NZ NURSING STATE PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION

NZ NURSING STATE PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION 1) what are the 9 ethical principles? - ANSWER -Autonomy -Beneficence -Non-maleficence -Justice -Confidentiality -Veracity -Fidelity -Guardianship of the environment -Being professional 2) Define Rangatiratanga - ANSWER Self-determination and right to determine destiny. 3) Define Manaakitanga - ANSWER Showing kindness, treating people with respect, caring for others, nurturing relationships. 4) Define Tika - ANSWER Importance of truth, justices, fairness and rights. 5) Define Whanaungatanga - ANSWER Process of establishing relationships, whanau connection 6) Define Kotahitanga - ANSWER Unity, togetherness, solidarity and collective action. 7) Define Wairuatanga - ANSWER Understanding and believing there is a spiritual existence in addition to the physical. 8) Define Kaitiatanga - ANSWER Guardianship or stewardship 9) Define veracity - ANSWER honest and truthfulness 10) Define fidelity - ANSWER obligation to remain faithful to one's commitment to others 11) What is principle 1 from Code of Conduct - ANSWER Respect the dignity & individuality of health consumers 12) What is principle 2 from Code of Conduct - ANSWER Respect the cultural needs & values of health consumers 13) What is principle 3 from Code of Conduct - ANSWER Work in partnership with health consumers to promote and protect their well-being 14) What is principle 4 from Code of Conduct - ANSWER Maintain health consumer trust by providing safe and competent care 15) What is principle 5 from Code of Conduct - ANSWER Respect health consumers privacy and confidentiality 16) What is principle 6 from Code of Conduct - ANSWER Work respectfully with colleagues to best meet health consumer needs 17) What is principle 7 from Code of Conduct - ANSWER Act with integrity to justify health consumers' trust 18) What is principle 8 from Code of Conduct - ANSWER Maintain public trust & confidence in the nursing profession. 19) Define Asthma - ANSWER Chronic inflammatory disorder of the airways characterized by reversible airway obstruction. 20) Name the 3 characteristics of asthma - ANSWER -Wheeziness -Chest tightness -Cough 21) Name common triggers for asthma - ANSWER -Tobacco -Pollutants -Exercise 22) Describe the Pathophysiology of Asthma - ANSWER Smooth muscles constrict in the bronchioles, airways become inflamed, mucus production increases 23) Common medications used to treat Asthma - ANSWER Short acting bronchodilator: Salbutamol & terbutaline Long acting bronchodilator: Salmeterol 24) Describe COPD - ANSWER Chronic Obstruction of Pulmonary Disease: Progressive development of airflow limitation that is not fully reversible and obstruction of the lung parenchyma occurs. 25) Define Emphysema - ANSWER Destruction of the alveolar walls, producing large air spaces within the lungs, loss of lung elasticity and air trapped = decreased surface area of lungs = decrease air exchange 26) Define Chronic Bronchitis - ANSWER When inflammation and blockage destroys cilia in the lungs = airflow resistance = increase of work of breathing. 27) What are the complications of COPD? - ANSWER Co-morbidities such as pneumonia, heart disease, 28) What is Heart Failure? - ANSWER When the heart is unable to pump and supply sufficient blood to the body needs 29) Definition of Shock - ANSWER It is a syndrome characterized by tissue ischemia from decreased peer fusion and impaired cellular metabolism 30) What are the 3 causes of cardiogenic shock? - ANSWER -primary ventricular ischemia caused by MI -structural problems -Arrhythmias 31) What does the 3 causes of cardiogenic shock result in? - ANSWER systolic dysfunction: ineffective forward movement of blood. This leads to decrease in stroke volume and cardiac output = decrease in cellular oxygen supply, tissue perfusion and impaired cellular metabolism. 32) What are the two types of hypovolaemia ? - ANSWER -Absolute hypovolaemia: Fluid loss from haemorrhage, GI loss or great big fistula. -Relative Hypovolaemia: When fluid moves from vascular space to extra vascular space 33) What is the pathophysiology of hypovolaemic shock? - ANSWER Decrease in circulating volume, venous return, stroke volume, cardiac output, cellular O2 supply, tissue perfusion and impaired cellular metabolism. 34) What are the four stages of Labour? - ANSWER -The cervix opens to 10cm dilated -The baby moves through the vagina and is born -The placenta is delivered -Rest & recovery 35) How long do you monitor the mother after birth and what do you monitor for? - ANSWER Must monitor the mother 1-2 hours postpartum to detect haemorrhage or hypovolaemia 36) Why do new borns need vitamin K? - ANSWER We administer vitamin K via vastus lateralis because newborns cannot synthesise vitamin K in the intestines without the bacterial flora. 37) What is the use of Pitocin? - ANSWER Pitocin is given to the mother after birth to help with involution when the size of the uterus returns to pre-pregnant state. 38) What are the conditions of labour stimulation? - ANSWER -Longitudinal lie -At least 39 weeks or fatal lung maturity -The mother must also have a ripe cervix (soft and supple) before she is induced 39) What are the methods of labour stimulation? - ANSWER -Breast stimulation -Amniotomy (artificial rupture of the membrane) -Oxytocin administration (stimulates the uterus muscles to contract) -Drugs containing prostaglandins 40) What is the Fetal Development stages? - ANSWER -Pre-embroyonic (fertilisation to 3 weeks) -Embryonic period (4-7weeks), organ system forms and the embryo is vulnerable to injury by maternal drug use, maternal infection & other factors Fetal period (week8-birth) 41) What is oestrogen's purpose in pregnancy? - ANSWER Stimulates uterine development, by maintaining a suitable environment for the foetus 42) What is Progesterone purpose? - ANSWER Reduces uterine muscle irritability & prevents spontaneous abortion of the foetus. 43) What is Chad wicks sign in relation to pregnancy - ANSWER When the vagina changes from pink to violet 44) What is Good wells sign in relation to pregnancy? - ANSWER The cervix softens 45) What is Haegar's sign in relation to pregnancy? - ANSWER When the lower uterine segment softens