscular rigidity V
,Main cause of meningitis? - answer-Bacterial: Streptococcus pneumoniae
V V V V V V V V
Viral: Enterovirus V
Signs of raised intercranial pressure? (4) - answer-Headache
V V V V V V V
Nausea
Increased bp V
Confusion
What is the purpose of the nursing council? - answer-To protect the health and safety
V V V V V V V V V V V V V V
of members of the public by ensuring RNs are registered, fit to practise, and
V V V V V V V V V V V V V V
competent.
V
Signs of otitis? (Ear infection/inflammation) - answer-Ear pain
V V V V V V V
Fever
Difficulty hearing V
What would you do if prescribed medication was not signed by the doctor? - answer-
V V V V V V V V V V V V V V
Do not give until a signature or verbal consent has been given with a witness
V V V V V V V V V V V V V V
Signs of a patient on methamphetamine? (5) - answer-Dilated pupils
V V V V V V V V V
Agitation
Increased bp V V
Loss of appetiteV V
Paranoia
List 5 pieces of advice to give a patient following a total hip replacement? - answer-
V V V V V V V V V V V V V V V
Place a pillow between legs when lying on side
V V V V V V V V V
Avoid bending past 90 degrees
V V V V
Avoid crossing legs V V
Sit on chairs higher than knee height
V V V V V V V
Take short frequent walks
V V V
What is airway obstruction caused by? - answer-Tongue
V V V V V V V
Laryngospasm
Retained secretions V
Insufficient anaesthetic reversal V V
Treatment for airway obstruction? - answer-Correct positioning
V V V V V V
o2 therapy
V
Suctioning
Close monitoring V
Viral signs V
Anti emeticsV
Manifestations of atelectasis? - answer-Insidious onset V V V V V
Early s&s: cough, sputum, low grade fever
V V V V V V
,Later s&s: respiratory distress, dyspnoea, tachycardia, pleural pain, cyanosis, anxiety
V V V V V V V V V
What is a pulmonary embolism? - answer-Occurs from a deep vein thrombosis, clot
V V V V V V V V V V V V
forms, travels to lungs or brain, life threatening
V V V V V V V V
Diagnosis of a pulmonary embolism? - answer-Chest X-ray
V V V V V V V V
Ecg V
Abg V
Ultra sound V
Pulmonary angiography V
How to prevent a pulmonary embolism? - answer-Pre op weight loss
V V V V V V V V V V
Compression stockings V
Early animation V
Hydration
Meds
What causes a deep vein thrombosis? - answer-Occurs in leg veins due to inactivity,
V V V V V V V V V V V V V
body positioning, and pressure
V V V V
Risk factors for DVTs? - answer-Elderly
V V V V V
Poor nutrition
V
Surgery over three hours V V V
Limited mobility V
Long haul flights
V V
Diabetes
What is wound dehiscence? - answer-Disruption of previously joined wound edges due
V V V V V V V V V V V
to an infection, too tight sutures, or injury to wound
V V V V V V V V V V
Risk factors for wound dehiscence? - answer-Elderly
V V V V V V
Poor nutrition
V
Diabetes
Abdominal surgery V
Immunosuppressant
Smoking
Signs of wound inflammation? - answer-Redness
V V V V V
Warmth
Malaise ( general discomfort) V V V
Tachycardia
Febrile
What are treatments for pain? - answer-Positioning
V V V V V V
Analgesia
, List some side effects of opioid use? - answer-Decreased bp
V V V V V V V V V
Decreased LOC V
Vomitting
Respiratory depression V
Constipation
What would you assume if someone's temperature was slightly lower post surgery? -
V V V V V V V V V V V V
answer-This could be normal due to lack of muscle movement to keep body warm
V V V V V V V V V V V V V V
What would you assume if someone's temperature was slightly higher post surgery? -
V V V V V V V V V V V V
answer-This could be normal due to inflammation being the 1st sign of healing
V V V V V V V V V V V V V
What would a temp above 38 4-5 days post op signify? - answer-Infection/sepsis
V V V V V V V V V V V V
What is autologous blood collection? - answer-Providing blood for oneself
V V V V V V V V V
What fresh blood components are given in blood transfusions? - answer-Red cells-
V V V V V V V V V V V
used to treat anaemia, severe bleeding.
V V V V V V V
Platelets- to stop bleeding, used in ICU or cancer treatment
V V V V V V V V V
Fresh frozen plasma or cryoprecipitate- used for replacing clotting factors and rarely
V V V V V V V V V V V
other blood proteins. Used in ICU or liver disease patients
V V V V V V V V V V
Blood donations are always tested for? - answer-Infection
V V V V V V V
Hep B & C V V V
HIV & AIDS
V V V
Syphilis V
ABO group V
Rh type
V
Blood group antibodies
V V
What cell is carefully checked before a blood transfusion for incompatibility? - answer-
V V V V V V V V V V V V
Red blood cells
V V
What is a blood crossmatch? - answer-When a sample of the patients blood is used
V V V V V V V V V V V V V V
along with the donors blood for a transfusion
V V V V V V V V
List some risks for blood transfusions? - answer-Mild fever
V V V V V V V V
Skin rash V
Kidney failure V
Dyspnoea
Minor virus infection
V V
What type of burns are there? - answer-Thermal
V V V V V V V
Electrical
Caustic chemical injury V V V
Radiation exposure V
