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Exam (elaborations)

NCNZ State exam revision (past state paper Q-s) Questions and Answers 2026 Update

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NCNZ State exam revision (past state paper Q-s) Questions and Answers 2026 Update

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NCNZ State exam revision (past state
paper Q's) Questions and Answers 2026
Update
You are caring for bill, a 50 year old man who has been
hospitalised with a possible diagnosis of pancreatitis
1. Which of the following symptoms would you anticipate
observing in bill
a) Elevated white blood cell count, ankle oedema and right
groin pain
b) Left upper quadrant abdominal pain, nausea, and vomiting
c) Hypoglycaemia, hypertension, and hypochondrial pain
d) Epigastric pain, pyrexia, and elevated white blood cell
count - Correct Answers ✅Left upper quadrant abdo pain,
nausea, vomiting


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 ✅Amylase


Pain control is an important nursing goal. Which of the
following medications would be the drug of choice
a) Pethidine
b) Cimetidine
c) Morphine

,NCNZ State exam revision (past state
paper Q's) Questions and Answers 2026
Update
d) Codeine - Correct Answers ✅Morphine


4. You monitor bills vital signs 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 ✅Frequency and severity of gastrointestinal
haemorrhage


While helping bill change position in bed, you note bill has
muscle twitching in his bands 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 ✅Hypocalcaemia


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

,NCNZ State exam revision (past state
paper Q's) Questions and Answers 2026
Update
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
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
✅Alcoholism is a major health problem and all hospitalised
clients are asked about
their alcohol intake


home care nurse begins caring for a 25 year old female called
Lydia who has just been diagnosed with human
immunodeficiency virus (HIV)
7. 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

, NCNZ State exam revision (past state
paper Q's) Questions and Answers 2026
Update

The physician prescribes zidovudine (AZT) a drug that acts to
help
a) Destroy the virus
b) Enhance the body's antibody production
c) Slow replication of the virus
d) Neutralise toxin; produced by the causative organism -
Correct Answers ✅Slow replication of the virus


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 ✅d) Irregular
menses


The typical chancre of syphilis appears as
a) A grouping of small, tender pimples
b) An elevated wart
c) A painless moist ulcer

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