NEW ZEALAND STATE EXAM
QUESTIONS AND ANSWERS
You are caring for bill, a 50 year old man who has been hospitalised with a possible
diagnosis of pancreatitis.
Which of the following symptoms would you anticipate observing in Bill?
a) elevated WBC count, ankle oedema and R) groin pain
b) LUQ abdominal pain, nausea, and vomiting
c) hypoglycaemia, hypertension, and hypochondrial pain
d) epigastric pain, pyrexia and elevated WBC count - Correct Answers -b) LUQ
abdominal pain, nausea, and vomiting
You are caring for bill, a 50 year old man who has been hospitalised with a possible
diagnosis of pancreatitis
The initial diagnosis of pancreatitis would be confirmed if Bills blood test showed a
significant elevation in serum
a) Amylase
b) glucose
c) potassium
d) trypsin - Correct Answers -a) Amylase
You are caring for bill, a 50 year old man who has been hospitalised with a possible
diagnosis of pancreatitis
Pain control is an important nursing goal. Which of the following medications would be
the drug of choice
a) Pethidine
b) Cimetidine
c) Morphine
d) Codeine - Correct Answers -c) morphine
You are caring for bill, a 50 year old man who has been hospitalised with a possible
diagnosis of pancreatitis
,· You monitor bills vital sings frequently, observing for the signs of shock. Shock is
extremely difficult to manage in pancreatitis primarily because of the
a) Frequency and severity of gastrointestinal haemorrhage
b) Vasodilating effects of kinin peptides
c) Tendency towards congestive heart failure
d) Frequent incidence of acute tubular necrosis - Correct Answers -a) frequency and
severity of gastrointestinal haemorrhage
You are caring for bill, a 50 year old man who has been hospitalised with a possible
diagnosis of pancreatitis
· While helping bill change position in bed, you note bill has muscle twitching in his
hands and forearms. These symptoms are significant because clients who suffer from
pancreatitis are at risk of
a) Hypermagnisemia
b) Hypoglycaemia
c) Hypocalcaemia
d) Hyponatremia - Correct Answers -c) hypocalcaemia
You are caring for bill, a 50 year old man who has been hospitalised with a possible
diagnosis of pancreatitis
Bill does not drink alcohol because of his religious beliefs. When the physician persists
in asking him about his alcohol intake, bill becomes annoyed. You explain the reasoning
behind the questioning by telling bill that
a) There is a strong link between alcohol use and pancreatitis
b) Alcohol intake can interfere with some of the tests used to diagnose pancreatitis
c) Alcoholism is a major health problem and all hospitalised clients are asked about
their alcohol intake
d) The physician must obtain the pertinent facts, and religious beliefs cannot be
considered - Correct Answers -a) there is a strong link between alcohol use and
pancreatitis
A home care nurse begins caring for a 25 year old female called Lydia who has just
been diagnosed with human immunodeficiency virus (HIV)
· Lydia asks the nurse, 'how could this have happened?" the nurse responds to the
question based on the most frequent mode of HIV transmission, which is
a) Hugging an HIV positive sexual partner without using barrier precautions
b) Inhaling cocaine or other recreational drugs
c) Sharing a drink bottle with an HIV positive person
d) Sexual intercourse with an HIV positive person without using a condom - Correct
Answers -d) sexual intercourse with an HIV positive person without using a condom
, A home care nurse begins caring for a 25 year old female called Lydia who has just
been diagnosed with human immunodeficiency virus (HIV)
· The physician prescribes zidovudine (AZT) a drug that acts to help
a) Destroy the virus
b) Enhance the bodys antibody production
c) Slow replication of the virus
d) Neutralise toxin; produced by the causative organism - Correct Answers -c) slow
replication of the virus
A home care nurse begins caring for a 25 year old female called Lydia who has just
been diagnosed with human immunodeficiency virus (HIV)
· Lydia acquires herpes genitalis and is counselled by the nurse concerning follow up
care. Women who have this disease are at risk of developing
a) Sterility
b) Cervical cancer
c) Uterine fibroid rumours
d) Irregular menses - Correct Answers -b) cervical cancer
A home care nurse begins caring for a 25 year old female called Lydia who has just
been diagnosed with human immunodeficiency virus (HIV)
· Which of the following nursing diagnosis categories would most likely be a priority for a
client with herpes genitalis
a) Alteration in sleep; sleep pattern disturbance
b) Nutritional deficit
c) Alteration in comfort pain
d) Alteration in breathing patterns - Correct Answers -c) alteration in comfort pain
A home care nurse begins caring for a 25 year old female called Lydia who has just
been diagnosed with human immunodeficiency virus (HIV)
· The primary reason that a herpes simplex infection is a serious concern to a client with
HIV infection is that herpes simplex
a) Is an acquired immunodeficiency virus (AIDS) defining illness
b) Is curable only after 1 year of antiviral therapy
c) Can lead to cervical cancer
d) Causes severe electrolyte imbalances - Correct Answers -a) is an acquired
immunodeficiency virus (AIDS) defining illness
A home care nurse begins caring for a 25 year old female called Lydia who has just
been diagnosed with human immunodeficiency virus (HIV)
In providing education to Lydia, the nurse should take into account the fact that the most
effective method known to control the spread to HIV infection is
QUESTIONS AND ANSWERS
You are caring for bill, a 50 year old man who has been hospitalised with a possible
diagnosis of pancreatitis.
