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New Zealand Nursing State Final Exam Prep: 150 Essential Questions, Answers & Evidence-Based Rationales

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New Zealand Nursing State Final Exam Prep: 150 Essential Questions, Answers & Evidence-Based Rationales

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Questions, Answers & Evidence-Based
Rationales New Zealand Nursing
State Final Exam Prep: 150 Essential

Question: According to the Nursing Council of New Zealand
(NCNZ), what is the primary purpose of the Code of Conduct for
nurses?

Answer: To provide a framework for safe, ethical, and culturally
safe practice.

Rationale: The NCNZ Code of Conduct provides a framework for
safe, ethical, and culturally safe practice, outlining the professional
behaviors and responsibilities expected of all nurses in Aotearoa
New Zealand.




Question: Under Te Tiriti o Waitangi, the principle of "Protection"
requires the Crown to actively protect Māori rights and taonga.
How does this apply to nursing practice?

Answer: Protecting Māori health outcomes by providing culturally
safe care and addressing health inequities.

Rationale: In health, the principle of Protection means actively
protecting Māori from health disparities, ensuring equitable

,access to care, and delivering care that is culturally safe and
respects Māori beliefs and practices.




Question: A nurse is caring for a Māori patient who wishes to
have their whānau present during all assessments and procedures.
Which concept from Te Whare Tapa Whā is the nurse primarily
supporting by facilitating this?

Answer: Taha whānau (Family health).

Rationale: Te Whare Tapa Whā is a Māori health model with four
dimensions: taha tinana (physical), taha hinengaro
(mental/emotional), taha wairua (spiritual), and taha whānau
(family). Facilitating whānau presence supports the family/social
dimension of health.




Question: The role of the Nursing Council of New Zealand is to:

Answer: Regulate nursing to protect public safety.

Rationale: The NCNZ regulates nursing to protect the health and
safety of members of the public. This is its statutory purpose
under the HPCA Act 2003.

,Question: A patient has been prescribed morphine 8mg 2-3
hourly PRN for pain. Unit stock of morphine is 10mg/1mL. How
much morphine should be drawn up for the patient?

Answer: 0.8mL.

Rationale: 8mg ÷ 10mg/mL = 0.8mL. This is a basic medication
calculation requiring conversion of dose to volume.




Question: A child weighs 22.4kg, and the prescription is for
24mg/kg of body weight. The medication comes at the strength
of 50mg/mL. How many mL (to one decimal place) of the
medication should the child receive?

Answer: 10.8mL.

Rationale: 22.4kg × 24mg/kg = 537.6mg total dose. 537.6mg ÷
50mg/mL = 10.752mL, rounded to one decimal place = 10.8mL.




Question: Ondansetron 2mg has been prescribed for a child who
weighs 13.6kg. The safe dosage of this medication is 0.15mg/kg.
Is 2mg a safe dose?

Answer: No, a safe dose would be 2.04mg.

Rationale: Safe dose = 13.6kg × 0.15mg/kg = 2.04mg. Since 2mg
is less than 2.04mg, it is not a safe dose for this child.

, Question: A patient is prescribed 250mg of antibiotics in 200mL
of intravenous fluid over 30 minutes. The correct rate in mL per
hour to set the infusion device is:

Answer: 400mL per hour.

Rationale: 200mL over 30 minutes = 400mL over 60 minutes (1
hour).




Question: How many mg is 5000mcg?

Answer: 5mg.

Rationale: 1000mcg = 1mg, therefore 5000mcg ÷ 1000 = 5mg.




Question: A patient is prescribed 125mg of a medication. The
ampule contains 400mg/4mL. How many mL will you administer?

Answer: 1.25mL.

Rationale: 400mg/4mL = 100mg/mL. 125mg ÷ 100mg/mL =
1.25mL.

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