Which of the following symptoms would you anticipate observing in Bill?
a) elevated WBC count, ankle oedema and R) groin pain
b) LUQ abdominal pain, nausea, and vomiting
c) hypoglycaemia, hypertension, and hypochondrial pain
d) epigastric pain, pyrexia and elevated WBC count - Correct Answers -b) LUQ
abdominal pain, nausea, and vomiting
You are caring for bill, a 50 year old man who has been hospitalised with a possible
diagnosis of pancreatitis
The initial diagnosis of pancreatitis would be confirmed if Bills blood test showed a
significant elevation in serum
a) Amylase
b) glucose
c) potassium
d) trypsin - Correct Answers -a) Amylase
You are caring for bill, a 50 year old man who has been hospitalised with a possible
diagnosis of pancreatitis
Pain control is an important nursing goal. Which of the following medications would be
the drug of choice
a) Pethidine
b) Cimetidine
c) Morphine
d) Codeine - Correct Answers -c) morphine
You are caring for bill, a 50 year old man who has been hospitalised with a possible
diagnosis of pancreatitis
,· You monitor bills vital sings frequently, observing for the signs of shock. Shock is
extremely difficult to manage in pancreatitis primarily because of the
a) Frequency and severity of gastrointestinal haemorrhage
b) Vasodilating effects of kinin peptides
c) Tendency towards congestive heart failure
d) Frequent incidence of acute tubular necrosis - Correct Answers -a) frequency and
severity of gastrointestinal haemorrhage
You are caring for bill, a 50 year old man who has been hospitalised with a possible
diagnosis of pancreatitis
· While helping bill change position in bed, you note bill has muscle twitching in his
hands and forearms. These symptoms are significant because clients who suffer from
pancreatitis are at risk of
a) Hypermagnisemia
b) Hypoglycaemia
c) Hypocalcaemia
d) Hyponatremia - Correct Answers -c) hypocalcaemia
You are caring for bill, a 50 year old man who has been hospitalised with a possible
diagnosis of pancreatitis
Bill does not drink alcohol because of his religious beliefs. When the physician persists
in asking him about his alcohol intake, bill becomes annoyed. You explain the reasoning
behind the questioning by telling bill that
a) There is a strong link between alcohol use and pancreatitis
b) Alcohol intake can interfere with some of the tests used to diagnose pancreatitis
c) Alcoholism is a major health problem and all hospitalised clients are asked about
their alcohol intake
d) The physician must obtain the pertinent facts, and religious beliefs cannot be
considered - Correct Answers -a) there is a strong link between alcohol use and
pancreatitis
A home care nurse begins caring for a 25 year old female called Lydia who has just
been diagnosed with human immunodeficiency virus (HIV)
· Lydia asks the nurse, 'how could this have happened?" the nurse responds to the
question based on the most frequent mode of HIV transmission, which is
a) Hugging an HIV positive sexual partner without using barrier precautions
b) Inhaling cocaine or other recreational drugs
c) Sharing a drink bottle with an HIV positive person
d) Sexual intercourse with an HIV positive person without using a condom - Correct
Answers -d) sexual intercourse with an HIV positive person without using a condom
, A home care nurse begins caring for a 25 year old female called Lydia who has just
been diagnosed with human immunodeficiency virus (HIV)
· The physician prescribes zidovudine (AZT) a drug that acts to help
a) Destroy the virus
b) Enhance the bodys antibody production
c) Slow replication of the virus
d) Neutralise toxin; produced by the causative organism - Correct Answers -c) slow
replication of the virus
A home care nurse begins caring for a 25 year old female called Lydia who has just
been diagnosed with human immunodeficiency virus (HIV)
· Lydia acquires herpes genitalis and is counselled by the nurse concerning follow up
care. Women who have this disease are at risk of developing
a) Sterility
b) Cervical cancer
c) Uterine fibroid rumours
d) Irregular menses - Correct Answers -b) cervical cancer
A home care nurse begins caring for a 25 year old female called Lydia who has just
been diagnosed with human immunodeficiency virus (HIV)
· Which of the following nursing diagnosis categories would most likely be a priority for a
client with herpes genitalis
a) Alteration in sleep; sleep pattern disturbance
b) Nutritional deficit
c) Alteration in comfort pain
d) Alteration in breathing patterns - Correct Answers -c) alteration in comfort pain
A home care nurse begins caring for a 25 year old female called Lydia who has just
been diagnosed with human immunodeficiency virus (HIV)
· The primary reason that a herpes simplex infection is a serious concern to a client with
HIV infection is that herpes simplex
a) Is an acquired immunodeficiency virus (AIDS) defining illness
b) Is curable only after 1 year of antiviral therapy
c) Can lead to cervical cancer
d) Causes severe electrolyte imbalances - Correct Answers -a) is an acquired
immunodeficiency virus (AIDS) defining illness
A home care nurse begins caring for a 25 year old female called Lydia who has just
been diagnosed with human immunodeficiency virus (HIV)
In providing education to Lydia, the nurse should take into account the fact that the most
effective method known to control the spread to HIV infection is
